{"id":88974,"date":"2021-12-01T09:17:25","date_gmt":"2021-12-01T08:17:25","guid":{"rendered":"https:\/\/ibecbarcelona.eu\/?p=88974"},"modified":"2021-12-01T09:49:17","modified_gmt":"2021-12-01T08:49:17","slug":"new-methodology-using-smartphones-to-quantify-trunk-function-in-patients-with-spinal-cord-injury","status":"publish","type":"post","link":"https:\/\/ibecbarcelona.eu\/ca\/new-methodology-using-smartphones-to-quantify-trunk-function-in-patients-with-spinal-cord-injury\/","title":{"rendered":"Nova metodologia mitjan\u00e7ant smartphones per quantificar la funcionalitat del tronc en pacients amb lesi\u00f3 medul\u00b7lar"},"content":{"rendered":"

L’aven\u00e7<\/span>\u00a0<\/span>permetr\u00e0<\/span>\u00a0<\/span>determinar<\/span>, de manera individualitzada, el nivell de<\/span>\u00a0<\/span>mobilitat<\/span>\u00a0del\u00a0<\/span>t\u00f2rax<\/span>\u00a0<\/span>en<\/span>\u00a0<\/span>pacients<\/span>\u00a0que\u00a0<\/span>han<\/span>\u00a0<\/span>patit<\/span>\u00a0una\u00a0<\/span>lesi\u00f3<\/span>\u00a0<\/span>medul\u00b7lar<\/span>,\u00a0<\/span>i<\/span>\u00a0<\/span>representa<\/span>\u00a0una eina\u00a0<\/span>molt<\/span>\u00a0<\/span>\u00fatil<\/span> per fer un seguiment objectiu i quantificable <\/span>durant<\/span>\u00a0les sessions de\u00a0<\/span>rehabilitaci\u00f3<\/span>.<\/span><\/span>\u00a0<\/span><\/h3>\n
\"\"
Jove empres\u00e0ria en cadira de rodes asseguda davant de la m\u00e0quina de caf\u00e8 i fent una beguda calenta mentre pressiona un de diversos botons al panell.<\/figcaption><\/figure>\n

Les lesions de la\u00a0medul\u00b7la\u00a0espinal, a\u00a0nivell\u00a0cervical o\u00a0tor\u00e0cic,\u00a0causen\u00a0el\u00a0deteriorament\u00a0de les\u00a0funcions\u00a0motores\u00a0i\u00a0sensorials\u00a0de les parts del cos que\u00a0estan\u00a0per\u00a0sota\u00a0del punt de la\u00a0lesi\u00f3. Una de les\u00a0complicacions\u00a0en\u00a0la\u00a0salut\u00a0que\u00a0comporten\u00a0\u00e9s\u00a0la\u00a0manca\u00a0de control de la\u00a0musculatura\u00a0del tronc,\u00a0fonamental\u00a0per a\u00a0l’execuci\u00f3\u00a0de\u00a0tasques\u00a0com\u00a0ara\u00a0mantenir\u00a0l’equilibri\u00a0i\u00a0la\u00a0verticalitat,\u00a0menjar,\u00a0vestir-se\u00a0i\u00a0agafar\u00a0o manipular\u00a0objectes, entre altres\u00a0tasques\u00a0quotidianes.<\/span>\u00a0<\/span><\/p>\n

Malgrat el gran impacte de la funci\u00f3 motora del tronc en la qualitat de vida dels pacients, no hi ha mesures objectives i estandarditzades per a la seva quantificaci\u00f3. L’avaluaci\u00f3 cl\u00ednica \u00e9s el m\u00e8tode m\u00e9s com\u00fa, per\u00f2 inclou un alt grau de subjectivitat, ja que dep\u00e8n d’escales qualitatives.<\/span>\u00a0<\/span><\/p>\n

Ara, un equip d’investigadors dirigit per Raimon Jan\u00e9, l\u00edder del\u202fgrup Biomedical Signal Processing and Interpretation <\/span>(BIOSPIN)<\/span>\u202fde l’Institut de Bioenginyeria de Catalunya (IBEC) i professor de la UPC;\u202f<\/span>Hatice\u00a0Kumru, neur\u00f2loga i coordinadora de Neurofisiologia de l’Institut\u00a0Guttmann, i Joan Vidal, director docent i l\u00edder del grup\u00a0Neuroreparaci\u00f3\u00a0i Ter\u00e0pies Avan\u00e7ades<\/span>\u00a0<\/span>de l’Institut\u00a0Guttmann, ha desenvolupat<\/span>una nova metodologia que permet determinar, de manera objectiva i quantitativa, la funci\u00f3 del tronc en pacients amb lesi\u00f3 medul\u00b7lar<\/strong>.\u00a0<\/span><\/b>El nou enfocament, que s’ha publicat recentment a la revista\u202f<\/span>Journal\u00a0of\u00a0Neural\u00a0Engineering<\/span><\/i><\/a>, combina l’electromiograma (EMG) amb l’acceler\u00f2metre d’un\u00a0smartphone\u00a0i pot complementar una avaluaci\u00f3 cl\u00ednica amb dades objectives.<\/span>\u00a0<\/span><\/p>\n

Un\u00a0<\/span>m\u00e8tode<\/span>\u00a0que\u00a0<\/span>combina<\/span>\u00a0<\/span>activaci\u00f3<\/span>\u00a0muscular\u00a0<\/span>amb<\/span>\u00a0patrons de\u00a0<\/span>moviment<\/span><\/span><\/strong>\u00a0<\/span><\/h3>\n

La base del nou enfocament desenvolupat pels grups de Jan\u00e9 i Kumru \u00e9s combinar mesures d’activitat de diferents\u00a0m\u00fasculs\u00a0del\u00a0t\u00f2rax,\u00a0utilitzant\u00a0electromiografia\u00a0(EMG),\u00a0amb patrons de moviment com ara velocitat,\u00a0acceleraci\u00f3\u00a0i\u00a0angle\u00a0d’inclinaci\u00f3. Com\u00a0a\u00a0alternativa\u00a0m\u00e9s\u00a0simple\u00a0i\u00a0rendible\u00a0als\u00a0sistemes\u00a0de\u00a0captura\u00a0de\u00a0moviment,\u00a0els\u00a0investigadors\u00a0han\u00a0fet\u00a0servir com a\u00a0acceler\u00f2metre\u00a0un\u00a0tel\u00e8fon\u00a0m\u00f2bil\u00a0tipus\u00a0smartphone\u00a0fixat\u00a0a la\u00a0regi\u00f3\u00a0del\u00a0t\u00f2rax\u00a0del\u00a0pacient.<\/span>\u00a0<\/span><\/p>\n

Un cop la\u00a0metodologia\u00a0es\u00a0va\u00a0posar\u00a0a punt\u00a0amb\u00a0persones\u00a0sanes,\u00a0en\u00a0el\u00a0segon\u00a0estudi es van observar 24 pacients\u00a0amb\u00a0lesions\u00a0medul\u00b7lars\u00a0a la zona cervical o\u00a0tor\u00e0cica, que\u00a0havien\u00a0de\u00a0moure\u00a0el\u00a0tronc per\u00a0arribar\u00a0a un\u00a0bot\u00f3\u00a0situat\u00a0a 15\u00a0cent\u00edmetres\u00a0de\u00a0dist\u00e0ncia\u00a0de la\u00a0cadira\u00a0de\u00a0rodes.<\/span>\u00a0<\/span><\/p>\n

L’an\u00e0lisi<\/span>\u00a0<\/span>i<\/span>\u00a0la\u00a0<\/span>interpretaci\u00f3<\/span>\u00a0<\/span>dels<\/span>\u00a0<\/span>senyals<\/span>\u00a0de\u00a0<\/span>l’EMG<\/span>\u00a0<\/span>i<\/span>\u00a0<\/span>l’acceler\u00f2metre<\/span>\u00a0de\u00a0<\/span>tel\u00e8fons<\/span>\u00a0<\/span>intel\u00b7ligents<\/span>\u00a0<\/span>ens<\/span>\u00a0ha\u00a0<\/span>perm\u00e8s<\/span>\u00a0<\/span>obtenir<\/span>\u00a0<\/span>informaci\u00f3<\/span>\u00a0<\/span>neurofisiol\u00f2gica<\/span>\u00a0<\/span>i<\/span>\u00a0de\u00a0<\/span>moviment<\/span>\u00a0per\u00a0<\/span>avaluar<\/span>\u00a0<\/span>quantitativament<\/span>\u00a0<\/span>i<\/span>\u00a0de\u00a0<\/span>manera<\/span>\u00a0<\/span>personalitzada<\/span>\u00a0la\u00a0<\/span>funci\u00f3<\/span>\u00a0del tronc\u00a0<\/span>en<\/span>\u00a0<\/span>pacients<\/span>\u00a0<\/span>amb<\/span>\u00a0<\/span>lesi\u00f3<\/span>\u00a0<\/span>medul\u00b7lar<\/span>.<\/span><\/strong><\/p>\n

Yolanda Castillo-Escario, IBEC\u00a0<\/strong><\/p>\n<\/blockquote>\n

Rehabilitacions<\/span>\u00a0<\/span>personalitzades<\/span>\u00a0<\/span>i<\/span>\u00a0objectives<\/span><\/span>\u00a0<\/span><\/strong><\/h3>\n

Els\u00a0<\/span>investigadors<\/span>\u00a0<\/span>tamb\u00e9<\/span>\u00a0<\/span>han<\/span>\u00a0<\/span>avaluat<\/span>\u00a0la\u00a0<\/span>funci\u00f3<\/span>\u00a0del tronc\u00a0<\/span>en<\/span>\u00a0<\/span>resposta<\/span>\u00a0a un\u00a0<\/span>senyal<\/span>\u00a0<\/span>ac\u00fastic<\/span>\u00a0de\u00a0<\/span>sobresalt<\/span>\u00a0(SAS, de les\u00a0<\/span>sigles<\/span>\u00a0<\/span>en<\/span>\u00a0<\/span>angl\u00e8s<\/span>\u00a0de Startling Acoustic Stimulus), que se sap que\u00a0<\/span>escur\u00e7a<\/span>\u00a0<\/span>el<\/span>\u00a0temps de\u00a0<\/span>resposta<\/span>\u00a0<\/span>en<\/span>\u00a0<\/span>l’execuci\u00f3<\/span>\u00a0<\/span>d’una<\/span>\u00a0<\/span>tasca<\/span>\u00a0(<\/span>efecte<\/span>\u00a0<\/span>conegut<\/span>\u00a0<\/span>com a<\/span>\u00a0<\/span>StartReact<\/span>). Han\u00a0<\/span>determinat<\/span>\u00a0<\/span>els<\/span>\u00a0<\/span>efectes<\/span>\u00a0del SAS com\u00a0<\/span>a<\/span>\u00a0<\/span>est\u00edmul<\/span>\u00a0<\/span>desestabilitzador<\/span>\u00a0<\/span>i<\/span>\u00a0<\/span>desencadenant<\/span> del <\/span>StartReact<\/span>\u00a0<\/span>en<\/span>\u00a0<\/span>pacients<\/span>\u00a0<\/span>amb<\/span>\u00a0<\/span>lesi\u00f3<\/span>\u00a0<\/span>medul\u00b7lar<\/span>, que, com que\u00a0<\/span>tenen<\/span>\u00a0<\/span>l’estabilitat<\/span>\u00a0<\/span>deteriorada<\/span>,\u00a0<\/span>han<\/span>\u00a0de\u00a0<\/span>compensar<\/span>\u00a0la\u00a0<\/span>p\u00e8rdua<\/span>\u00a0<\/span>d’equilibri<\/span>\u00a0per\u00a0<\/span>controlar<\/span>\u00a0la\u00a0<\/span>postura<\/span>.<\/span><\/span>\u00a0<\/span><\/p>\n

Per\u00a0<\/span>primera<\/span>\u00a0<\/span>vegada<\/span>\u00a0<\/span>s’ha<\/span>\u00a0<\/span>estudiat<\/span>\u00a0<\/span>l’efecte<\/span>\u00a0<\/span>StartReact<\/span>\u00a0<\/span>als<\/span>\u00a0<\/span>m\u00fasculs<\/span>\u00a0del tronc de\u00a0<\/span>pacients<\/span>\u00a0<\/span>amb<\/span>\u00a0<\/span>lesi\u00f3<\/span>\u00a0<\/span>medul\u00b7lar<\/span>\u00a0<\/span>i<\/span>\u00a0<\/span>s’ha<\/span>\u00a0<\/span>pogut<\/span>\u00a0<\/span>quantificar<\/span>\u00a0<\/span>i<\/span>\u00a0<\/span>diferenciar<\/span>\u00a0<\/span>el<\/span>\u00a0<\/span>seu<\/span>\u00a0<\/span>efecte<\/span> entre lesions cervicals i tor\u00e0ciques, mitjan\u00e7ant la interpretaci\u00f3 de senyals<\/span>\u00a0<\/span>biom\u00e8dics<\/span>.<\/span><\/strong><\/p>\n

Raimon\u00a0Jan\u00e9, IBEC\u00a0<\/strong><\/p>\n<\/blockquote>\n

Els\u00a0<\/span>resultats<\/span>\u00a0<\/span>han<\/span>\u00a0<\/span>mostrat<\/span>\u00a0<\/span>canvis<\/span>\u00a0motors\u00a0<\/span>i<\/span>\u00a0la\u00a0<\/span>utilitzaci\u00f3<\/span>\u00a0<\/span>d’estrat\u00e8gies<\/span>\u00a0<\/span>posturals<\/span>\u00a0<\/span>compensat\u00f2ries<\/span>\u00a0que\u00a0<\/span>poden<\/span>\u00a0<\/span>tenir<\/span>\u00a0<\/span>conseq\u00fc\u00e8ncies<\/span>\u00a0<\/span>importants<\/span>\u00a0<\/span>en<\/span>\u00a0la\u00a0<\/span>rehabilitaci\u00f3<\/span>, com\u00a0<\/span>ara<\/span>\u00a0<\/span>respostes<\/span>\u00a0<\/span>retardades<\/span>\u00a0<\/span>i<\/span>\u00a0<\/span>desviacions<\/span>\u00a0laterals que\u00a0<\/span>evidencien<\/span>\u00a0un control postural\u00a0<\/span>comprom\u00e8s<\/span>\u00a0<\/span>en<\/span>\u00a0<\/span>els<\/span>\u00a0<\/span>pacients<\/span>\u00a0<\/span>amb<\/span>\u00a0<\/span>lesi\u00f3<\/span>\u00a0<\/span>medul\u00b7lar<\/span>. La\u00a0<\/span>disponibilitat<\/span>\u00a0de\u00a0<\/span>dades<\/span>\u00a0<\/span>quantitatives<\/span>\u00a0<\/span>contribueix<\/span>\u00a0a la\u00a0<\/span>comprensi\u00f3<\/span>\u00a0de la\u00a0<\/span>funci\u00f3<\/span>\u00a0<\/span>motora<\/span> del tronc i l’estabilitat<\/span>\u00a0postural\u00a0<\/span>en<\/span>\u00a0<\/span>aquests<\/span>\u00a0<\/span>pacients<\/span>. La nova\u00a0<\/span>metodologia<\/span>\u00a0<\/span>aporta<\/span>\u00a0un\u00a0<\/span>enfocament<\/span>\u00a0<\/span>objectiu<\/span>\u00a0per a la\u00a0<\/span>valoraci\u00f3<\/span>\u00a0del\u00a0<\/span>pacient<\/span>\u00a0<\/span>amb<\/span>\u00a0<\/span>lesi\u00f3<\/span>\u00a0<\/span>medul\u00b7lar<\/span>,\u00a0<\/span>m\u00e9s<\/span>\u00a0<\/span>enll\u00e0<\/span>\u00a0<\/span>dels<\/span>\u00a0actuals\u00a0<\/span>q\u00fcestionaris<\/span>, que\u00a0<\/span>permetr\u00e0<\/span>\u00a0una\u00a0<\/span>rehabilitaci\u00f3<\/span>\u00a0<\/span>personalitzada<\/span>\u00a0a la seva\u00a0<\/span>situaci\u00f3<\/span>\u00a0<\/span>funcional<\/span>.<\/span><\/span>\u00a0<\/span><\/p>\n

El\u00a0<\/span>nostre<\/span>\u00a0<\/span>estudi<\/span>\u00a0<\/span>persegueix<\/span>\u00a0<\/span>monitorar<\/span>, sense subjectivitat, l’afectaci\u00f3<\/span>\u00a0de\u00a0<\/span>l’estabilitat<\/span> de tronc com a conseq\u00fc\u00e8ncia d’una lesi\u00f3 medul\u00b7lar.\u00a0<\/span><\/strong><\/p>\n

Hatice Kumru, Institut Guttmann<\/strong><\/p>\n<\/blockquote>\n

 <\/p>\n

La\u00a0<\/span>metodologia<\/span> que hem desenvolupat obre les portes a crear programes de rehabilitaci\u00f3<\/span>\u00a0<\/span>i<\/span>\u00a0de\u00a0<\/span>tractament<\/span>\u00a0del tronc\u00a0<\/span>personalitzats<\/span>,\u00a0<\/span>objectius<\/span>\u00a0<\/span>i<\/span>\u00a0<\/span>quantificables<\/span>.<\/span><\/strong><\/p>\n

Joan Vidal, Institut Guttmann<\/i>\u00a0<\/strong><\/p>\n

\u00a0<\/strong><\/p><\/blockquote>\n

Articles de refer\u00e8ncia:<\/span><\/b>\u00a0<\/span>\u00a0<\/span><\/p>\n

Yolanda Castillo-Escario; Hatice\u00a0Kumru;\u00a0Josep\u00a0Valls-Sol\u00e9; Loreto Garc\u00eda-Alen; Raimon\u00a0Jan\u00e9; Joan Vidal.\u00a0<\/span>Quantitative evaluation of trunk function and the StartReact effect during reaching in patients with cervical and thoracic spinal cord injury.<\/span><\/a>\u00a02021,\u00a0<\/span>J. Neural Eng<\/span><\/i>. 18 0460d2.\u00a0<\/span>\u00a0<\/span><\/p>\n

\n

Yolanda Castillo-Escario; Hatice\u00a0Kumru;\u00a0Josep\u00a0Valls-Sol\u00e9; Loreto Garc\u00eda-Alen; Joan Vidal; Raimon\u00a0Jan\u00e9.\u00a0<\/span>Assessment of trunk flexion in arm reaching tasks with electromyography and smartphone accelerometery in healthy human subjects.<\/span><\/a>\u00a02021,\u00a0<\/span>Sci Rep\u00a0<\/span><\/i>11, 5363.<\/span>\u00a0<\/span><\/p>\n

\n

Castillo-Escario<\/span><\/i>and<\/span><\/i>R.\u00a0Jan\u00e9<\/span><\/i>\u00a0are members of the BIOSPIN group of IBEC, UPC and the Center for Biomedical Research Network-\u202fBioengineering, Biomaterials and Nanomedicine (CIBER- BBN). H.\u00a0Kumru, L. Garc\u00eda-Alen and J. Vidal are members of the\u00a0<\/span><\/i>Institut\u00a0Guttman Neurorepair and advanced therapies group.<\/span><\/i>\u00a0 J. Valls-Sol\u00e9 is a member of IDIBAPS.\u00a0<\/span><\/i>\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Investigadors de l’Institut de Bioenginyeria de Catalunya (IBEC) i de l’Institut Guttmann \u2013 Hospital de Neurorehabilitaci\u00f3 desenvolupen un nou m\u00e8tode per relacionar, de manera quantitativa i personalitzada, el nivell de lesi\u00f3 medul\u00b7lar amb la funcionalitat del tronc.<\/h3>\n","protected":false},"author":4,"featured_media":88964,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[96],"tags":[1116],"post_formats":[],"class_list":["post-88974","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-noticies-de-recerca","tag-raimon-jane-ca"],"yoast_head":"\nNova metodologia mitjan\u00e7ant smartphones per quantificar la funcionalitat del tronc en pacients amb lesi\u00f3 medul\u00b7lar - Institute for Bioengineering of Catalonia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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Aquest\u00a0treball\u00a0va\u00a0tenir\u00a0com a punt de\u00a0partida\u00a0un\u00a0altre\u00a0estudi\u00a0publicat\u00a0recentment\u00a0a la\u00a0revista\u00a0<\/span>Scientific Reports<\/span><\/i><\/a>,\u00a0en\u00a0qu\u00e8\u00a0el\u00a0mateix\u00a0equip\u00a0d’investigadors\u00a0va\u00a0posar\u00a0a punt la nova\u00a0t\u00e8cnica\u00a0mesurant\u00a0la\u00a0funci\u00f3\u00a0tor\u00e0cica\u00a0en\u00a0el\u00a0moment\u00a0d’abastar\u00a0quelcom\u00a0en\u00a0persones\u00a0sanes\u00a0assegudes\u00a0en\u00a0una\u00a0cadira\u00a0de\u00a0rodes.<\/span>\u00a0<\/span><\/p>\n