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Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Validation of the Kinematic Assessment Protocol Used in the Technology Supported Neurorehabilitation System: Rehabilitation Technologies for Hand and Arm (R3THA™), in Children with Cerebral Palsy

Version 1 : Received: 4 June 2024 / Approved: 5 June 2024 / Online: 6 June 2024 (07:42:40 CEST)

A peer-reviewed article of this Preprint also exists.

Qiu, Q.; Mont, A.J.; Gross, A.; Fluet, G.; Adamovich, S.; Eriksson, M. Validation of the Kinematic Assessment Protocol Used in the Technology-Supported Neurorehabilitation System, Rehabilitation Technologies for Hand and Arm (R3THA™), in Children and Teenagers with Cerebral Palsy. Sensors 2024, 24, 5013. Qiu, Q.; Mont, A.J.; Gross, A.; Fluet, G.; Adamovich, S.; Eriksson, M. Validation of the Kinematic Assessment Protocol Used in the Technology-Supported Neurorehabilitation System, Rehabilitation Technologies for Hand and Arm (R3THA™), in Children and Teenagers with Cerebral Palsy. Sensors 2024, 24, 5013.

Abstract

This study evaluates the R3THA™ technology-supported assessment protocol for home-based rehabilitation in children with cerebral palsy (CP). It focuses on the reliability and validity of R3THA™ in assessing hand and arm function, comparing kinematic assessments with standard clinical assessments. Conducted during a 4-week summer camp, the study involved children with CP aged 3-18, assessing their functional and impairment levels. The findings suggest that R3THA™ is more reliable for children aged 8 and older, indicating that age significantly influences the protocol's effectiveness. Results also showed that R3THA-AP's kinematic measurements of hand and wrist movements were positively correlated with the Box and Blocks Test Index (BBTI), reflecting hand function and dexterity. Additionally, R3THA-AP's accuracy metrics for hand and wrist activities aligned with the Melbourne Assessment 2's Range of Motion (MA2-ROM) scores, suggesting a meaningful relationship between R3THA-AP data and clinical assessments of motor skills. However, no significant correlations were observed between R3THA-AP and MA2's accuracy and dexterity measures, indicating areas for further research. These findings validate R3THA-AP's utility in assessing motor abilities in CP, supporting its integration into clinical practice.

Keywords

children with Cerebral Palsy, motor rehabilitation, exergame, upper extremity assessment

Subject

Public Health and Healthcare, Physical Therapy, Sports Therapy and Rehabilitation

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