Quantitative EEG for Predicting Upper Limb Motor Recovery in Chronic Stroke Robot-Assisted Rehabilitation.

Journal: IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society
Published Date:

Abstract

Stroke is a leading cause for adult disability, which in many cases causes motor deficits. Despite the developments in motor rehabilitation techniques, recovery of upper limb functions after stroke is limited and heterogeneous in terms of outcomes, and knowledge of important factors that may affect the outcome of the therapy is necessary to make a reasonable prediction for individual patients. In this paper, we assessed the relationship between quantitative electroencephalographic (QEEG) measures and the motor outcome in chronic stroke patients that underwent a robot-assisted rehabilitation program to evaluate the utility of QEEG indices to predict motor recovery. For this purpose, we acquired resting-state electroencephalographic signals from which the power ratio index (PRI), delta/alpha ratio, and brain symmetry index were calculated. The outcome of the motor rehabilitation was evaluated using upper limb section of the Fugl-Meyer Assessment. We found that PRI was significantly correlated with the motor recovery, suggesting that this index may provide useful information to predict the rehabilitation outcome.

Authors

  • Paula Trujillo
  • Alfonso Mastropietro
  • Alessandro Scano
    Institute of Industrial Technology and Automation (ITIA), National Research Council (CNR), Via Bassini 15, 20133 Milan, Italy.
  • Andrea Chiavenna
    Institute of Industrial Technology and Automation (ITIA), National Research Council (CNR), Via Bassini 15, 20133 Milan, Italy.
  • Simona Mrakic-Sposta
  • Marco Caimmi
    Institute of Industrial Technology and Automation (ITIA), National Research Council (CNR), Via Bassini 15, 20133 Milan, Italy; University of Brescia, Via Branze 38, 25123 Brescia, Italy.
  • Franco Molteni
    Villa Beretta Rehabilitation Center, Via Nazario Sauro 17, 23845 Costa Masnaga, Italy.
  • Giovanna Rizzo
    National Research Council of Italy - Institute of Molecular Bioimaging and Physiology (IBFM), Via F.lli Cervi 93, 20090 Segrate, MI, Italy.