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Mobile test of manual dexterity in the diagnostics of frail geriatric patients – Pilot study

  • Piotr Seiffert
  • , Jacek Kawa
  • , Czesław Marcisz
  • , Paula Stępień
  • , Małgorzata Czernek
  • , Marcin Bugdol
  • , Wojciech Kapko
  • , Jarosław Derejczyk
  • John Paul II Geriatric Hospital
  • Medical University of Silesia in Katowice
  • Silesian University of Technology

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

Abstract

Mortality rate increases exponentially with people’s age. They gather age-related diseases and become ‘frail’, i.e. increasingly vulnerable to various stressors. The gold standard to evaluate the severity of upper limb motor symptoms is to use the UPDRS-part III (motor examination) yet it is proven that simple tests of manual dexterity can identify persons at high risk for neurodegenerative diseases. The aim of this study is to evaluate a novel, objective, observer-independent and assistance-independent tablet device-based method which could be helpful in the upper limb function diagnostics designed for telemedicine technology and frailty assessment. The test employs a tablet and a fixed-height obstacle. The patient is required to move his/her hand above the obstacle and touch the round fields displayed on the tablet. The test is performed for 30 s, as fast as possible, using pointing finger of the dominating hand. Several parameters are registered using the tablet. In the study, the test is evaluated in the group inpatients of geriatric hospital separated into Frail (14 patients) and Control (14 patients) groups. The patients in the Control group are featuring (Mann-Whitney U-test, p-value < 0.05) more correct touches (23.4 ± 8.2 vs. 17.1 ± 12.4 ) than the members of the Frail group. The reaction time and mean time between touches in Control group is shorter than in the Frail group (respectively Mann-Whitney U-test and Student’s t-test; p-value < 0.05).

Original languageEnglish
Title of host publicationInnovations in Biomedical Engineering, IBE 2018
EditorsEwaryst Tkacz, Marek Gzik, Zbigniew Paszenda, Ewa Pietka
PublisherSpringer Verlag
Pages47-54
Number of pages8
ISBN (Print)9783030154714
DOIs
Publication statusPublished - 2019
EventConference on Innovations in Biomedical Engineering, IBE 2018 - Katowice, Poland
Duration: 18 Oct 201820 Oct 2018

Publication series

NameAdvances in Intelligent Systems and Computing
Volume925
ISSN (Print)2194-5357
ISSN (Electronic)2194-5365

Conference

ConferenceConference on Innovations in Biomedical Engineering, IBE 2018
Country/TerritoryPoland
CityKatowice
Period18/10/1820/10/18

Keywords

  • Frailty
  • Manual dexterity test
  • Mobile assessment
  • Telegeriatrics

ASJC Scopus subject areas

  • Control and Systems Engineering
  • General Computer Science

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