Skip to main content

The Automated Box and Blocks Test an Autonomous Assessment Method of Gross Manual Dexterity in Stroke Rehabilitation

  • Conference paper
  • First Online:
Book cover Towards Autonomous Robotic Systems (TAROS 2017)

Part of the book series: Lecture Notes in Computer Science ((LNAI,volume 10454))

Included in the following conference series:

Abstract

Traditional motor assessment is carried out by clinicians using standard clinical tests in order to have objectivity in the evaluation, but this manual procedure is liable to the observer subjectivity. In this article, an automatic assessment system based on the Box and Blocks Test (BBT) of manual dexterity is presented. Also, the automatic test administration and the motor performance of the user is addressed. Through cameras RGB-D the execution of the test and the patient’s movements are monitored. Based on colour segmentation, the cubes displaced by the user are detected and the traditional scoring is automatically calculated. Furthermore, a pilot trial in a hospital environment was conducted, to compare the automatic system and its effectiveness with respect to the traditional one. The results support the use of automatic assessment methods of motor functionality, which in combination with robotic rehabilitation systems, could address an autonomous and objective rehabilitation process.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Coster, W.J.: Making the best match: selecting outcome measures for clinical trials and outcome studies. Am. J. Occup. Ther. 67(2), 162–170 (2013)

    Article  Google Scholar 

  2. Hsiao, C.P., Zhao, C., Do, E.Y.L.: The digital box and block test automating traditional post-stroke rehabilitation assessment. In: 2013 IEEE International Conference on Pervasive Computing and Communications Workshops (PERCOM Workshops), pp. 360–363. IEEE (2013)

    Google Scholar 

  3. Huete, A.J., Victores, J.G., Martinez, S., Gimenez, A., Balaguer, C.: Personal autonomy rehabilitation in home environments by a portable assistive robot. IEEE Trans. Syst. Man Cybern. Part C Appl. Rev. 42(4), 561–570 (2012)

    Article  Google Scholar 

  4. Jardón, A., Gil, A.M., de la Peña, A.I., Monje, C.A., Balaguer, C.: Usability assessment of asibot: a portable robot to aid patients with spinal cord injury. Disabil. Rehabil. Assist. Technol. 6(4), 320–330 (2011). http://dx.doi.org/10.3109/17483107.2010.528144

    Article  Google Scholar 

  5. Jung, J.Y., Glasgow, J.I., Scott, S.H.: A hierarchical ensemble model for automated assessment of stroke impairment. In: 2008 IEEE International Joint Conference on Neural Networks (IEEE World Congress on Computational Intelligence), pp. 3187–3191, June 2008

    Google Scholar 

  6. Lee, T.K., Leo, K., Sanei, S., Chew, E.: Automated scoring of rehabilitative tests with singular spectrum analysis. In: 2015 23rd European Signal Processing Conference (EUSIPCO), pp. 2571–2575. IEEE (2015)

    Google Scholar 

  7. Mathiowetz, V., Volland, G., Kashman, N., Weber, K.: Adult norms for the box and block test of manual dexterity. Am. J. Occup. Ther. 39(6), 386–391 (1985)

    Article  Google Scholar 

  8. Oña, E., Jardón, A., Balaguer, C.: Toward an automated assessment method of manual dexterity. In: 2016 International Workshop on Assistive and Rehabilitation Technology (IWART), pp. 1–2. nBio-UMH (2016)

    Google Scholar 

  9. Oña, E., Jardón, A., Balaguer, C., Cuesta, A., Carratalá, M., Monge, E.: El ‘automatizado box & blocks test’ sistema automático de evaluación de destreza manual gruesa. In: XXXVII Jornadas de Automática, pp. 619–626. CEA, Áccesit to the best works of Computer Vision (2016)

    Google Scholar 

  10. Otten, P., Kim, J., Son, S.H.: A framework to automate assessment of upper-limb motor function impairment: a feasibility study. Sensors 15(8), 20097 (2015). http://www.mdpi.com/1424-8220/15/8/20097

    Article  Google Scholar 

  11. Prochazka, A., Kowalczewski, J.: A fully automated, quantitative test of upper limb function. J. Mot. Behav. 47(1), 19–28 (2015)

    Article  Google Scholar 

  12. van der Putten, J., Hobart, J.C., Freeman, J.A., Thompson, A.J.: Measuring change in disability after inpatient rehabilitation: comparison of the responsiveness of the barthel index and the functional independence measure. J. Neurol. Neurosurg. Psychiat. 66(4), 480–484 (1999). http://jnnp.bmj.com/content/66/4/480.abstract

    Article  Google Scholar 

  13. Saborowski, M., Kollak, I.: How do you care for technology? Care professionals’ experiences with assistive technology in care of the elderly. Technol. Forecast. Soc. Change 93, 133–140 (2015). http://www.sciencedirect.com/science/article/pii/S0040162514001632

    Article  Google Scholar 

  14. Salter, K., Campbell, N., Richardson, M., Mehta, S., Jutai, J., Zettler, L., Moses, M., McClure, A., Mays, R., Foley, N., Teasell, R.: Outcome measures in stroke rehabilitation. Evidence-based review of stroke rehabilitation, 16th edn., London, Ontario, Canada, pp. 1–144 (2013)

    Google Scholar 

  15. Wade, E., Parnandi, A.R., Matarić, M.J.: Automated administration of the wolf motor function test for post-stroke assessment. In: 2010 4th International Conference on-NO PERMISSIONS, Pervasive Computing Technologies for Healthcare (PervasiveHealth), pp. 1–7. IEEE (2010)

    Google Scholar 

  16. Wang, J., Yu, L., Wang, J., Guo, L., Gu, X., Fang, Q.: Automated Fugl-Meyer assessment using SVR model. In: 2014 IEEE International Symposium on Bioelectronics and Bioinformatics (ISBB), pp. 1–4. IEEE (2014)

    Google Scholar 

Download references

Acknowledgments

The research leading to these results has received funding from the ROBOHEALTH-A project (DPI2013-47944-C4-1-R) funded by Spanish Ministry of Economy and Competitiveness and from the RoboCity2030-III-CM project (S2013/MIT-2748), funded by Programas de Actividades I+D en la Comunidad de Madrid and cofunded by Structural Funds of the EU.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Edwin Daniel Oña .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this paper

Cite this paper

Oña, E.D., Jardón, A., Balaguer, C. (2017). The Automated Box and Blocks Test an Autonomous Assessment Method of Gross Manual Dexterity in Stroke Rehabilitation. In: Gao, Y., Fallah, S., Jin, Y., Lekakou, C. (eds) Towards Autonomous Robotic Systems. TAROS 2017. Lecture Notes in Computer Science(), vol 10454. Springer, Cham. https://doi.org/10.1007/978-3-319-64107-2_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-64107-2_9

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-64106-5

  • Online ISBN: 978-3-319-64107-2

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics