Skip to main content
Top

2018 | OriginalPaper | Chapter

2. Traditional Clinical Evaluation of Gait and Reflex Response by Ordinal Scale

Authors : Robert LeMoyne, Timothy Mastroianni

Published in: Wearable and Wireless Systems for Healthcare I

Publisher: Springer Singapore

Activate our intelligent search to find suitable subject content or patents.

search-config
loading …

Abstract

The original technique for quantifying the rehabilitation status of a patient involves the observation by an expert clinician. Based on this expert observation the clinician applies a subjective interpretation to a series of ordinal scale rankings. Examples of scenarios for applying the ordinal scale methodology involve the evaluation of the tendon reflex response and gait. More sophisticated quantification techniques that are derived from the ordinal scale approach pertain to the evaluation of neuro-degenerative diseases, such as Friedreich’s ataxia. Intuitively these ordinal scale techniques are subjective, which causes their reliability to be a subject of controversy. Furthermore, the level of experience of the evaluating clinician can significantly influence the reliability of the evaluation. An alternative solution would be the incorporation of wearable and wireless systems, such smartphones and portable media devices, for quantifying human movement, such as gait and reflex response.

Dont have a licence yet? Then find out more about our products and how to get one now:

Springer Professional "Wirtschaft+Technik"

Online-Abonnement

Mit Springer Professional "Wirtschaft+Technik" erhalten Sie Zugriff auf:

  • über 102.000 Bücher
  • über 537 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Maschinenbau + Werkstoffe
  • Versicherung + Risiko

Jetzt Wissensvorsprung sichern!

Springer Professional "Technik"

Online-Abonnement

Mit Springer Professional "Technik" erhalten Sie Zugriff auf:

  • über 67.000 Bücher
  • über 390 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Maschinenbau + Werkstoffe




 

Jetzt Wissensvorsprung sichern!

Springer Professional "Wirtschaft"

Online-Abonnement

Mit Springer Professional "Wirtschaft" erhalten Sie Zugriff auf:

  • über 67.000 Bücher
  • über 340 Zeitschriften

aus folgenden Fachgebieten:

  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Versicherung + Risiko




Jetzt Wissensvorsprung sichern!

Literature
1.
go back to reference LeMoyne R, Mastroianni T (2015) Use of smartphones and portable media devices for quantifying human movement characteristics of gait, tendon reflex response, and Parkinson’s disease hand tremor. Methods and Protocols, Mobile Health Technologies, 335–358 LeMoyne R, Mastroianni T (2015) Use of smartphones and portable media devices for quantifying human movement characteristics of gait, tendon reflex response, and Parkinson’s disease hand tremor. Methods and Protocols, Mobile Health Technologies, 335–358
2.
go back to reference LeMoyne R, Mastroianni T (2017) Wearable and wireless gait analysis platforms: smartphones and portable media devices. Wireless MEMS Networks and Applications, 129–152 LeMoyne R, Mastroianni T (2017) Wearable and wireless gait analysis platforms: smartphones and portable media devices. Wireless MEMS Networks and Applications, 129–152
3.
go back to reference LeMoyne R, Mastroianni T (2016) Telemedicine perspectives for wearable and wireless applications serving the domain of neurorehabilitation and movement disorder treatment. Telemedicine, 1–10 LeMoyne R, Mastroianni T (2016) Telemedicine perspectives for wearable and wireless applications serving the domain of neurorehabilitation and movement disorder treatment. Telemedicine, 1–10
4.
go back to reference LeMoyne R, Coroian C, Cozza M, Opalinski P, Mastroianni T, Grundfest W (2009) The merits of artificial proprioception, with applications in biofeedback gait rehabilitation concepts and movement disorder characterization. Biomedical Engineering, 165–198 LeMoyne R, Coroian C, Cozza M, Opalinski P, Mastroianni T, Grundfest W (2009) The merits of artificial proprioception, with applications in biofeedback gait rehabilitation concepts and movement disorder characterization. Biomedical Engineering, 165–198
5.
go back to reference LeMoyne R, Coroian C, Mastroianni T, Grundfest W (2008) Accelerometers for quantification of gait and movement disorders: a perspective review. J Mech Med Biol 8(02):137–152CrossRef LeMoyne R, Coroian C, Mastroianni T, Grundfest W (2008) Accelerometers for quantification of gait and movement disorders: a perspective review. J Mech Med Biol 8(02):137–152CrossRef
6.
go back to reference Lemoyne R, Mastroianni T, Coroian C, Grundfest W (2011) Tendon reflex and strategies for quantification, with novel methods incorporating wireless accelerometer reflex quantification devices, a perspective review. J Mech Med Biol 11(03):471–513CrossRef Lemoyne R, Mastroianni T, Coroian C, Grundfest W (2011) Tendon reflex and strategies for quantification, with novel methods incorporating wireless accelerometer reflex quantification devices, a perspective review. J Mech Med Biol 11(03):471–513CrossRef
7.
go back to reference LeMoyne R, Mastroianni T (2017) Smartphone and portable media device: a novel pathway toward the diagnostic characterization of human movement. Smartphone from an Applied Research Perspective LeMoyne R, Mastroianni T (2017) Smartphone and portable media device: a novel pathway toward the diagnostic characterization of human movement. Smartphone from an Applied Research Perspective
8.
go back to reference Bickley L, Szilagyi PG (2003) Bates’ guide to physical examination and history-taking. Lippincott Williams & Wilkins Bickley L, Szilagyi PG (2003) Bates’ guide to physical examination and history-taking. Lippincott Williams & Wilkins
9.
go back to reference Litvan I, Mangone CA, Werden W, Bueri JA, Estol CJ, Garcea DO, Rey RC, Sica RE, Hallett M, Bartko JJ (1996) Reliability of the NINDS myotatic reflex scale. Neurology 47(4):969–972CrossRef Litvan I, Mangone CA, Werden W, Bueri JA, Estol CJ, Garcea DO, Rey RC, Sica RE, Hallett M, Bartko JJ (1996) Reliability of the NINDS myotatic reflex scale. Neurology 47(4):969–972CrossRef
10.
go back to reference Manschot S, Van Passel L, Buskens E, Algra A, Van Gijn J (1998) Mayo and NINDS scales for assessment of tendon reflexes: between observer agreement and implications for communication. J Neurol Neurosurg Psychiatry 64(2):253–255CrossRef Manschot S, Van Passel L, Buskens E, Algra A, Van Gijn J (1998) Mayo and NINDS scales for assessment of tendon reflexes: between observer agreement and implications for communication. J Neurol Neurosurg Psychiatry 64(2):253–255CrossRef
11.
go back to reference Stam J, Crevel H (1990) Reliability of the clinical and electromyographic examination of tendon reflexes. J Neurol 237(7):427–431CrossRef Stam J, Crevel H (1990) Reliability of the clinical and electromyographic examination of tendon reflexes. J Neurol 237(7):427–431CrossRef
12.
go back to reference LeMoyne R, Dabiri F, Jafari R (2008) Quantified deep tendon reflex device, second generation. J Mech Med Biol 8(01):75–85CrossRef LeMoyne R, Dabiri F, Jafari R (2008) Quantified deep tendon reflex device, second generation. J Mech Med Biol 8(01):75–85CrossRef
13.
go back to reference LeMoyne R, Coroian C, Mastroianni T, Grundfest W (2008) Quantified deep tendon reflex device for response and latency, third generation. J Mech Med Biol 8(04):491–506CrossRef LeMoyne R, Coroian C, Mastroianni T, Grundfest W (2008) Quantified deep tendon reflex device for response and latency, third generation. J Mech Med Biol 8(04):491–506CrossRef
14.
go back to reference LeMoyne R, Mastroianni T, Kale H, Luna J, Stewart J, Elliot S, Bryan F, Coroian C, Grundfest W (2011) Fourth generation wireless reflex quantification system for acquiring tendon reflex response and latency. J Mech Med Biol 11(01):31–54CrossRef LeMoyne R, Mastroianni T, Kale H, Luna J, Stewart J, Elliot S, Bryan F, Coroian C, Grundfest W (2011) Fourth generation wireless reflex quantification system for acquiring tendon reflex response and latency. J Mech Med Biol 11(01):31–54CrossRef
15.
go back to reference LeMoyne RC (2010) Wireless quantified reflex device. Ph.D. Dissertation UCLA LeMoyne RC (2010) Wireless quantified reflex device. Ph.D. Dissertation UCLA
16.
go back to reference LeMoyne R, Mastroianni T, Coroian C, Grundfest W (2010) Wireless three dimensional accelerometer reflex quantification device with artificial reflex system. J Mech Med Biol 10(03):401–415CrossRef LeMoyne R, Mastroianni T, Coroian C, Grundfest W (2010) Wireless three dimensional accelerometer reflex quantification device with artificial reflex system. J Mech Med Biol 10(03):401–415CrossRef
17.
go back to reference LeMoyne R, Coroian C, Mastroianni T (2009) Wireless accelerometer reflex quantification system characterizing response and latency. In: 31st Annual International Conference of the IEEE, Engineering in Medicine and Biology Society (EMBS), pp 5283–5286 LeMoyne R, Coroian C, Mastroianni T (2009) Wireless accelerometer reflex quantification system characterizing response and latency. In: 31st Annual International Conference of the IEEE, Engineering in Medicine and Biology Society (EMBS), pp 5283–5286
18.
go back to reference LeMoyne R, Mastroianni T, Grundfest W (2012) Quantified reflex strategy using an iPod as a wireless accelerometer application. In: 34th Annual International Conference of the IEEE, Engineering in Medicine and Biology Society (EMBS), pp 2476–2479 LeMoyne R, Mastroianni T, Grundfest W (2012) Quantified reflex strategy using an iPod as a wireless accelerometer application. In: 34th Annual International Conference of the IEEE, Engineering in Medicine and Biology Society (EMBS), pp 2476–2479
19.
go back to reference LeMoyne R, Mastroianni T, Grundfest W, Nishikawa K (2013) Implementation of an iPhone wireless accelerometer application for the quantification of reflex response. In: 35th Annual International Conference of the IEEE, Engineering in Medicine and Biology Society (EMBS), pp 4658–4661 LeMoyne R, Mastroianni T, Grundfest W, Nishikawa K (2013) Implementation of an iPhone wireless accelerometer application for the quantification of reflex response. In: 35th Annual International Conference of the IEEE, Engineering in Medicine and Biology Society (EMBS), pp 4658–4661
20.
go back to reference LeMoyne R, Kerr WT, Zanjani K, Mastroianni T (2014) Implementation of an iPod wireless accelerometer application using machine learning to classify disparity of hemiplegic and healthy patellar tendon reflex pair. J Med Imaging Heal Inform 4(1):21–28CrossRef LeMoyne R, Kerr WT, Zanjani K, Mastroianni T (2014) Implementation of an iPod wireless accelerometer application using machine learning to classify disparity of hemiplegic and healthy patellar tendon reflex pair. J Med Imaging Heal Inform 4(1):21–28CrossRef
21.
go back to reference LeMoyne R, Coroian C, Mastroianni T, Grundfest W (2008) Virtual proprioception. J Mech Med Biol 8(03):317–338CrossRef LeMoyne R, Coroian C, Mastroianni T, Grundfest W (2008) Virtual proprioception. J Mech Med Biol 8(03):317–338CrossRef
22.
go back to reference Perry J, Garrett M, Gronley JK, Mulroy SJ (1995) Classification of walking handicap in the stroke population. Stroke 26(6):982–989CrossRef Perry J, Garrett M, Gronley JK, Mulroy SJ (1995) Classification of walking handicap in the stroke population. Stroke 26(6):982–989CrossRef
23.
go back to reference Lord SE, Rochester L (2005) Measurement of community ambulation after stroke. Stroke 36(7):1457–1461CrossRef Lord SE, Rochester L (2005) Measurement of community ambulation after stroke. Stroke 36(7):1457–1461CrossRef
24.
go back to reference Ferrarello F, Bianchi VA, Baccini M, Rubbieri G, Mossello E, Cavallini MC, Marchionni N, Di Bari M (2013) Tools for observational gait analysis in patients with stroke: a systematic review. Phys Ther 93(12):1673CrossRef Ferrarello F, Bianchi VA, Baccini M, Rubbieri G, Mossello E, Cavallini MC, Marchionni N, Di Bari M (2013) Tools for observational gait analysis in patients with stroke: a systematic review. Phys Ther 93(12):1673CrossRef
25.
go back to reference LeMoyne R (2016) Advances for prosthetic technology: from historical perspective to current status to future application. Springer LeMoyne R (2016) Advances for prosthetic technology: from historical perspective to current status to future application. Springer
26.
go back to reference LeMoyne R (2016) Amputations and Prostheses, a Topic of Global Concern. Advances for Prosthetic Technology: From Historical Perspective to Current Status to Future Application, 1–13 LeMoyne R (2016) Amputations and Prostheses, a Topic of Global Concern. Advances for Prosthetic Technology: From Historical Perspective to Current Status to Future Application, 1–13
27.
go back to reference Brunnekreef JJ, van Uden CJ, van Moorsel S, Kooloos JG (2005) Reliability of videotaped observational gait analysis in patients with orthopedic impairments. BMC Musculoskelet Disord 6(1):17CrossRef Brunnekreef JJ, van Uden CJ, van Moorsel S, Kooloos JG (2005) Reliability of videotaped observational gait analysis in patients with orthopedic impairments. BMC Musculoskelet Disord 6(1):17CrossRef
28.
go back to reference Stephenson J, Zesiewicz T, Gooch C, Wecker L, Sullivan K, Jahan I, Kim SH (2015) Gait and balance in adults with Friedreich’s ataxia. Gait Posture 41(2):603–607CrossRef Stephenson J, Zesiewicz T, Gooch C, Wecker L, Sullivan K, Jahan I, Kim SH (2015) Gait and balance in adults with Friedreich’s ataxia. Gait Posture 41(2):603–607CrossRef
29.
go back to reference Ropper AH (2014) Adams and Victor’s principles of neurology. McGraw-Hill Ropper AH (2014) Adams and Victor’s principles of neurology. McGraw-Hill
31.
go back to reference Tai G, Yiu EM, Corben LA, Delatycki MB (2015) A longitudinal study of the Friedreich Ataxia Impact Scale. J Neurol Sci 352(1):53–57CrossRef Tai G, Yiu EM, Corben LA, Delatycki MB (2015) A longitudinal study of the Friedreich Ataxia Impact Scale. J Neurol Sci 352(1):53–57CrossRef
32.
go back to reference Lynch DR, Farmer JM, Tsou AY, Perlman S, Subramony SH, Gomez CM, Ashizawa T, Wilmot GR, Wilson RB, Balcer LJ (2006) Measuring Friedreich ataxia complementary features of examination and performance measures. Neurology 66(11):1711–1716CrossRef Lynch DR, Farmer JM, Tsou AY, Perlman S, Subramony SH, Gomez CM, Ashizawa T, Wilmot GR, Wilson RB, Balcer LJ (2006) Measuring Friedreich ataxia complementary features of examination and performance measures. Neurology 66(11):1711–1716CrossRef
33.
go back to reference LeMoyne R, Heerinckx F, Aranca T, De Jager R, Zesiewicz T, Saal HJ (2016) Wearable body and wireless inertial sensors for machine learning classification of gait for people with Friedreich’s ataxia. In: 2016 IEEE 13th International Conference on Wearable and Implantable Body Sensor Networks (BSN), pp 147–151 LeMoyne R, Heerinckx F, Aranca T, De Jager R, Zesiewicz T, Saal HJ (2016) Wearable body and wireless inertial sensors for machine learning classification of gait for people with Friedreich’s ataxia. In: 2016 IEEE 13th International Conference on Wearable and Implantable Body Sensor Networks (BSN), pp 147–151
34.
go back to reference Rebula JR, Ojeda LV, Adamczyk PG, Kuo AD (2013) Measurement of foot placement and its variability with inertial sensors. Gait posture 38(4):974–980CrossRef Rebula JR, Ojeda LV, Adamczyk PG, Kuo AD (2013) Measurement of foot placement and its variability with inertial sensors. Gait posture 38(4):974–980CrossRef
Metadata
Title
Traditional Clinical Evaluation of Gait and Reflex Response by Ordinal Scale
Authors
Robert LeMoyne
Timothy Mastroianni
Copyright Year
2018
Publisher
Springer Singapore
DOI
https://doi.org/10.1007/978-981-10-5684-0_2