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A haptic-robotic platform for upper-limb reaching stroke therapy: Preliminary design and evaluation results

Дата: Май 2nd, 2008 Автор:
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  • Тип контента: Научная статья
  • Номер документа: 6306
  • Название документа: A haptic-robotic platform for upper-limb reaching stroke therapy: Preliminary design and evaluation results
  • Номер (DOI, IBSN, Патент): 10.1186/1743-0003-5-15
  • Изобретатель/автор: Paul Lam, Jennifer Boger, Jacob Apkarian, Hervé Lacheray, Don Gardner, Debbie Hebert, Alex Mihailidis
  • Правопреемник/учебное заведение: University of Toronto
  • Дата публикации документа: 2008-05-22
  • Страна опубликовавшая документ: Канада
  • Язык документа: Английский
  • Наименование изделия: Не заполнено
  • Источник: Journal of NeuroEngineering and Rehabilitation
  • Вложения: Да
  • Аналитик: Глаголева Елена

Background: It has been shown that intense training can significantly improve post-stroke upperlimb functionality. However, opportunities for stroke survivors to practice rehabilitation exercises can be limited because of the finite availability of therapists and equipment. This paper presents a haptic-enabled exercise platform intended to assist therapists and mo-derate-level stroke survivors perform upper-limb reaching motion therapy. This work extends on existing knowledge by presenting: 1) an anthropometrically-inspired design that maximizes elbow and shoulder range of motions during exercise; 2) an unobtrusive upper body postural sensing system; and 3) a vibratory elbow stimulation device to encourage muscle movement. Methods: A multi-disciplinary team of professionals were involved in identifying the rehabilitation needs of stroke survivors incorporating these into a proto-type device. The prototype system consisted of an exercise device, postural sensors, and a elbow stimula- tion to encourage the reaching movement. Eight experienced physical and occupational therapists partici-pated in a pilot study exploring the usability of the prototype. Each therapist attended two sessions of one hour each to test and evaluate the proposed system. Feedback about the device was obtained through an administered questionnaire and combined with quantitative data. Results: Seven of the nine questions regar-ding the haptic exercise device scored higher than 3.0 (somewhat good) out of 4.0 (good). The postural sensors detected 93 of 96 (97%) therapistsimulated abnormal postures and correctly ignored 90 of 96 (94%) of normal postures. The elbow stimulation device had a score lower than 2.5 (neutral) for all as-pects that were surveyed, however the therapists felt the rehabilitation system was sufficient for use without the elbow stimulation device. Conclusion: All eight therapists felt the exercise platform could be a good tool to use in upperlimb rehabilitation as the prototype was considered to be generally well de-signed and capable of delivering reaching task therapy. The next stage of this project is to proceed to clinical trials with stroke patients.

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ТОР 10 аналитиков

    Глаголева Елена - 591
    Дмитрий Соловьев - 459
    Helix - 218
    Ридна Украина))) - 85
    Наталья Черкасова - 81
    max-orduan - 29
    Елена Токай - 15
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