A mechanical impedance-based measurement system for quantifying Parkinsonian rigidity.
10.7507/1001-5515.201708069
- Author:
Houde DAI
1
;
Yongsheng XIONG
2
,
3
;
Guoen CAI
4
;
Xuke XIA
1
;
Zhirong LIN
5
Author Information
1. Quanzhou Institute of Equipment Manufacturing, Haixi Institutes, Chinese Academy of Sciences, Jinjiang, Fujian 362200, P.R.China.
2. Quanzhou Institute of Equipment Manufacturing, Haixi Institutes, Chinese Academy of Sciences, Jinjiang, Fujian 362200, P.R.China
3. School of Electrical and Control Engineering, North University of China, Taiyuan 030051, P.R.China.
4. Neurology Department, Affiliated Union Hospital of Fujian Medical University, Fuzhou 350001, P.R.China.
5. Quanzhou Institute of Equipment Manufacturing, Haixi Institutes, Chinese Academy of Sciences, Jinjiang, Fujian 362200, P.R.China.linzhirong@fjirsm.ac.cn.
- Publication Type:Journal Article
- Keywords:
Parkinson’s disease;
mechanical impedance;
quantitative assessment;
rigidity
- From:
Journal of Biomedical Engineering
2018;35(3):421-428
- CountryChina
- Language:Chinese
-
Abstract:
At present the parkinsonian rigidity assessment depends on subjective judgment of neurologists according to their experience. This study presents a parkinsonian rigidity quantification system based on the electromechanical driving device and mechanical impedance measurement method. The quantification system applies the electromechanical driving device to perform the rigidity clinical assessment tasks (flexion-extension movements) in Parkinson's disease (PD) patients, which captures their motion and biomechanical information synchronously. Qualified rigidity features were obtained through statistical analysis method such as least-squares parameter estimation. By comparing the judgments from both the parkinsonian rigidity quantification system and neurologists, correlation analysis was performed to find the optimal quantitative feature. Clinical experiments showed that the mechanical impedance has the best correlation (Pearson correlation coefficient = 0.872, < 0.001) with the clinical unified Parkinson's disease rating scale (UPDRS) rigidity score. Results confirmed that this measurement system is capable of quantifying parkinsonian rigidity with advantages of simple operation and effective assessment. In addition, the mechanical impedance can be adopted to help doctors to diagnose and monitor parkinsonian rigidity objectively and accurately.
