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Guy, S. J.

Publications and source records attributed to Guy, S. J..

2 recordsLinked to original sources

Comparing Robotic and Computer Vision Assessments of Unilateral and Bilateral Reaching in Healthy Adults

Assessment of reaching is foundational to upper limb neurorehabilitation. Current neurorehabilitation needs have increased the demand for quantitative clinical assessments of bilateral coordination. Robotics and computer vision for motion tracking are two means to provide relevant quantitative metrics but have many differences including the dimensionality of reaching movements (planar versus three-dimensional) and data acquisition. We do not know how consistent measures of bilateral coordination performance are between these different assessments. In this study, we examined how one robotic and one computer vision method can identify differences between symmetrical and asymmetrical reaching, and the correlations in movement time, and hand lag between these two approaches. Thirty healthy young adults completed four reaching games using the Kinarm exoskeleton robot and a custom developed augmented reality assessment using computer vision. We found that both approaches were able to detect well-established movement time and hand lag differences between symmetrical and asymmetrical reaching, with the differences between symmetrical and asymmetrical being larger with the computer vision approach. Moderate correlations were found between approaches for unilateral and symmetric reaching in both movement time and hand lags; however, no significant correlations were found between approaches for asymmetric reaching. Our results show that reaching task performance differs between robotic and computer vision-based assessment, however, both approaches provide quantitative metrics of unilateral and bilateral reaching that are consistent with prior research. There are benefits and tradeoffs to each approach, and this study informs how clinicians and researchers can consider the methodological differences when determining which assessment method to use.

neuroscience↗

Characterization of Bilateral Reaching Development Using Augmented Reality Games

HighlightsO_LIWe developed augmented reality games to examine bilateral reaching in 133 children C_LIO_LISymmetric and asymmetric reaching developed in parallel C_LIO_LISynchrony in hands reaching targets improved with age C_LIO_LIChildren continued to improve through age 17, though slower rate after 12 years C_LIO_LIFemales demonstrated better reaching performance than males C_LI Bilateral coordination is commonly impaired in neurodevelopmental conditions including cerebral palsy, developmental coordination disorder, and autism spectrum disorder. However, we lack objective clinical assessments that can quantify bilateral coordination in a clinically feasible manner and determine age-based norms to identify impairments. The objective of this study was to use augmented reality and computer vision to characterize bilateral reaching abilities in typically developing children. Typically developing children (n=133) ages 6-17 years completed symmetric and asymmetric bilateral reaching tasks in an augmented reality game environment. We analyzed the number of target pairs they could reach in 50 seconds as well as the time lag between their hands reaching the targets. We found that performance on both tasks developed in parallel, with development slowing but not plateauing after age 12. Children performed better on the symmetric task than asymmetric, both in targets reached and with shorter hand lags. Variability between children in hand lag decreased with age. We also found gender differences with females outperforming males, which were most pronounced in the 10-11 year olds. Overall, this study demonstrates parallel development through childhood and adolescence of symmetric and asymmetric reaching abilities. Furthermore, it demonstrates the ability to quantify bilateral coordination using computer vision and augmented reality, which can be applied to assess clinical populations.

neuroscience↗