Name: computerized adaptive testing system of functional assessment of stroke
Uploaded: 2019-01-07T14:00:00
Description: Watch this Scientific Journal Video about Computerized Adaptive Testing System of Functional Assessment of Stroke at JoVE.com

这项研究得到了科学和技术部研究赠款 (105-2314-b-002-015-my3) 的支持。

这项研究方案得到了当地机构审查委员会的批准, 所有患者都给予了知情同意。
1. CAT-FAS 的发展
<ol><li>从 fas 研究14中检索辅助和加密数据,以进行模拟(补充文件 1: 附录 2)。 注: 在这项研究中, 共有301例患者在一个医疗中心的康复病房被招募, 并在中风发作后14天进行评估。在301例患者中, 262 例患者在中风发作后30岁时反复评估。本研究招募了 (1...

<ol>
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P., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Development+of+a+computerized+adaptive+test+for+assessing+balance+function+in+patients+with+stroke.">Development of a computerized adaptive test for assessing balance function in patients with stroke.</a> Physical Therapy. 90 (9), 1336-1344 (2010).</li><li>Hsueh, I. P., Chen, J. H., Wang, C. H., Hou, W. H., Hsieh, C. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Development+of+a+computerized+adaptive+test+for+assessing+activities+of+daily+living+in+outpatients+with+stroke.">Development of a computerized adaptive test for assessing activities of daily living in outpatients with stroke.</a> Physical Therapy. 93 (5), 681-693 (2013).</li><li>Wong, A. W., Heinemann, A. W., Miskovic, A., Semik, P., Snyder, T. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Feasibility+of+computerized+adaptive+testing+for+collection+of+patient-reported+outcomes+after+inpatient+rehabilitation.">Feasibility of computerized adaptive testing for collection of patient-reported outcomes after inpatient rehabilitation.</a> Archives of Physical Medicine and Rehabilitation. 95 (5), 882-891 (2014).</li><li>Lin, G. H., Huang, Y. J., Lee, S. C., Huang, S. L., Hsieh, C. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Development+of+a+computerized+adaptive+testing+system+of+the+Functional+Assessment+of+Stroke.">Development of a computerized adaptive testing system of the Functional Assessment of Stroke.</a> Archives of Physical Medicine and Rehabilitation. 99 (4), 676-683 (2017).</li><li>Wang, Y. L., Lin, G. H., Yi-Jing, H., Chen, M. H., Hsieh, C. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Refining+three+measures+to+construct+an+efficient+Functional+Assessment+of+Stroke.">Refining three measures to construct an efficient Functional Assessment of Stroke.</a> Stroke. 48 (6), 1630-1635 (2017).</li><li>Adams, R. J., Wilson, M., Wang, W. C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+multidimensional+random+coefficients+multinomial+logit+model.">The multidimensional random coefficients multinomial logit model.</a> Applied Psychological Measurement. 21 (1), 1-23 (1997).</li><li>Masters, G. N. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+Rasch+model+for+partial+credit+scoring.">A Rasch model for partial credit scoring.</a> Psychometrika. 47 (2), 149-174 (1982).</li><li>Wang, W. C., Chen, P. H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Implementation+and+measurement+efficiency+of+multidimensional+computerized+adaptive+testing.">Implementation and measurement efficiency of multidimensional computerized adaptive testing.</a> Applied Psychological Measurement. 28 (5), 295-316 (2004).</li><li>Mulder, J., Van der Linden, W. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Multidimensional+adaptive+testing+with+optimal+design+criteria+for+item+selection.">Multidimensional adaptive testing with optimal design criteria for item selection.</a> Psychometrika. 74 (2), 273-296 (2009).</li><li>Segall, D. O. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=General+ability+measurement:+An+application+of+multidimensional+item+response+theory.">General ability measurement: An application of multidimensional item response theory.</a> Psychometrika. 66 (1), 79-97 (2001).</li><li>Lee, S. C., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Development+of+a+social+functioning+assessment+using+computerized+adaptive+testing+for+patients+with+stroke.">Development of a social functioning assessment using computerized adaptive testing for patients with stroke.</a> Archives of Physical Medicine and Rehabilitation. 99 (2), 306-313 (2018).</li><li>Paap, M. C. S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Measuring+patient-reported+outcomes+adaptively:+Multidimensionality+matters!.">Measuring patient-reported outcomes adaptively: Multidimensionality matters!.</a> Applied Psychological Measurement. 42 (5), 327-342 (2018).</li><li>Paap, M. C. S., Kroeze, K. A., Terwee, C. B., van der Palen, J., Veldkamp, B. 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这里给出的结果表明, 在最初的测试中, CAT-FAS 管理了大约10% 的项目 (在 CAT-FAS 中使用的平均项目数: 8.5 项与原始测试中使用的项目数:72 项)。这些结果表明, CAT-FAS 具有良好的行政效率。研究结果与此前的研究一致, 此前的研究报告称, cat 只管理了大约10个项目或更少的项目, 以评估中风患者的社会功能、平衡或日常生活活动 10、11、<sup class...

上肢和下肢功能障碍 (ue 和 le)、姿势控制和日常生活基本活动 (badl) 是中风1、2、3 的主要后遗症。评估脑卒中患者的这四种功能对于临床医生评估患者的功能障碍程度、设定治疗目标和计划以及监测这些功能的纵向轨迹至关重要。
fugl-meyer 评估 (fm),4中风患者的体位评估量表 (pass),5和 barthel 指数 (bi) 6 具有良好的心理测量特性, 以评估 uele 运动功能, 姿势控制, 和 bardel,分别为脑卒中患者7,8,9。然而, 这三项措施总共有72个项目妨碍了在有时限的治疗会议上评估所有三项措施的可行性。需要一种更有效的测试方法。计算机自适应测试 (cat) 是一种现代测量方法。与传统的测量方法相比, cat 在更短的时间内对考生的功能水平进行了更可靠的估计。在传统的测量方法中, 每个考生都会收到相同的测试表 (或项目集), 其中许多项目对考生来说太难或太容易了。这些项目为估计考生的功能水平提供了有限的信息, 对考生来说是耗时的。相反, 在 cat 中, 每个考生都会得到一个量身定制的项目集, 其中所选项目的难度级别与考生的功能水平一致。由于这些项目是为特定考生量身定制的, cat 可以用更少的项目对考生的功能水平进行更可靠的估计, 从而减少得多。cat 开发的步骤见补充文件 1: 附录 1.
由于禁止酷刑委员会承诺进行可靠和有效的评估, 因此制定了 cat-fas, 以提高以前使用的三项措施 (fm、pass 和 bi)13的行政效率。本文介绍了 CAT-FAS 的发展和管理。该协议为研究人员开发其 cat 提供了信息, 并为 CAT-FAS 的潜在用户提供了管理这些信息的信息。我们还解决了 CAT-FAS 的长处和短处。

<table border="0" cellpadding="0" cellspacing="0" style="width:873px;" width="873">
	<tbody>
		<tr height="40">
			<td height="40" style="height:40px;width:223px;">Computer</td>
			<td style="width:125px;">Any</td>
			<td style="width:353px;"></td>
			<td style="width:172px;">Compatible with software listed below</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;">MATLAB software</td>
			<td>The MathWorks Inc.</td>
			<td>http://www.mathworks.com/products/matlab/</td>
			<td>Numerical computing software, which is used in the Protocol Section 1 (Step 1.3)</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;">Java Development Kit</td>
			<td>Oracle</td>
			<td>https://www.oracle.com/java/</td>
			<td>Programming language, which is used in the Protocol Section 1 (Step 1.5)</td>
		</tr>
	</tbody>
</table>

computerized adaptive testing system of functional assessment of stroke

脑卒中功能评估 (CAT-FAS) 的计算机自适应测试系统可以同时评估四个功能 (上肢和下肢的运动功能、姿势控制和日常生活的基本活动), 并充分可靠性和行政效率。cat 是一种现代的测量方法, 旨在快速对考生的功能水平进行可靠的估计。cat 只管理几个项目, 其项目困难与考生的职能水平相匹配, 因此, cat 的管理项目可以提供足够的信息, 在短时间内可靠地估计考生的功能水平。CAT-FAS 是通过四个步骤开发的: (1) 确定物料库, (2) 确定停止规则, (3) 验证 CAT-FAS; (4) 建立在线管理平台。本研究结果表明, CAT-FAS 具有足够的管理效率 (平均项目数量 = 8.5) 和可靠性 (群级拉什可靠性: 0.88-0.88; 个人级拉什可靠性: ≥70% 的患者具有 rschh 可靠性评分≥0.90), 同时评估脑卒中患者的四种功能。此外, 由于 sat-fas 是一种基于计算机的测试, 因此 CAT-FAS 还有三个额外的优点: 自动计算分数、立即存储数据和轻松导出数据。CAT-FAS 的这些优势将有利于临床医生和研究人员的数据管理。

仿真结果表明, 10 套候选停止规则具有足够的平均 rschh 可靠性 (0.86-0.95) 和不同的行政效率 (平均项目数 = 6.4-17.5)。考虑到可靠性和行政效率之间的权衡, 由于这样做, 由于 rashch 的平均可靠性足够 (0.88–0.93, 见表 1), 选择了一套lri < 0.010 作为 CAT-FAS 的最佳停止规则集. )、个人级拉什可靠性 (≥70% 的患者具有≥0.90 的拉什可靠性) 和行政效率 (项目平均?...

Watch this Scientific Journal Video about Computerized Adaptive Testing System of Functional Assessment of Stroke at JoVE.com

Computerized Adaptive Testing System of Functional Assessment of Stroke

本文提出了一种开发脑卒中功能评估 (CAT-FAS) 计算机自适应测试系统的协议。CAT-FAS 可以同时评估四个功能 (两个运动功能 (上肢和下肢)、姿势控制和日常生活的基本活动), 具有足够的可靠性和行政效率。

脑卒中功能评估的计算机自适应测试系统

The computerized adaptive testing system of the functional assessment of stroke (CAT-FAS) can simultaneously assess four functions (motor functions of the ...

此测试开发研究的总体目标是开发一个计算机化自适应测试系统，以评估中风患者上肢、下肢、平衡和日常生活活动的功能。在评估上肢、下肢、平衡和中风患者日常生活活动的功能时，没有发现其他的可处理效率。开发了中风功能评估的计算机化自适应测试，以提高中风患者全功能的可处理效率。首先从笔划研究的功能评估中检索辅助数据和加密数据以进行模拟。在这项研究中，301名患者从医疗中心康复病房被招募，并在中风发作后14天进行评估。在每个评估环节中，由训练有素的职业治疗师使用Fugl Meyer评估、中风患者姿势评估量表和Barthel指数对患者进行评估。通过研究采用银行，建立检测系统的物料库。检索银行中所有项目的困难，以及每个患者的反应。也检索患者的四个功能的能力分布。上肢运动功能、下肢运动功能、姿势控制、日常生活基本活动。然后，确定测试系统的操作算法。接下来，采用"波塞里"法，用牛顿包装和迭代估计每个患者的四个函数的分数，然后使用D最优标准进行项目选择，从项目库中选择具有菲舍尔信息矩阵最大决定因素的项目进行管理。现在采用10个候选的停止规则集，通过仿真来探索测试系统的属性。然后，探讨系统的测量可靠性和效率。最后，通过编写计算机程序建立网站，为计算机自适应测试系统开发一个在线管理平台。在管理之前，使用互联网浏览器将审查员的个人计算机、平板电脑或智能手机连接到测试系统的在线管理平台，然后登录到管理系统。选择数据管理以访问以前考生的数据，或选择新的考生来创建帐户并输入考生的姓名和标识号。为评估选择考生后，单击"开始"。选择新的评估或结果，以审查考生以前评估的结果。现在，管理屏幕上显示的项目给考生。单击屏幕底部显示的评分表，对考生的表现或响应进行评分。完成后，向考生解释测试系统的结果，包括间隔为 95% 的 T 分数、T 分数的百分位级以及四个函数的可依赖性。结果将由测试系统自动计算和显示。此图显示了通过使用十套候选停止规则管理评估所需的项目数来探索测量可靠性和效率的过程。如这里所示，四种功能的平均皮疹可靠性从 0.88 到 0.93 不等，单个水平皮疹可靠性显示超过 70% 的参与者，皮疹的可靠性为 0.90 或更高。在这里，我们看到管理所需的项目的平均数量是8.5，大多数参与者，66.4%是使用5到10个项目进行评估。一旦群众听说了对中风功能评估的计算机自适应测试的演示，大多数患者可以使用10项或更少的项目进行。看完这段视频后，您应该对系统的发展及方法有一个良好的理解，以提高辅助中风患者的四个功能的可处理效率。

Research

JoVE Journal

Behavior

Compensatory Limb Use and Behavioral Assessment of Motor Skill Learning Following Sensorimotor Cortex Injury in a Mouse Model of Ischemic Stroke

补偿肢使用和运动技能学习行为评估以下感觉运动皮层损伤缺血性脑卒中的小鼠模型

Mouse models have become increasingly popular in the field of behavioral neuroscience, and specifically in studies of experimental stroke. As models ...

科研

行为学

Behavioral Assessment of the Aging Mouse Vestibular System

衰老小鼠前庭系统的行为评估

Age related decline in balance performance is associated with deteriorating muscle strength, motor coordination and vestibular function. While a number of ...

Transcranial Direct Current Stimulation and Simultaneous  Functional Magnetic Resonance Imaging

经颅直流电刺激和同步功能磁共振成像

Transcranial direct current stimulation (tDCS) is a noninvasive brain stimulation technique that uses weak electrical currents administered to the scalp ...

Assessment of Murine Exercise Endurance Without the Use of a Shock Grid: An Alternative to Forced Exercise

小鼠运动耐力的评估没有一个冲击电网的使用：另一种强迫运动

Using laboratory mouse models, the molecular pathways responsible for the metabolic benefits of endurance exercise are beginning to be defined. The most ...

Functional Near Infrared Spectroscopy of the Sensory and Motor Brain Regions with Simultaneous Kinematic and EMG Monitoring During Motor Tasks

感觉和运动脑区与运动同步和肌电图监测功能近红外光谱在运动任务

There are several advantages that functional near-infrared spectroscopy (fNIRS) presents in the study of the neural control of human movement. It is ...

Morris Water Maze Test: Optimization for Mouse Strain and Testing Environment

Morris水迷宫实验：优化小鼠品系和测试环境

 The Morris water maze (MWM) is a commonly used task to assess hippocampal-dependent spatial learning and memory in transgenic mouse models of disease, ...

Assessment of Social Cognition in Non-human Primates Using a Network of Computerized Automated Learning Device (ALDM) Test Systems

Assessment of Social Cognition in Non-human Primates Using a Network of Computerized Automated Learning Device ALDM Test Systems

社会认知的非人类灵长类动物评估使用电脑自动学习设备（ALDM）测试系统的网络

Fagot &#38; Paleressompoulle1 and Fagot &#38; Bonte2 have published an automated learning device (ALDM) for the study of cognitive abilities of monkeys ...

Combined Invasive Subcortical and Non-invasive Surface Neurophysiological Recordings for the Assessment of Cognitive and Emotional Functions in Humans

在人类联合微创皮层下和非侵入性的表面神经生理学录音认知的评估和情感作用

In spite of the success in applying non-invasive electroencephalography (EEG), magneto-encephalography (MEG) and functional magnetic resonance imaging ...

Use of a Video Scoring Anchor for Rapid Serial Assessment of Social Communication in Toddlers

视频评分锚在幼儿社会交往快速评估中的应用

Reciprocal social behavior (RSB), an early-emerging capacity to engage in social contingency&#8212;which is foundational for both social learning and ...

Short Session High Intensity Interval Training and Treadmill Assessment in Aged Mice

老年小鼠短期高强度间隔训练与跑步机评价

High intensity interval training (HIIT) is emerging as a therapeutic approach to prevent, delay, or ameliorate frailty. In particular short session HIIT, ...