Rehabilitation Evaluation of Upper Limb Motor Function for Stroke Patients Based on Belief Rule Base

Abstract

In the process of rehabilitation treatment for stroke patients, rehabilitation evaluation is a significant part in rehabilitation medicine. Researchers intellectualized the evaluation of rehabilitation evaluation methods and proposed quantitative evaluation methods based on evaluation scales, without the clinical background of physiatrist. However, in clinical practice, the experience of physiatrist plays an important role in the rehabilitation evaluation of patients. Therefore, this paper designs a 5 degrees of freedom (DoFs) upper limb (UL) rehabilitation robot and proposes a rehabilitation evaluation model based on Belief Rule Base (BRB) which can add the expert knowledge of physiatrist to the rehabilitation evaluation. The motion data of stroke patients during active training are collected by the rehabilitation robot and signal collection system, and then the upper limb motor function of the patients is evaluated by the rehabilitation evaluation model. To verify the accuracy of the proposed method, Back Propagation Neural Network (BPNN) and Support Vector Machines (SVM) are used to evaluate. Comparative analysis shows that the BRB model has high accuracy and effectiveness among the three evaluation models. The results show that the rehabilitation evaluation model of stroke patients based on BRB could help physiatrists to evaluate the UL motor function of patients and master the rehabilitation status of stroke patients.

A decision support system for upper limb rehabilitation robot based on hybrid reasoning with RBR and CBR

“…Studies have shown that 1–2 weeks after the onset of stroke represent the acute phase, equivalent to Brunnstrom stages I and II; 3–4 weeks post-stroke indicate the early recovery stage, equivalent to Brunnstrom stages II and III; 4–12 weeks post-stroke signify the mid-recovery stage, equivalent to Brunnstrom stages III and IV; and 4–6 months post-stroke denote the late recovery stage, equivalent to Brunnstrom stages V and VI for patients ( Li et al, 2023 ). Based on this medical knowledge the number of training weeks under different Brunnstrom stage of the patients was prescribed.…”