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The authors would like to thank all the volunteers for their participation in this study, the clinical team and Functional Rehabilitation Department of the Institut Guttmann Neurorehabilitation Hospital for their invaluable collaboration, especially the therapists Mrs. Maria Almenara, Mr. Carlos Molleja and Mrs. Cristina Gomez for their help during the data collection. Also, the authors would like to thank the Universidad Politecnica de Madrid and the Spanish Ministry of Economy and Competitiveness (project TP-2012-1063-300000 Sensing Toys; and project TIN2012-38450, COGNITIO) for their partially funded of this research work.

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Perez-Rodriguez, RodrigoAuthor

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December 12, 2022
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Objective motor assessment for personalized rehabilitation of upper extremity in brain injury patients

Publicated to:Neurorehabilitation. 42 (4): 429-439 - 2018-01-01 42(4), DOI: 10.3233/NRE-172315

Authors: Adriana Villan-Villan, Mailin; Perez-Rodriguez, Rodrigo; Martin, Cristina; Sanchez-Gozalez, Patricia; Soriano, Ignasi; Opisso, Eloy; Elena Hernando, M; Maria Tormos, Jose; Medina, Josep; Gomez, Enrique J

Affiliations

Biomed Res Networking Ctr Bioengn Biomat & Nanome, Zaragoza, Spain - Author
Univ Autonoma Barcelona, Inst Guttmann Neurorehabil Hosp, Badalona, Spain - Author
UPM, Biomed Engn & Telemed Ctr GBT, ETSI Telecomunicac, CTB, Ave Complutense 30, Madrid, Spain - Author

Abstract

BACKGROUND: The increasing number of patients with acquired brain injury and the current subjectivity of the conventional upper extremity (UE) assessment tests require new objective assessment techniques.OBJECTIVE: This research proposes a novel objective motor assessment (OMA) methodology based on the Fugl-Meyer assessment (FMA). The goals are to automatically calculate the objective scores (OSs) of FMA-UE movements (as well as a global OS) and to interpret the estimated OSs.METHODS: Fifteen patients participated in the study. The OMA algorithm was designed to detect small-scale variations in UE movements. The OSs for 14 FMA-UE movements and the global OSs were automatically calculated using the algorithm and evaluated by 2 therapists. The interpretation of the global OSs was performed at 3 levels: by item, movement and globally.RESULTS: The global OSs calculated by our algorithm had a significant correlation with the therapists' scores (0.783 and 0.938,<0.01). All OSs for each movement were correlated with the scores given by the therapists. The correlation coefficient can reach values as high as 0.981 (p < 0.01).CONCLUSIONS: We provide a new objective assessment tool for therapists to help them improve the diagnostic accuracy and to achieve a more personalized and potentially effective physical rehabilitation of brain injury patients.

Keywords

AlgorithmAlgorithmsBrain injuriesBrain injuryDisability evaluationEpidemiologyFeasibilityFrameworkFugl-meyer assessment upper extremityHumansKinematic analysisMovementNeurologic examinationNeurological rehabilitationObjective assessment toolPhysical and rehabilitation medicineScaleStrokeStroke rehabilitationUpper extremity

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Neurorehabilitation due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2018, it was in position , thus managing to position itself as a Q2 (Segundo Cuartil), in the category Rehabilitation. Notably, the journal is positioned en el Cuartil Q3 for the agency WoS (JCR) in the category Rehabilitation.

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 1.28, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Sep 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-09-10, the following number of citations:

  • WoS: 3
  • Europe PMC: 2

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-09-10:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 43.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 43 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 15.45.
  • The number of mentions on the social network Facebook: 1 (Altmetric).
  • The number of mentions on the social network X (formerly Twitter): 10 (Altmetric).
  • The number of mentions in news outlets: 1 (Altmetric).