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Santiago, J., Martell, K. (2016). Aplicación de apoyo para la rehabilitación de niños con parálisis cerebral [Tesis, Universidad Peruana de Ciencias Aplicadas (UPC)]. http://hdl.handle.net/10757/621213
Santiago, J., Martell, K. Aplicación de apoyo para la rehabilitación de niños con parálisis cerebral [Tesis]. PE: Universidad Peruana de Ciencias Aplicadas (UPC); 2016. http://hdl.handle.net/10757/621213
@misc{renati/364984,
title = "Aplicación de apoyo para la rehabilitación de niños con parálisis cerebral",
author = "Martell Luya, Kevin",
publisher = "Universidad Peruana de Ciencias Aplicadas (UPC)",
year = "2016"
}
Title: Aplicación de apoyo para la rehabilitación de niños con parálisis cerebral
Authors(s): Santiago Almeyda, Jéssica; Martell Luya, Kevin
Advisor(s): Chumpitaz Avendaño, Max Raúl
Keywords: Desarrollo de software de aplicación; Personas con discapacidad; Ingeniería de Sistemas de Información
Issue Date: 1-Jul-2016
Institution: Universidad Peruana de Ciencias Aplicadas (UPC)
Abstract: En el Perú, el Instituto Nacional de Rehabilitación (INR) es una institución dedicada a tratar personas con discapacidades físicas o mentales. En el año 2013, el 49.88% de sus pacientes atendidos por consulta externa tuvieron edades entre 0 y 9 años y el 0.81% de un total de 18,092 fueron diagnosticados con parálisis cerebral infantil (PCI). A pesar del esfuerzo por enfrentar el problema, se dificulta el acceso a diversos análisis de este tipo para tratar esta discapacidad, en particular, al análisis cinemático de la rodilla de niños con parálisis cerebral (PC), que es tema del presente trabajo. Para realizar este análisis, el INR utiliza su laboratorio de la marcha, el cual requiere de equipos complejos, presupuesto elevado y personal altamente capacitado para su uso. El presente trabajo propone una aplicación de apoyo para la rehabilitación de niños con Parálisis Cerebral, implementada en un centro de reeducación de la marcha, que permite cuantificar la medición de ángulos del análisis cinemático de la rodilla, mediante el uso de Procesamiento de Imágenes con el dispositivo Microsoft Kinect, el cual es un instrumento simple, portátil, económico y eficaz para el análisis de la marcha. Las características de esta aplicación han sido planteadas con el apoyo de la especialista en terapia física Ítala Zegarra quién estableció las bases para su desarrollo. Asimismo, los reportes de la marcha de los pacientes, que se obtienen de la aplicación, fueron establecidos con ayuda de un equipo de especialistas en fisioterapia liderado por Ítala Zegarra. Para validar su precisión, se realizó el análisis cinemático de la rodilla sobre un paciente sin patologías. El análisis fue realizado en simultáneo entre el sistema de cámaras Vicon, actual herramienta comercial tridimensional, y la aplicación del presente trabajo, un sistema bidimensional, sobre el mismo paciente. Los resultados fueron muy similares entre ambos, obteniendo un R2 de 0.93, valor aproximado a los obtenidos por sistema de carmaras Vicon. Posteriormente, se aplicó la herramienta en niños con Parálisis Cerebral, comprobándose que contribuye a la accesibilidad de su tratamiento. En conlusion, el kinect es una herramienta alternativa de bajo costo para la captura de angulos de la rodilla de niños con PC, el cual ofrece un análsis cinemático bidimensional.
In Peru, the Instituto Nacional de Rehabilitación (INR) is one of the centers that treats people with disabilities. In 2013, 49.88% of its attended patients had ages between 0 and 9 years, and 0.81% from 18 092 patients have been diagnosed as children with Cerebral Palsy (CP). Given such demand and despite the efforts to solve this problem, access to a number of analyses to treat this disability is hindered, particularly, the knee kinematics analysis of children with CP, which is the subject of our research. To perform this analysis, the INR uses its gait laboratory; the problem is that it requires complex equipment, a big budget, and highly-trained personnel. This study proposes a tool, implemented in a gait reeducation center, that allows to quantify the measurement of angles of the kinematic analysis of the knee, based on Image Processing and Kinect, which is a device for simple, portable and economical use.The characteristics of this application have been raised with the support of Ítala Zegarra, physical therapy specialist, who laid the foundation for its development. Likewise, the reports of the patients' progress, obtained from the application, were established with the help of a team of specialists in physiotherapy led by Ítala Zegarra.For the validation of the tool’s accuracy, one subject with normal gait has been evaluated in terms of kinematic analysis of the knee. The analysis was simultaneously developed between the Vicon System, 3D gold-standard in the market, and the present tool, 2D system, over the same patient. The measurement results were very similar between both systems, obtaining a R2 of 0.93, approximate value to those obtained by the Vicon system. Later, the tool was applied in children with Cerebral Palsy, proving that it helps to increase the accessibility of its treatment. In conclusion, Kinect is a low cost alternative for capturing knee angles of children with CP, which offers a 2D kinematics analysis.
In Peru, the Instituto Nacional de Rehabilitación (INR) is one of the centers that treats people with disabilities. In 2013, 49.88% of its attended patients had ages between 0 and 9 years, and 0.81% from 18 092 patients have been diagnosed as children with Cerebral Palsy (CP). Given such demand and despite the efforts to solve this problem, access to a number of analyses to treat this disability is hindered, particularly, the knee kinematics analysis of children with CP, which is the subject of our research. To perform this analysis, the INR uses its gait laboratory; the problem is that it requires complex equipment, a big budget, and highly-trained personnel. This study proposes a tool, implemented in a gait reeducation center, that allows to quantify the measurement of angles of the kinematic analysis of the knee, based on Image Processing and Kinect, which is a device for simple, portable and economical use.The characteristics of this application have been raised with the support of Ítala Zegarra, physical therapy specialist, who laid the foundation for its development. Likewise, the reports of the patients' progress, obtained from the application, were established with the help of a team of specialists in physiotherapy led by Ítala Zegarra.For the validation of the tool’s accuracy, one subject with normal gait has been evaluated in terms of kinematic analysis of the knee. The analysis was simultaneously developed between the Vicon System, 3D gold-standard in the market, and the present tool, 2D system, over the same patient. The measurement results were very similar between both systems, obtaining a R2 of 0.93, approximate value to those obtained by the Vicon system. Later, the tool was applied in children with Cerebral Palsy, proving that it helps to increase the accessibility of its treatment. In conclusion, Kinect is a low cost alternative for capturing knee angles of children with CP, which offers a 2D kinematics analysis.
Link to repository: http://hdl.handle.net/10757/621213
Discipline: Ingeniería de Sistemas de Información
Grade or title grantor: Universidad Peruana de Ciencias Aplicadas (UPC). Facultad de Ingeniería
Grade or title: Ingeniero de sistemas de información
Register date: 30-Mar-2017
This item is licensed under a Creative Commons License