Artificial metaplasticity prediction model for cognitive rehabilitation outcome in acquired brain injury patients

Objective The main purpose of this research is the novel use of artificial metaplasticity on multilayer perceptron (AMMLP) as a data mining tool for prediction the outcome of patients with acquired brain injury (ABI) after cognitive rehabilitation. The final goal aims at increasing knowledge in the field of rehabilitation theory based on cognitive affectation. Methods and materials The data set used in this study contains records belonging to 123 ABI patients with moderate to severe cognitive affectation (according to Glasgow Coma Scale) that underwent rehabilitation at Institut Guttmann Neurorehabilitation Hospital (IG) using the tele-rehabilitation platform PREVIRNEC©. The variables included in the analysis comprise the neuropsychological initial evaluation of the patient (cognitive affectation profile), the results of the rehabilitation tasks performed by the patient in PREVIRNEC© and the outcome of the patient after a 3–5 months treatment. To achieve the treatment outcome prediction, we apply and compare three different data mining techniques: the AMMLP model, a backpropagation neural network (BPNN) and a C4.5 decision tree. Results The prediction performance of the models was measured by ten-fold cross validation and several architectures were tested. The results obtained by the AMMLP model are clearly superior, with an average predictive performance of 91.56%. BPNN and C4.5 models have a prediction average accuracy of 80.18% and 89.91% respectively. The best single AMMLP model provided a specificity of 92.38%, a sensitivity of 91.76% and a prediction accuracy of 92.07%. Conclusions The proposed prediction model presented in this study allows to increase the knowledge about the contributing factors of an ABI patient recovery and to estimate treatment efficacy in individual patients. The ability to predict treatment outcomes may provide new insights toward improving effectiveness and creating personalized therapeutic interventions based on clinical evidence.

Transformación del espacio cinemático Laban para la evaluación del movimiento

Este proyecto tiene como objetivo la implementación de un sistema capaz de analizar el movimiento corporal a partir de unos puntos cinemáticos. Estos puntos cinemáticos se obtienen con un programa previo y se captan con la cámara kinect. Para ello el primer paso es realizar un estudio sobre las técnicas y conocimientos existentes relacionados con el movimiento de las personas. Se sabe que Rudolph Laban fue uno de sus mayores exponentes y gracias a sus observaciones se establece una relación entre la personalidad, el estado anímico y la forma de moverse de un individuo. Laban acuñó el término esfuerzo, que hace referencia al modo en que se administra la energía que genera el movimiento y de qué manera se modula en las secuencias, es una manera de describir la intención de las expresiones internas. El esfuerzo se divide en 4 categorías: peso, espacio, tiempo y flujo, y cada una de estas categorías tiene una polaridad denominada elemento de esfuerzo. Con estos 8 elementos de esfuerzo un movimiento queda caracterizado. Para poder cuantificar los citados elementos de esfuerzo se buscan movimientos que representen a alguno de ellos. Los movimientos se graban con la cámara kinect y se guardan sus valores en un archivo csv. Para el procesado de estos datos se establece que el sistema más adecuado es una red neuronal debido a su flexibilidad y capacidad a la hora de procesar entradas no lineales. Para la implementación de la misma se requiere un amplio estudio que incluye: topologías, funciones de activación, tipos de aprendizaje, algoritmos de entrenamiento entre otros. Se decide que la red tenga dos capas ocultas, para mejor procesado de los datos, que sea estática, siga un proceso de cálculo hacia delante (Feedforward) y el algoritmo por el que se rija su aprendizaje sea el de retropropagación (Backpropagation) En una red estática las entradas han de ser valores fijos, es decir, no pueden variar en el tiempo por lo que habrá que implementar un programa intermedio que haga una media aritmética de los valores. Una segunda prueba con la misma red trata de comprobar si sería capaz de reconocer movimientos que estuvieran caracterizados por más de un elemento de esfuerzo. Para ello se vuelven a grabar los movimientos, esta vez en parejas de dos, y el resto del proceso es igual. ABSTRACT. The aim of this project is the implementation of a system able to analyze body movement from cinematic data. This cinematic data was obtained with a previous program. The first step is carrying out a study about the techniques and knowledge existing nowadays related to people movement. It is known that Rudolf Laban was one the greatest exponents of this field and thanks to his observations a relation between personality, mood and the way the person moves was made. Laban coined the term effort, that refers to the way energy generated from a movement is managed and how it is modulated in the sequence, this is a method of describing the inner intention of the person. The effort is divided into 4 categories: weight, space, time and flow, and each of these categories have 2 polarities named elements of effort. These 8 elements typify a movement. We look for movements that are made of these elements so we can quantify them. The movements are recorded with the kinect camera and saved in a csv file. In order to process this data a neural network is chosen owe to its flexibility and capability of processing non-linear inputs. For its implementation it is required a wide study regarding: topology, activation functions, different types of learning methods and training algorithms among others. The neural network for this project will have 2 hidden layers, it will be static and follow a feedforward process ruled by backpropagation. In a static net the inputs must be fixed, this means they cannot vary in time, so we will have to implement an intermediate program to calculate the average of our data. A second test for our net will be checking its ability to recognize more than one effort element in just one movement. In order to do this all the movements are recorded again but this time in pairs, the rest of the process remains the same.