System and method for measuring eye movement and/or eye position and postural sway of a subject

• US 9,814,430 B1
• Filed: 04/17/2015
• Issued: 11/14/2017
• Est. Priority Date: 04/17/2015
• Status: Active Grant

• Current Assignee: Bertec Corporation
• Original Assignee: Bertec Corporation
• Inventors: Berme, Necip, Barin, Kamran
• Primary Examiner(s): Thomson, William
• Assistant Examiner(s): STEINBERG, AMANDA L
• Application Number:
  US14/689,632
• Time in Patent Office: 942 Days
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 2562/0252 Load cells
• CPC Class Codes: A61B 3/113 for determining or recording eye movement
• CPC Class Codes: A61B 5/0059 using light, e.g. diagnosis by transillumination, diascopy, fluorescence A61B5/0093, A61B5/1455, A61B5/02416 and A61B5/0261 take precedence
• CPC Class Codes: A61B 5/0077 Devices for viewing the surface of the body, e.g. camera, magnifying lens
• CPC Class Codes: A61B 5/11 Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb for measuring pulse A61B5/02 ;A61B5/1038 takes precedence; motion detection to correct for motion artifacts in physiological signals A61B5/721
• CPC Class Codes: A61B 5/1114 Tracking parts of the body
• CPC Class Codes: A61B 5/1121 Determining geometric values, e.g. centre of rotation or angular range of movement
• CPC Class Codes: A61B 5/398 Electrooculography [EOG], e.g. detecting nystagmus; Electroretinography [ERG]
• CPC Class Codes: A61B 5/4023 Evaluating sense of balance
• CPC Class Codes: A61B 5/4064 Evaluating the brain A61B5/031, A61B5/369, A61B5/14553 take precedence
• CPC Class Codes: A61B 5/6803 Head-worn items, e.g. helmets, masks, headphones or goggles
• CPC Class Codes: A61B 5/6892 Mats
• CPC Class Codes: A61B 5/7275 Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence
• CPC Class Codes: A61B 8/10 Eye inspection

Abstract

A system and method for measuring eye movement and/or eye position and postural sway of a subject is disclosed herein. The system generally includes an eye movement tracking device, a postural sway detection device, and a data processing device operatively coupled to the eye movement tracking device and the postural sway detection device. During the execution of the method, the eye movement and/or eye position of the subject is measured using the eye movement tracking device, and the postural sway of the subject is measured using the postural sway detection device. A method for determining a gaze direction of a subject during a balance test and/or concussion screening test, and a method for assessment of a medical condition of a subject are also disclosed herein.

Claims

1. A method for concurrently measuring the eye movement or eye position and postural sway of a subject, the method comprising the steps of:

providing an eye movement tracking device configured to track eye movement or eye position of the subject while the subject performs a balance test or a concussion screening test, the eye movement tracking device being configured to output one or more first signals that are representative of the detected eye movement or eye position of the subject;

providing a postural sway detection device, the postural sway detection device configured to detect a postural sway of the subject while the subject performs the balance test or the concussion screening test, the postural sway detection device being configured to output one or more second signals that are representative of the detected postural sway of the subject;

providing at least one limb position detection device, the at least one limb position detection device configured to detect a position of one or more limbs of the subject and output one or more third signals that are representative of the detected position of the one or more limbs of the subject;

providing a data processing device operatively coupled to the eye movement tracking device, the postural sway detection device, and the at least one limb position detection device, the data processing device configured to receive the one or more first signals that are representative of the detected eye movement or eye position of the subject, the one or more second signals that are representative of the detected postural sway of the subject, and the one or more third signals that are representative of the detected position of the one or more limbs of the subject, the data processing device further configured to determine the eye movement or eye position of the subject using the one or more first signals, the postural sway of the subject using the one or more second signals, and the position of the one or more limbs of the subject using the one or more third signals;

positioning the subject in an upright position on a surface;

positioning the at least one limb position detection device on the one or more limbs of the subject between a hand and a shoulder of the subject;

providing a visual target that is a portion of the one or more limbs of the subject;

instructing the subject to displace the one or more limbs while the subject maintains his or her gaze on the visual target;

measuring the eye movement or eye position of the subject using the eye movement tracking device, and outputting the one or more first signals that are representative of the detected eye movement or eye position of the subject from the eye movement tracking device;

measuring the postural sway of the subject using the postural sway detection device while measuring the eye movement or eye position of the subject, and outputting the one or more second signals that are representative of the postural sway of the subject from the postural sway detection device;

measuring the position of the one or more limbs of the subject using the at least one limb position detection device while the one or more limbs of the subject are displaced by the subject, and outputting the one or more third signals that are representative of the detected position of the one or more limbs of the subject from the at least one limb position detection device;

determining, by using the data processing device, eye movement or eye position data for the subject from the one or more first signals output by the eye movement tracking device;

determining, by using the data processing device, the position of the one or more limbs of the subject from the one or more third signals output by the at least one limb position detection device in order to determine the position of the visual target;

determining, by using the data processing device, one or more eye movement deviation values based upon the eye movement or eye position data determined for the subject, the one or more eye movement deviation values quantifying an amount by which one or more eyes of the subject lag behind the visual target during the balance test or the concussion screening test;

determining, by using the data processing device, postural sway data for the subject from the one or more second signals output by the postural sway detection device, wherein the postural sway data determined by the data processing device includes at least one of;

(i) a center of pressure for the subject and (ii) a center of gravity for the subject;

determining, by using the data processing device, a balance sway score for the subject based upon the postural sway data determined for the subject; and

computing, by using the data processing device, an adjusted balance sway score for the subject by increasing the balance sway score determined for the subject by a numerical factor proportionate to the one or more eye movement deviation values in order to obtain an overall quantitative assessment of performance during the execution of the balance test or the concussion screening test.

2. The method according to claim 1, wherein the eye movement tracking device comprises at least one of the following:

(i) a video camera, (ii) an infrared sensor, (iii) an ultrasonic sensor, and (iv) an electrooculographic sensor; and

wherein the step of measuring the eye movement or eye position of the subject using the eye movement tracking device further comprises measuring the eye movement or eye position of the subject using at least one of;

(i) the video camera, (ii) the infrared sensor, (iii) the ultrasonic sensor, and (iv) the electrooculographic sensor.

3. The method according to claim 1, wherein the postural sway detection device comprises at least one of the following:

(i) a force or balance plate, (ii) one or more inertial measurement units, (iii) an optical motion capture device, and (iv) an infrared motion capture device; and

wherein the step of measuring the postural sway of the subject using the postural sway detection device further comprises measuring the postural sway of the subject using at least one of;

(i) the force or balance plate, (ii) the one or more inertial measurement units, (iii) the optical motion capture device, and (iv) the infrared motion capture device.

4. The method according to claim 1, wherein the step of computing, by using the data processing device, an adjusted balance sway score for the subject comprises multiplying the balance sway score determined for the subject by the numerical factor proportionate to the one or more eye movement deviation values in order to obtain the overall quantitative assessment of performance during the execution of the balance test or the concussion screening test.

5. The method according to claim 1, further comprising the step of:

assessing a medical condition of the subject by comparing the adjusted balance sway score for the subject to a baseline score for the subject or to a score for another subject without the medical condition.

6. The method according to claim 1, wherein the at least one limb position detection device comprises at least one inertial measurement unit attached to one of the one or more limbs of the subject.

7. The method according to claim 1, wherein the step of instructing the subject to displace the one or more limbs while the subject maintains his or her gaze on the visual target further comprises instructing the subject to displace the one or more limbs over a prescribed angular range while the subject maintains his or her gaze on the visual target;

and

wherein the step of determining the position of the one or more limbs of the subject from the one or more third signals output by the at least one limb position detection device further comprises determining, by using the data processing device, an angular position of the one or more limbs as the subject displaces the one or more limbs over the prescribed angular range.

8. A method for concurrently measuring the eye movement or eye position and postural sway of a subject, the method comprising the steps of:

providing an eye movement tracking device configured to track eye movement or eye position of the subject while the subject performs a balance test or a concussion screening test, the eye movement tracking device being configured to output one or more first signals that are representative of the detected eye movement or eye position of the subject;

providing a postural sway detection device, the postural sway detection device configured to detect a postural sway of the subject and a position of one or more limbs of the subject while the subject performs the balance test or the concussion screening test, the postural sway detection device being configured to output one or more second signals that are representative of the detected postural sway of the subject and the detected position of the one or more limbs of the subject;

providing a data processing device operatively coupled to the eye movement tracking device and the postural sway detection device, the data processing device configured to receive the one or more first signals that are representative of the detected eye movement or eye position of the subject and the one or more second signals that are representative of the detected postural sway of the subject, the data processing device further configured to determine the eye movement or eye position of the subject using the one or more first signals and the postural sway of the subject using the one or more second signals;

positioning the subject in an upright position on a surface;

providing a visual target that is a portion of the one or more limbs of the subject;

instructing the subject to displace the one or more limbs while the subject maintains his or her gaze on the visual target;

measuring the eye movement or eye position of the subject using the eye movement tracking device, and outputting the one or more first signals that are representative of the detected eye movement or eye position of the subject from the eye movement tracking device;

measuring the postural sway of the subject and the position of the one or more limbs of the subject using the postural sway detection device while the one or more limbs of the subject are displaced by the subject and the eye movement or eye position of the subject is measured, and outputting the one or more second signals that are representative of the postural sway of the subject and the detected position of the one or more limbs of the subject from the postural sway detection device;

determining, by using the data processing device, eye movement or eye position data for the subject from the one or more first signals output by the eye movement tracking device;

determining, by using the data processing device, postural sway data for the subject from the one or more second signals output by the postural sway detection device;

determining, by using the data processing device, the position of the one or more limbs of the subject from the one or more second signals output by the postural sway detection device in order to determine the position of the visual target;

determining, by using the data processing device, a first numerical score for the subject based upon the eye movement or eye position data determined for the subject, wherein the first numerical score comprises one or more of the following;

(i) an eye pursuit performance parameter specifying an amount that one or more eyes of the subject lag behind the visual target, (ii) an eye pursuit performance ratio of subject eye velocity to visual target velocity, and (iii) an eye latency parameter specifying a time for the subject to initiate eye movements in response to the movement of the visual target;

determining, by using the data processing device, a second numerical score for the subject based upon the postural sway data determined for the subject;

combining, by using the data processing device, the first numerical score with the second numerical score to obtain an overall combined sway and eye movement score for the subject, wherein combining the first numerical score with the second numerical score to obtain the overall combined sway and eye movement score for the subject comprises computing, by using the data processing device, a multiplicative product between the first numerical score and the second numerical score; and

assessing a performance of the subject by comparing the overall combined sway and eye movement score for the subject to a baseline score for the subject or to a score for another subject.

9. The method according to claim 8, wherein the eye movement tracking device comprises at least one of the following:

(i) a video camera, (ii) an infrared sensor, (iii) an ultrasonic sensor, and (iv) an electrooculographic sensor; and

wherein the step of measuring the eye movement or eye position of the subject using the eye movement tracking device further comprises measuring the eye movement or eye position of the subject using at least one of;

(i) the video camera, (ii) the infrared sensor, (iii) the ultrasonic sensor, and (iv) the electrooculographic sensor.

10. The method according to claim 8, wherein the postural sway detection device comprises at least one of the following:

(i) one or more inertial measurement units, (ii) an optical motion capture device, and (iii) an infrared motion capture device; and

wherein the step of measuring the postural sway of the subject using the postural sway detection device further comprises measuring the postural sway of the subject using at least one of;

(i) the one or more inertial measurement units, (ii) the optical motion capture device, and (iii) the infrared motion capture device.

11. The method according to claim 8, wherein the second numerical score that is determined by the data processing device for the subject comprises one or more of the following:

(i) a maximum sway of the center-of-pressure of the subject, (ii) a maximum sway of the center-of-gravity of the subject, and (iii) a confidence area for a path of the center of pressure of the subject.

12. The method according to claim 8, wherein the first numerical score that is determined by the data processing device for the subject further comprises one or more of the following:

(i) an eye velocity of one or more eyes of the subject, and (ii) an accuracy parameter specifying an accuracy of one or more eyes of the subject.

13. The method according to claim 8, wherein the step of assessing a performance of the subject comprises assessing the performance of the subject so as to evaluate one or more of the following medical conditions:

(i) a traumatic brain injury or concussion, (ii) a neurological disorder or disease, and (iii) a muscular disorder or disease.