Analysis of Skin Deformation Differences on the Upper Arm Between Active and Passive Movements During Elbow Flexion and Extension.

Abstract

The motion ability of patients in the acute phase of stroke is difficult to define with existing indexes such as the Brunnstrom stage. Hence, for designing a novel evaluation index for stroke rehabilitation in the acute phase, we focused on the differences between the skin deformations in active and passive movements. Skin deformation reflects the activities of body tissues that are related to motion ability. We measured skin deformations on the upper arm in active and passive movements during elbow flexion and extension and extracted features from these deformations. For practical rehabilitation applications, we developed a novel flexible distance sensor array to reduce the time needed for attaching sensors to patients. Using principal component analysis (PCA), the skin deformation could be decomposed into joint movements and activeness of movements as the first two components (PC1 and PC2). The joint angle and PC1 exhibited a high correlation, and the standard deviation (SD) of PC2 indicated a significant difference in the types of movements. From the above results, we concluded that the SD ratio between PC2 and PC1 may be used to evaluate motion ability considering the inherent biomechanical characteristics.