A wearable ring-shaped inertial system to identify action planning impairments during reach-to-grasp sequences: a pilot study
Abstract Background The progressive ageing of the population is leading to an increasing number of people affected by cognitive decline, including disorders in executive functions (EFs), such as action planning. Current procedures to evaluate cognitive decline are based on neuropsychological tests,...
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doaj-454f03467a1e4ec58f70e383da992afa2021-08-01T11:43:44ZengBMCJournal of NeuroEngineering and Rehabilitation1743-00032021-07-0118111110.1186/s12984-021-00913-4A wearable ring-shaped inertial system to identify action planning impairments during reach-to-grasp sequences: a pilot studyErika Rovini0Guenda Galperti1Valeria Manera2Gianmaria Mancioppi3Laura Fiorini4Auriane Gros5Philippe Robert6Filippo Cavallo7Department of Industrial Engineering, University of FlorenceThe BioRobotics Institute of Scuola Superiore Sant’AnnaCoBTeK Lab of the Université Cote D’AzurThe BioRobotics Institute of Scuola Superiore Sant’AnnaDepartment of Industrial Engineering, University of FlorenceCoBTeK Lab of the Université Cote D’AzurCoBTeK Lab of the Université Cote D’AzurDepartment of Industrial Engineering, University of FlorenceAbstract Background The progressive ageing of the population is leading to an increasing number of people affected by cognitive decline, including disorders in executive functions (EFs), such as action planning. Current procedures to evaluate cognitive decline are based on neuropsychological tests, but novel methods and approaches start to be investigated. Reach-to-grasp (RG) protocols have shown that intentions can influence the EFs of action planning. In this work, we proposed a novel ring-shaped wearable inertial device, SensRing, to measure kinematic parameters during RG and after-grasp (AG) tasks with different end-goals. The aim is to evaluate whether SensRing can characterize the motor performances of people affected by Mild Neurocognitive Disorder (MND) with impairment in EFs. Methods Eight Individuals with dysexecutive MND, named d-MND, were compared to ten older healthy subjects (HC). They were asked to reach and grasp a can with three different intentions: to drink (DRINK), to place it on a target (PLACE), or to pass it to a partner (PASS). Twenty-one kinematic parameters were extracted from SensRing inertial data. Results Seven parameters resulted able to differentiate between HC and d-MND in the RG phase, and 8 features resulted significant in the AG phase. d-MND, indeed, had longer reaction times (in RG PLACE), slower peak velocities (in RG PLACE and PASS, in AG DRINK and PLACE), longer deceleration phases (in all RG and AG DRINK), and higher variability (in RG PLACE, in AG DRINK and PASS). Furthermore, d-MND showed no significant differences among conditions, suggesting that impairments in EFs influence their capabilities in modulating the action planning based on the end-goal. Conclusions Based on this explorative study, the system might have the potential for objectifying the clinical assessment of people affected by d-MND by administering an easy motor test. Although these preliminary results have to be investigated in-depth in a larger sample, the portability, wearability, accuracy, and ease-of use of the system make the SensRing potentially appliable for remote applications at home, including analysis of protocols for neuromotor rehabilitation in patients affected by MND.https://doi.org/10.1186/s12984-021-00913-4Action planningDysexecutive syndromeExecutive functionsMild cognitive impairmentMotor programmingReach-to-grasp |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Erika Rovini Guenda Galperti Valeria Manera Gianmaria Mancioppi Laura Fiorini Auriane Gros Philippe Robert Filippo Cavallo |
spellingShingle |
Erika Rovini Guenda Galperti Valeria Manera Gianmaria Mancioppi Laura Fiorini Auriane Gros Philippe Robert Filippo Cavallo A wearable ring-shaped inertial system to identify action planning impairments during reach-to-grasp sequences: a pilot study Journal of NeuroEngineering and Rehabilitation Action planning Dysexecutive syndrome Executive functions Mild cognitive impairment Motor programming Reach-to-grasp |
author_facet |
Erika Rovini Guenda Galperti Valeria Manera Gianmaria Mancioppi Laura Fiorini Auriane Gros Philippe Robert Filippo Cavallo |
author_sort |
Erika Rovini |
title |
A wearable ring-shaped inertial system to identify action planning impairments during reach-to-grasp sequences: a pilot study |
title_short |
A wearable ring-shaped inertial system to identify action planning impairments during reach-to-grasp sequences: a pilot study |
title_full |
A wearable ring-shaped inertial system to identify action planning impairments during reach-to-grasp sequences: a pilot study |
title_fullStr |
A wearable ring-shaped inertial system to identify action planning impairments during reach-to-grasp sequences: a pilot study |
title_full_unstemmed |
A wearable ring-shaped inertial system to identify action planning impairments during reach-to-grasp sequences: a pilot study |
title_sort |
wearable ring-shaped inertial system to identify action planning impairments during reach-to-grasp sequences: a pilot study |
publisher |
BMC |
series |
Journal of NeuroEngineering and Rehabilitation |
issn |
1743-0003 |
publishDate |
2021-07-01 |
description |
Abstract Background The progressive ageing of the population is leading to an increasing number of people affected by cognitive decline, including disorders in executive functions (EFs), such as action planning. Current procedures to evaluate cognitive decline are based on neuropsychological tests, but novel methods and approaches start to be investigated. Reach-to-grasp (RG) protocols have shown that intentions can influence the EFs of action planning. In this work, we proposed a novel ring-shaped wearable inertial device, SensRing, to measure kinematic parameters during RG and after-grasp (AG) tasks with different end-goals. The aim is to evaluate whether SensRing can characterize the motor performances of people affected by Mild Neurocognitive Disorder (MND) with impairment in EFs. Methods Eight Individuals with dysexecutive MND, named d-MND, were compared to ten older healthy subjects (HC). They were asked to reach and grasp a can with three different intentions: to drink (DRINK), to place it on a target (PLACE), or to pass it to a partner (PASS). Twenty-one kinematic parameters were extracted from SensRing inertial data. Results Seven parameters resulted able to differentiate between HC and d-MND in the RG phase, and 8 features resulted significant in the AG phase. d-MND, indeed, had longer reaction times (in RG PLACE), slower peak velocities (in RG PLACE and PASS, in AG DRINK and PLACE), longer deceleration phases (in all RG and AG DRINK), and higher variability (in RG PLACE, in AG DRINK and PASS). Furthermore, d-MND showed no significant differences among conditions, suggesting that impairments in EFs influence their capabilities in modulating the action planning based on the end-goal. Conclusions Based on this explorative study, the system might have the potential for objectifying the clinical assessment of people affected by d-MND by administering an easy motor test. Although these preliminary results have to be investigated in-depth in a larger sample, the portability, wearability, accuracy, and ease-of use of the system make the SensRing potentially appliable for remote applications at home, including analysis of protocols for neuromotor rehabilitation in patients affected by MND. |
topic |
Action planning Dysexecutive syndrome Executive functions Mild cognitive impairment Motor programming Reach-to-grasp |
url |
https://doi.org/10.1186/s12984-021-00913-4 |
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