Submitted:
02 January 2024
Posted:
03 January 2024
You are already at the latest version
Abstract
Keywords:
1. Introduction
2. Materials and Methods
2.1. Patients
2.2. Image capturing method
2.3. Vector data acquisition
2.4. Kinetic energy calculation
2.5. Application of the free energy principle
2.6. Statistical analysis
3. Results
3.1. Analysis in Normal Cases
3.1.1. Time
3.1.2. Kinetic energy value
3.1.3. Regression function
3.2. Analysis in Abnormal Cases
3.2.1. Time
3.2.2. Kinetic energy value
3.2.3. Regression function
3.3. Comparison of normal and abnormal cases in Phase 2
3.4. Kinetic energy and free energy principle
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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| Total | Phase 1 | Early Phase 1 | Late Phase 1 | Phase 2 | Phase 3 | |
| Normal Case 1 | 17 | 8 | N/A | N/A | 2 | 7 |
| Normal Case 2 | 30 | 12 | N/A | N/A | 10 | 8 |
| Normal Case 3 | 25 | 2.8 | N/A | N/A | 11 | 11.2 |
| Normal Case 4 | 36 | 14 | N/A | N/A | 9.5 | 12.5 |
| Normal Case 5 | 21 | 6.5 | N/A | N/A | 7.5 | 7 |
| Normal Case 6 | 24 | 4 | N/A | N/A | 8.5 | 11.5 |
| Normal Case 7 | 28 | 4.7 | N/A | N/A | 8.3 | 15 |
| Mean | 25.857 | 7.429 | N/A | N/A | 8.114 | 10.314 |
| SD | 6.203 | 4.201 | N/A | N/A | 2.937 | 3.062 |
| Q1/4 | 21 | 4 | N/A | N/A | 7.5 | 7 |
| Med | 25 | 6.5 | N/A | N/A | 8.5 | 11.2 |
| Q3/4 | 30 | 12 | N/A | N/A | 10 | 12.5 |
| Min | 17 | 2.8 | N/A | N/A | 2 | 7 |
| Max | 36 | 14 | N/A | N/A | 11 | 15 |
| Abnormal Case 8 | 55.5 | 33 | N/A | N/A | 6 | 16.5 |
| Abnormal Case 9 | 37 | 16.5 | N/A | N/A | 8.5 | 12 |
| Abnormal Case 10 | 37.5 | 4.5 | N/A | N/A | 6.5 | 26.5 |
| Abnormal Case 11 | 28.5 | N/A | 16.5 | 6.8 | 5.2 | N/A |
| Abnormal Case 12 | 36.5 | N/A | 15 | 8 | 5 | 8.5 |
| Abnormal Case 13 | 23.16 | N/A | 2.5 | 1.5 | 0.5 | 18.66 |
| Abnormal Case 14 | 20.2 | N/A | 3 | 1 | 1.7 | 14.5 |
| Abnormal Case 15 | 34 | N/A | 7.5 | 5.5 | 6 | 15 |
| Abnormal Case 16 | 38.5 | N/A | 8 | 2.5 | 21.5 | 6.5 |
| Abnormal Case 17 | 35.5 | N/A | 2 | 3 | 4 | 26.5 |
| Abnormal Case 18 | 35.7 | N/A | 4.8 | 1.4 | 1.3 | 28.2 |
| Mean | 34.733 | 18 | 7.412 | 3.713 | 6.018 | 17.286 |
| SD | 9.206 | 14.309 | 5.609 | 2.691 | 5.685 | 7.644 |
| Q1/4 | 28.5 | 4.5 | 2.5 | 1.4 | 1.7 | 12 |
| Med | 35.7 | 16.5 | 4.8 | 2.5 | 5.2 | 15 |
| Q3/4 | 37.5 | 33 | 8 | 5.5 | 6.5 | 26.5 |
| Min | 20.2 | 4.5 | 2 | 1 | 0.5 | 6.5 |
| Max | 55.5 | 33 | 16.5 | 8 | 21.5 | 28.2 |
| Total | Phase 1 | Early Phase 1 | Late Phase 1 | Phase 2 | Phase 3 | |
| Normal Case 1 | 3.670×10−24 | 2.548×10−24 | N/A | N/A | 6.395×10−25 | 5.083×10−25 |
| Normal Case 2 | 6.304×10−24 | 9.569×10−25 | N/A | N/A | 3.441×10−24 | 1.907×10−24 |
| Normal Case 3 | 3.721×10−24 | 8.320×10−25 | N/A | N/A | 1.932×10−24 | 9.574×10−25 |
| Normal Case 4 | 3.617×10−24 | 1.599×10−24 | N/A | N/A | 1.358×10−24 | 6.595×10−25 |
| Normal Case 5 | 1.053×10−24 | 6.702×10−24 | N/A | N/A | 2.418×10−24 | 1.410×10−24 |
| Normal Case 6 | 4.321×10−24 | 9.727×10−25 | N/A | N/A | 2.405×10−24 | 9.441×10−25 |
| Normal Case 7 | 7.337×10−24 | 1.781×10−24 | N/A | N/A | 4.393×10−24 | 1.163×10−24 |
| Mean | 5.647×10−24 | 2.199×10−24 | N/A | N/A | 2.369×10−24 | 1.078×10−24 |
| SD | 2.599×10−24 | 2.076×10−24 | N/A | N/A | 1.255×10−24 | 4.720×10−25 |
| Q1/4 | 3.696×10−24 | 9.570×10−25 | N/A | N/A | 1.358×10−24 | 6.590×10−25 |
| Med | 4.321×10−24 | 1.599×10−24 | N/A | N/A | 2.405×10−24 | 9.570×10−25 |
| Q3/4 | 7.337×10−24 | 2.548×10−24 | N/A | N/A | 3.441×10−24 | 1.410×10−24 |
| Min | 3.617×10−24 | 8.320×10−25 | N/A | N/A | 6.390×10−25 | 5.080×10−25 |
| Max | 1.053×10−23 | 6.702×10−24 | N/A | N/A | 4.393×10−24 | 1.907×10−24 |
| Abnormal Case 8 | 5.404×10−24 | 8.491×10−25 | N/A | N/A | 3.230×10−24 | 1.326×10−24 |
| Abnormal Case 9 | 2.125×10−24 | 3.232×10−25 | N/A | N/A | 1.275×10−24 | 5.266×10−25 |
| Abnormal Case 10 | 9.050×10−24 | 4.444×10−24 | N/A | N/A | 3.161×10−24 | 1.445×10−24 |
| Abnormal Case 11 | 1.145×10−23 | N/A | 1.988×10−24 | 4.733×10−24 | 4.733×10−24 | N/A |
| Abnormal Case 12 | 1.634×10−23 | N/A | 1.031×10−23 | 2.104×10−24 | 2.713×10−24 | 1.219×10−24 |
| Abnormal Case 13 | 1.097×10−23 | N/A | 3.533×10−24 | 3.579×10−24 | 2.784×10−24 | 1.071×10−24 |
| Abnormal Case 14 | 1.985×10−23 | N/A | 8.334×10−24 | 6.963×10−24 | 3.540×10−24 | 1.017×10−24 |
| Abnormal Case 15 | 2.146×10−23 | N/A | 2.990×10−24 | 5.375×10−24 | 9.351×10−24 | 3.745×10−24 |
| Abnormal Case 16 | 3.611×10−23 | N/A | 1.686×10−23 | 6.223×10−24 | 1.122×10−23 | 1.802×10−24 |
| Abnormal Case 17 | 1.958×10−23 | N/A | 5.475×10−24 | 7.603×10−24 | 4.398×10−24 | 2.109×10−24 |
| Abnormal Case 18 | 2.376×10−23 | N/A | 8.234×10−24 | 4.392×10−24 | 5.226×10−24 | 5.910×10−24 |
| Mean | 1.601×10−23 | 1.872×10−24 | 7.215×10−24 | 5.121×10−24 | 4.694×10−24 | 2.017×10−24 |
| SD | 9.598×10−24 | 2.243×10−24 | 4.878×10−24 | 1.813×10−24 | 2.997×10−24 | 1.625×10−24 |
| Q1/4 | 9.050×10−24 | 3.232×10−25 | 2.990×10−24 | 3.579×10−24 | 2.784×10−24 | 1.071×10−24 |
| Med | 1.634×10−23 | 8.491×10−25 | 6.854×10−24 | 5.054×10−24 | 3.540×10−24 | 1.385×10−24 |
| Q3/4 | 2.146×10−23 | 4.444×10−24 | 8.334×10−24 | 6.223×10−24 | 5.226×10−24 | 2.109×10−24 |
| Min | 2.125×10−24 | 3.232×10−25 | 1.988×10−24 | 2.104×10−24 | 1.275×10−24 | 5.266×10−25 |
| Max | 3.611×10−23 | 4.444×10−24 | 1.686×10−23 | 7.603×10−24 | 1.122×10−23 | 5.910×10−24 |
| Case No. | Phase 1 | Early phase 1 | Late phase 1 | Phase 2 | Phase 3 | ||||||||||
| Time (H) | ± SE | ± SE | Time (H) | ±SE | ± SE | Time (H) | ± SE | ± SE | Time (H) | ± SE | ± SE | Time (H) | ± SE | ± SE | |
| 1 | 0–8 | −52.852 ± 0.090a | −0.4308 ±0.018a | N/A | N/A | N/A | N/A | N/A | N/A | 8–10 | −52.726 ± 1.067a | −0.352 ± 0.118c | 10–17 | −56.724 ± 0.245a | 0.047 ± 0.018d |
| 2 | 0–12 | −55.458 ± 0.079a | −0.024 ± 0.011d | N/A | N/A | N/A | N/A | N/A | N/A | 12–22 | −51.951 ± 0.187a | −0.133 ± 0.011a | 22–30 | −55.484 ± 0.467a | 0.025 ± 0.018¶ |
| 3 | 0–2.8 | −56.106 ± 0.224a | 0.024 ± 0.137¶ | N/A | N/A | N/A | N/A | N/A | N/A | 2.8–13.8 | −52.810 ± 0.094a | −0.266 ± 0.010a | 13.8–25 | −58.150 ± 0.213a | 0.130 ± 0.011a |
| 4 | 0–14 | −54.752 ± 0.093a | −0.084 ± 0.011a | N/A | N/A | N/A | N/A | N/A | N/A | 14–23.5 | −51.655 ± 0.291a | −0.199 ± 0.015a | 23.5–36 | −55.681 ± 0.393a | −0.026 ± 0.013d |
| 5 | 0–6.5 | −52.722 ± 0.115a | −0.333 ± 0.030a | N/A | N/A | N/A | N/A | N/A | N/A | 6.5–14 | −52.616 ± 0.345a | −0.249 ± 0.033a | 14–21 | −60.091 ± 0.443a | 0.272 ± 0.025a |
| 6 | 0–4 | −55.562 ± 0.149a | −0.029 ± 0.064¶ | N/A | N/A | N/A | N/A | N/A | N/A | 4–12.5 | −52.871 ± 0.137a | −0.215 ± 0.016a | 12.5–24 | −55.340 ± 0.240a | −0.017 ± 0.013¶ |
| 7 | 0–4.7 | −55.157 ± 0.142a | 0.0131 ± 0.053¶ | N/A | N/A | N/A | N/A | N/A | N/A | 4.7–13 | −51.222 ± 0.114a | −0.327 ± 0.012a | 13–28 | −56.837 ± 0.169a | 0.064 ± 0.008a |
| Mean | −54.659 | −0.123 | −52.265 | −0.249 | −56.901 | 0.070 | |||||||||
| SD | 1.343 | 0.182 | 0.653 | 0.075 | 1.718 | 0.103 | |||||||||
| Q1/4 | −55.510 | −0.208 | −52.768 | −0.296 | −57.494 | 0.004 | |||||||||
| Med | −55.158 | −0.029 | −52.616 | −0.249 | −56.724 | 0.047 | |||||||||
| Q3/4 | −53.803 | −0.006 | −51.803 | −0.207 | −55.582 | 0.097 | |||||||||
| Min | −56.106 | −0.431 | −52.871 | −0.352 | −60.091 | −0.026 | |||||||||
| Max | −52.722 | 0.024 | −51.222 | −0.133 | −55.340 | 0.272 | |||||||||
| 8 | 0–33 | −55.808 ± 0.046a | 9.661×10−06 ± 0.002¶ | N/A | N/A | N/A | N/A | N/A | N/A | 33–39 | −42.949 ± 1.056a | −0.321 ± 0.029a | 39–55.5 | −56.303 ± 0.305a | 0.022 ± 0.006b |
| 9 | 0–16.6 | −56.949 ± 0.053a | 0.0181 ± 0.006c | N/A | N/A | N/A | N/A | N/A | N/A | 16.5–25 | −48.123 ± 0.152a | −0.352 ± 0.007a | 25–37 | −61.593 ± 0.237a | 0.172 ± 0.008a |
| 10 | 0 –4.5 | −53.696 ± 0.101a | −0.125 ± 0.039c | N/A | N/A | N/A | N/A | N/A | N/A | 4.5–11 | −52.283 ± 0.209a | −0.289 ± 0.026a | 11–37.5 | −56.091 ± 0.099a | 0.028 ± 0.004a |
| 11 | N/A | N/A | N/A | 0–16.5 | −54.008 ± 0.065a | −0.123 ± 0.007a | 16.5s–23.3 | −61.936 ± 0.509a | 0.389 ± 0.025a | 23.3–28.5 | −38.327 ± 0.596a | −0.614 ± 0.023a | N/A | N/A | |
| 12 | N/A | N/A | N/A | 0–15 | −52.3388 ± 0.111a | −0.244 ± 0.013a | 15–23 | −58.327 ± 0.471a | 0.175 ± 0.025a | 23–28 | −46.234 ± 0.942a | −0.328 ± 0.037a | 28–36.5 | −55.886 ± 0.592a | 0.013 ± 0.018¶ |
| 13 | N/A | N/A | N/A | 0–2.5 | −53.892 ± 0.095a | -0.150 ± 0.064d | 2.5–4 | −55.682 ± 0.432a | 0.497 ± 0.133b | 4–4.5 | −40.558 ± 2.238a | −3.260 ± 0.526a | 4.5–23.16 | −55.825 ± 0.097a | 0.020 ± 0.007c |
| 14 | N/A | N/A | N/A | 0–3 | −52.764 ± 0.119a | −0.418 ± 0.067a | 3–4 | −57.628 ± 0.486a | 1.206 ± 0.138a | 4–5.7 | −48.509 ± 0.418a | −1.182 ± 0.086a | 5.7–20.2 | −56.184 ± 0.104a | 0.048 ± 0.008a |
| 15 | N/A | N/A | N/A | 0–7.5 | −53.667 ± 0.120a | −0.284 ± 0.028a | 7.5–13 | −58.697 ± 0.377a | 0.450 ± 0.036a | 13–19 | −49.846 ± 0.620a | −0.229 ± 0.038a | 19–34 | −54.126 ± 0.250a | −0.008 ± 0.009¶ |
| 16 | N/A | N/A | N/A | 0–8 | −52.209 ± 0.139a | -0.267 ± 0.030a | 8–10.5 | −60.157 ± 1.192a | 0.681 ± 0.128a | 10.5–32 | −51.052 ± 0.142a | −0.125 ± 0.006a | 32–38.5 | −60.612 ± 0.845a | 0.158 ± 0.024a |
| 17 | N/A | N/A | N/A | 0–2 | −53.395 ± 0.258a | −0.647 ± 0.219c | 2–5 | −55.114 ± 0.371a | 0.432 ± 0.103a | 5–9 | −50.252 ± 0.367a | −0.566 ± 0.052a | 9–35.5 | −55.198 ± 0.114a | 0.004 ± 0.005¶ |
| 18 | N/A | N/A | N/A | 0–4.8 | −53.432 ± 0.163a | −0.091 ± 0.058¶ | 4.8–6.2 | −57.645 ± 0.822a | 0.680 ± 0.149a | 6.2–7.5 | −45.846 ± 2.410a | -1.204 ± 0.351c | 7.5–35.7 | −54.795 ± 0.127a | 0.022 ± 0.006a |
| Mean | −55.484 | −0.036 | −53.213 | −0.278 | −58.148 | 0.564 | −46.725 | −0.770 | −56.661 | 0.048 | |||||
| SD | 1.651 | 0.078 | 0.692 | 0.182 | 2.221 | 0.306 | 4.481 | 0.902 | 2.449 | 0.064 | |||||
| Q1/4 | −56.378 | −0.063 | −53.723 | −0.318 | −59.062 | 0.422 | −50.049 | −0.898 | −56.273 | 0.015 | |||||
| Med | -55.808 | 9.661×10-06 | −53.413 | −0.255 | −57.986 | 0.474 | −48.123 | −0.352 | -55.989 | 0.022 | |||||
| Q3/4 | −54.752 | 0.009 | −52.658 | −0.143 | −57.142 | 0.680 | −44.398 | −0.305 | -55.354 | 0.043 | |||||
| Min | −56.949 | −0.125 | −54.008 | −0.648 | −61.936 | 0.175 | −52.283 | −3.260 | −61.593 | -0.008 | |||||
| Max | −53.696 | 0.018 | −52.209 | −0.091 | −55.115 | 1.206 | −38.327 | −0.125 | −54.126 | 0.172 | |||||
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