scholarly journals Movement Velocity and Fluidity Improve after Armeo®Spring Rehabilitation in Children Affected by Acquired and Congenital Brain Diseases: An Observational Study

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Emilia Biffi ◽  
Cristina Maghini ◽  
Beatrice Cairo ◽  
Elena Beretta ◽  
Elisabetta Peri ◽  
...  

Background. Children with cerebral palsy (CP) and acquired brain injury (ABI) often exhibit upper limb impairment, with repercussions in their daily activities. Robotic rehabilitation may promote their functional recovery, but evidence of its effectiveness is often based on qualitative functional scales. The primary aim of the present work was to assess movement precision, velocity, and smoothness using numerical indices from the endpoint trajectory of Armeo®Spring. Secondly, an investigation of the effectiveness of robotic rehabilitation in CP and ABI children was performed. Methods. Upper limb functional changes were evaluated in children with CP (N=21) or ABI (N=22) treated with Armeo®Spring (20 45-minute sessions over 4 weeks) using clinical scales and numerical indices computed from the exoskeleton trajectory. Results. Functional scales (i.e., QUEST and Melbourne) were sensitive to changes produced by the treatment for the whole study group and for the two etiology-based subgroups (improvements above Minimal Clinically Importance Difference). Significant improvement was also observed in terms of velocity, fluidity, and precision of the movement through the numerical indices of kinematic performance. Differences in the temporal evolution of the motor outcome were highlighted between the ABI and CP subgroups, pointing toward adopting different rehabilitative protocols in these two populations. Conclusions. Robot-assisted upper limb rehabilitation seems to be a promising tool to promote and assess rehabilitation in children affected by acquired and congenital brain diseases.

2021 ◽  
Vol 22 (1) ◽  
pp. 298-322
Author(s):  
Norsinnira Zainul Azlan ◽  
Nurul Syuhadah Lukman

The slacking behaviour or lack of participation from impaired patients during robotic rehabilitation therapy is one of the factors that slow down their recovery. The implementation of Assist As Needed (AAN) control law in the robotic assisted rehabilitation treatment may alleviate this problem and encourage the patients to be actively involved in the rehabilitation exercises. This paper presents a new Assist As Needed control strategy for an upper limb rehabilitation robot in assisting subjects with various levels of capabilities to regain their original upper limb’s functionality in realizing basic motions in eating activity. The controller consists of Proportional, Integral, Derivative (PID) controller in the feedback loop, with an adjustable gain K that varies according to the user’s level of capability. A Force Sensing Resistor (FSR) is used to identify the user’s upper extremity capability level. The controller regulates the necessary amount of assistance provided by the robot based on the information obtained from the sensor. The automatic adjustment of the robot’s assistance to the subjects leads them to put in their own effort in accomplishing the desired movements. The proposed control strategy is simple, easy to program, and mathematically less complicated. A prototype of the wearable upper limb rehabilitation robot has been built and a Graphical User Interface (GUI) has been developed using MATLAB software to facilitate the rehabilitation process and for progress monitoring. The simulation and experimental results have proven that the proposed control strategy is successful in regulating the necessary amount of robot assistance according to the patients’ level of capability. The proposed controller has effectively driven the upper limb rehabilitation robot to achieve the desired trajectory with zero steady state error, percentage overshoot less than 8% and settling time below 6 seconds, whilst providing the correct amount of robotic assistance in accordance to the subjects’ capability level. ABSTRAK: Reaksi kurang respon dari pesakit kurang keupayaan semasa terapi pemulihan robotik adalah satu faktor melambatkan kadar pemulihan. Pelaksanaan teknik kawalan Bantu Apabila Diperlukan (AAN) dalam rawatan pemulihan dengan bantuan robot dapat membantu dan mendorong pesakit terlibat secara aktif dalam latihan pemulihan. Artikel ini membentangkan strategi kawalan baru, iaitu Bantu Apabila Diperlukan oleh robot pemulihan bagi anggota atas pesakit yang mempunyai pelbagai tahap kemampuan, dalam mengembalikan fungsi asas gerakan tangan seperti aktiviti makan. Teknik kawalan terdiri daripada kawalan Berkadar, Integral, Terbitan (PID) dalam lingkaran tindak balas, dengan pemboleh ubah K mengikut tahap kemampuan pesakit. Alat pengukur Resistan Daya Rasa (FSR) digunakan bagi mengenal pasti tahap kemampuan maksima pesakit dalam menggerakkan tangan. Berdasarkan maklumat yang diperoleh daripada sensor, teknik kawalan akan menghantar maklumat kepada robot bagi membantu pesakit. Bantuan automatik yang dibekalkan robot kepada pesakit akan mendorong pesakit berusaha melakukan gerakan yang diperlukan. Strategi kawalan yang dicadangkan ini adalah ringkas, mudah diprogramkan dan kurang rumit dari segi matematik. Sebuah prototaip robot pemulihan anggota tangan telah dibina dan sebuah platform grafik bagi pengguna (Antara Muka Grafik Pengguna, GUI) telah dibangunkan menggunakan perisian MATLAB bagi memudahkan proses pemulihan dan pemantauan kemajuan pesakit. Hasil simulasi dan eksperimen membuktikan bahawa strategi cadangan kawalan ini berjaya mengatur jumlah bantuan daripada robot bersesuaian dengan tahap kemampuan pesakit. Teknik kawalan yang dicadangkan telah berjaya menggerakkan robot pemulihan tangan bagi mencapai lintasan gerakan yang diinginkan dengan ralat sifar pada keadaan stabil, peratusan ayunan berlebihan kurang daripada 8%, masa penyelesaian bawah 6 saat dan pada masa sama, memberikan maklumat bantuan robot yang tepat, bersesuaian dengan tahap kemampuan pesakit.


scholarly journals Thumbnail Ver/Abrir 2021_Garcia_Perez_Jose_Diseno_implementacion-algoritmos-control-fuerza-robot-rehabilitacion-miembro-superior.pdf (5.367Mb) Use este enlace para citar http://hdl.handle.net/2183/28384 Atribución-NoComercial-CompartirIgual 4.0 Internacional https://creativecommons.org/licenses/by-nc-sa/4.0/deed.es Excepto si se señala otra cosa, la licencia del ítem se describe como Atribución-NoComercial-CompartirIgual 4.0 Internacional https://creativecommons.org/licenses/by-nc-sa/4.0/deed.es Colecciones XLII Jornadas de Automática [103] Metadatos Mostrar el registro completo del ítem Título Diseño e implementación de algoritmos de control de fuerza para un robot de rehabilitación de miembro superior Título(s) alternativo(s) Design and implementation of force control algorithms for an upper-limb rehabilitation robot Autor(es) García Pérez, José Vicente Blanco, A. Catalán Orts, José María Ezquerro, Santiago Álvarez-Pastor, Jesús Arnau-Papí, Jesús García Aracil, Nicolás Fecha 2021 Cita bibliográfica García-Pérez, J. V., Blanco, A., Catalán, J. M., Ezquerro, S., Álvarez-Pastor, J., Arnau-Papí, J., García-Aracil, N. Diseño e implementación de algoritmos de control de fuerza para un robot de rehabilitación de miembro superior. En XLII Jornadas de Automática: libro de actas. Castelló, 1-3 de septiembre de 2021 (pp.515-520). DOI capítulo: https://doi.org/10.17979/spudc.9788497498043.515 DOI libro: https://doi.org/10.17979/spudc.9788497498043 Resumen [Resumen] El envejecimiento de la población aumentará la incidencia de las enfermedades relacionadas con la edad, como los accidentes cerebrovasculares. La robótica ha demostrado ser efectiva en la aplicación de terapias de rehabilitación a personas que presenten una pérdida de movilidad asociada a estas patologías. Existen numerosos sistemas de control apropiados para la interacción entre robots y pacientes en este tipo de terapias. De entre ellos, en este artículo se propone el uso de campos de potencial de fuerza en un dispositivo robótico de rehabilitación de miembro superior para pacientes que hayan sufrido pérdida de movilidad debido a un accidente cerebrovascular. En la primera parte del artículo se expone la formulación de los campos de potencial y se define el dispositivo robótico en el que han sido implementados. Posteriormente, se plantea una experimentación con sujetos sanos para comprobar la validez de esta estrategia de control. Los resultados muestran una disminución del error en los movimientos de los sujetos y abren la puerta a pruebas posteriores con pacientes reales. [Abstract] The aging of population will increase the incidence of age-related diseases, such as strokes. Robotic devices have proven their effectiveness in rehabilitation therapies for people who have a lack of mobility due to these diseases. There are many different systems to control the robot-human interaction in this type of therapies. This article proposes the use of force potential fields in a robotic upper-limb rehabilitation device for stroke patients. In the first part of the article the formulation of the force potential fields is shown and the robotic device used for the study is presented. Finally, an experimentation with healthy subjects is proposed to check the validity of this control strategy. The results show a decrease in the error in the subjects’movements and open the door to further tests with real patients. Palabras clave Robótica de rehabilitación Sistemas de control Campos de potencial de fuerza Robotic rehabilitation Control systems Force potential field Versión del editor https://doi.org/10.17979/spudc.9788497498043.515 Derechos Atribución-NoComercial-CompartirIgual 4.0 Internacional https://creativecommons.org/licenses/by-nc-sa/4.0/deed.es ISBN 978-84-9749-804-3 Buscar en RUC Esta colección Listar Todo RUC Comunidades & Colecciones Por fecha de publicación Autores Títulos Materias Esta colección Por fecha de publicación Autores Títulos Materias Mi cuenta Acceder Registro Estadísticas Ver Estadísticas de uso

2021 ◽  
pp. 515-520
Author(s):  
José Vicente García Pérez ◽  
A. Blanco ◽  
José María Catalán Orts ◽  
Santiago Ezquerro ◽  
Jesús Álvarez-Pastor ◽  
...  

El envejecimiento de la población aumentará la incidencia de las enfermedades relacionadas con la edad, como los accidentes cerebrovasculares. La robótica ha demostrado ser efectiva en la aplicación de terapias de rehabilitación a personas que presenten una pérdida de movilidad asociada a estas patologías. Existen numerosos sistemas de control apropiados para la interacción entre robots y pacientes en este tipo de terapias. De entre ellos, en este artículo se propone el uso de campos de potencial de fuerza en un dispositivo robótico de rehabilitación de miembro superior para pacientes que hayan sufrido pérdida de movilidad debido a un accidente cerebrovascular. En la primera parte del artículo se expone la formulación de los campos de potencial y se define el dispositivo robótico en el que han sido implementados. Posteriormente, se plantea una experimentación con sujetos sanos para comprobar la validez de esta estrategia de control. Los resultados muestran una disminución del error en los movimientos de los sujetos y abren la puerta a pruebas posteriores con pacientes reales.


2015 ◽  
Vol 17 (1) ◽  
pp. 16-33 ◽  
Author(s):  
Kathryn S. Hayward ◽  
Janice J. Eng ◽  
Lara A. Boyd ◽  
Bimal Lakhani ◽  
Julie Bernhardt ◽  
...  

The ultimate goal of upper-limb rehabilitation after stroke is to promote real-world use, that is, use of the paretic upper-limb in everyday activities outside the clinic or laboratory. Although real-world use can be collected through self-report questionnaires, an objective indicator is preferred. Accelerometers are a promising tool. The current paper aims to explore the feasibility of accelerometers to measure upper-limb use after stroke and discuss the translation of this measurement tool into clinical practice. Accelerometers are non-invasive, wearable sensors that measure movement in arbitrary units called activity counts. Research to date indicates that activity counts are a reliable and valid index of upper-limb use. While most accelerometers are unable to distinguish between the type and quality of movements performed, recent advancements have used accelerometry data to produce clinically meaningful information for clinicians, patients, family and care givers. Despite this, widespread uptake in research and clinical environments remains limited. If uptake was enhanced, we could build a deeper understanding of how people with stroke use their arm in real-world environments. In order to facilitate greater uptake, however, there is a need for greater consistency in protocol development, accelerometer application and data interpretation.


2021 ◽  
Vol 11 (5) ◽  
pp. 587
Author(s):  
Irene Aprile ◽  
Giulia Guardati ◽  
Valeria Cipollini ◽  
Dionysia Papadopoulou ◽  
Serena Monteleone ◽  
...  

Cognitive decline is often present in stroke survivors, with a significant impact on motor recovery. However, how specific cognitive domains could impact motor recovery after robotic rehabilitation in patients with stroke is still not well understood. In this study, we analyzed the relationship between cognitive impairment and the outcome of a robot-mediated upper limb rehabilitation intervention in a sample of 51 subacute stroke patients. Participants were enrolled and treated with a set of robotic and sensor-based devices. Before the intervention, patients underwent a cognitive assessment by means of the Oxford Cognitive Screen. To assess the effect of the 30-session rehabilitation intervention, patients were assessed twice with the following outcome measures: the Fugl-Meyer Assessment for Upper Extremity (FMA-UE), to evaluate motor function; the Upper limb Motricity Index (MI), to evaluate upper limb muscle strength; the Modified Barthel Index (mBI), to evaluate activities of daily living and mobility. We found that deficits in spatial attention and executive functions impacted the mBI improvement, while language, number processing, and spatial attention deficits reduced the gains in the FMA-UE. These results suggest the importance to evaluate the cognitive functions using an adequate tool in patients with stroke undergoing a robotic rehabilitation intervention.


ROBOT ◽  
2011 ◽  
Vol 33 (3) ◽  
pp. 307-313 ◽  
Author(s):  
Baoguo XU ◽  
Si PENG ◽  
Aiguo SONG

ROBOT ◽  
2012 ◽  
Vol 34 (5) ◽  
pp. 539 ◽  
Author(s):  
Lizheng PAN ◽  
Aiguo SONG ◽  
Guozheng XU ◽  
Huijun LI ◽  
Baoguo XU

Sensors ◽  
2021 ◽  
Vol 21 (6) ◽  
pp. 2146
Author(s):  
Manuel Andrés Vélez-Guerrero ◽  
Mauro Callejas-Cuervo ◽  
Stefano Mazzoleni

Processing and control systems based on artificial intelligence (AI) have progressively improved mobile robotic exoskeletons used in upper-limb motor rehabilitation. This systematic review presents the advances and trends of those technologies. A literature search was performed in Scopus, IEEE Xplore, Web of Science, and PubMed using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) methodology with three main inclusion criteria: (a) motor or neuromotor rehabilitation for upper limbs, (b) mobile robotic exoskeletons, and (c) AI. The period under investigation spanned from 2016 to 2020, resulting in 30 articles that met the criteria. The literature showed the use of artificial neural networks (40%), adaptive algorithms (20%), and other mixed AI techniques (40%). Additionally, it was found that in only 16% of the articles, developments focused on neuromotor rehabilitation. The main trend in the research is the development of wearable robotic exoskeletons (53%) and the fusion of data collected from multiple sensors that enrich the training of intelligent algorithms. There is a latent need to develop more reliable systems through clinical validation and improvement of technical characteristics, such as weight/dimensions of devices, in order to have positive impacts on the rehabilitation process and improve the interactions among patients, teams of health professionals, and technology.


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