A haptic-robotic platform for upper-limb reaching stroke therapy: preliminary design and evaluation results.
Identifieur interne : 001441 ( PubMed/Curation ); précédent : 001440; suivant : 001442A haptic-robotic platform for upper-limb reaching stroke therapy: preliminary design and evaluation results.
Auteurs : Paul Lam [Canada] ; Debbie Hebert ; Jennifer Boger ; Hervé Lacheray ; Don Gardner ; Jacob Apkarian ; Alex MihailidisSource :
- Journal of neuroengineering and rehabilitation [ 1743-0003 ] ; 2008.
English descriptors
- KwdEn :
- Arm, Equipment Design, Equipment Failure Analysis, Exercise Therapy (instrumentation), Exercise Therapy (methods), Humans, Movement Disorders (rehabilitation), Pilot Projects, Robotics (instrumentation), Stroke (rehabilitation), Therapy, Computer-Assisted (instrumentation), Therapy, Computer-Assisted (methods), Touch, User-Computer Interface.
- MESH :
- instrumentation : Exercise Therapy, Robotics, Therapy, Computer-Assisted.
- methods : Exercise Therapy, Therapy, Computer-Assisted.
- rehabilitation : Movement Disorders, Stroke.
- Arm, Equipment Design, Equipment Failure Analysis, Humans, Pilot Projects, Touch, User-Computer Interface.
Abstract
It has been shown that intense training can significantly improve post-stroke upper-limb 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 moderate-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.
DOI: 10.1186/1743-0003-5-15
PubMed: 18498641
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A haptic-robotic platform for upper-limb reaching stroke therapy: preliminary design and evaluation results.</title><author><name sortKey="Lam, Paul" sort="Lam, Paul" uniqKey="Lam P" first="Paul" last="Lam">Paul Lam</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, ONT, M5S 3G9, Canada. pty.lam@utoronto.ca</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, ONT, M5S 3G9</wicri:regionArea></affiliation></author><author><name sortKey="Hebert, Debbie" sort="Hebert, Debbie" uniqKey="Hebert D" first="Debbie" last="Hebert">Debbie Hebert</name></author><author><name sortKey="Boger, Jennifer" sort="Boger, Jennifer" uniqKey="Boger J" first="Jennifer" last="Boger">Jennifer Boger</name></author><author><name sortKey="Lacheray, Herve" sort="Lacheray, Herve" uniqKey="Lacheray H" first="Hervé" last="Lacheray">Hervé Lacheray</name></author><author><name sortKey="Gardner, Don" sort="Gardner, Don" uniqKey="Gardner D" first="Don" last="Gardner">Don Gardner</name></author><author><name sortKey="Apkarian, Jacob" sort="Apkarian, Jacob" uniqKey="Apkarian J" first="Jacob" last="Apkarian">Jacob Apkarian</name></author><author><name sortKey="Mihailidis, Alex" sort="Mihailidis, Alex" uniqKey="Mihailidis A" first="Alex" last="Mihailidis">Alex Mihailidis</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2008">2008</date><idno type="doi">10.1186/1743-0003-5-15</idno><idno type="RBID">pubmed:18498641</idno><idno type="pmid">18498641</idno><idno type="wicri:Area/PubMed/Corpus">001441</idno><idno type="wicri:Area/PubMed/Curation">001441</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">A haptic-robotic platform for upper-limb reaching stroke therapy: preliminary design and evaluation results.</title><author><name sortKey="Lam, Paul" sort="Lam, Paul" uniqKey="Lam P" first="Paul" last="Lam">Paul Lam</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, ONT, M5S 3G9, Canada. pty.lam@utoronto.ca</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, ONT, M5S 3G9</wicri:regionArea></affiliation></author><author><name sortKey="Hebert, Debbie" sort="Hebert, Debbie" uniqKey="Hebert D" first="Debbie" last="Hebert">Debbie Hebert</name></author><author><name sortKey="Boger, Jennifer" sort="Boger, Jennifer" uniqKey="Boger J" first="Jennifer" last="Boger">Jennifer Boger</name></author><author><name sortKey="Lacheray, Herve" sort="Lacheray, Herve" uniqKey="Lacheray H" first="Hervé" last="Lacheray">Hervé Lacheray</name></author><author><name sortKey="Gardner, Don" sort="Gardner, Don" uniqKey="Gardner D" first="Don" last="Gardner">Don Gardner</name></author><author><name sortKey="Apkarian, Jacob" sort="Apkarian, Jacob" uniqKey="Apkarian J" first="Jacob" last="Apkarian">Jacob Apkarian</name></author><author><name sortKey="Mihailidis, Alex" sort="Mihailidis, Alex" uniqKey="Mihailidis A" first="Alex" last="Mihailidis">Alex Mihailidis</name></author></analytic><series><title level="j">Journal of neuroengineering and rehabilitation</title><idno type="eISSN">1743-0003</idno><imprint><date when="2008" type="published">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arm</term><term>Equipment Design</term><term>Equipment Failure Analysis</term><term>Exercise Therapy (instrumentation)</term><term>Exercise Therapy (methods)</term><term>Humans</term><term>Movement Disorders (rehabilitation)</term><term>Pilot Projects</term><term>Robotics (instrumentation)</term><term>Stroke (rehabilitation)</term><term>Therapy, Computer-Assisted (instrumentation)</term><term>Therapy, Computer-Assisted (methods)</term><term>Touch</term><term>User-Computer Interface</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Exercise Therapy</term><term>Robotics</term><term>Therapy, Computer-Assisted</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Exercise Therapy</term><term>Therapy, Computer-Assisted</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Movement Disorders</term><term>Stroke</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Arm</term><term>Equipment Design</term><term>Equipment Failure Analysis</term><term>Humans</term><term>Pilot Projects</term><term>Touch</term><term>User-Computer Interface</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">It has been shown that intense training can significantly improve post-stroke upper-limb 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 moderate-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.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">18498641</PMID><DateCreated><Year>2008</Year><Month>06</Month><Day>04</Day></DateCreated><DateCompleted><Year>2008</Year><Month>07</Month><Day>10</Day></DateCompleted><DateRevised><Year>2014</Year><Month>09</Month><Day>03</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1743-0003</ISSN><JournalIssue CitedMedium="Internet"><Volume>5</Volume><PubDate><Year>2008</Year></PubDate></JournalIssue><Title>Journal of neuroengineering and rehabilitation</Title><ISOAbbreviation>J Neuroeng Rehabil</ISOAbbreviation></Journal><ArticleTitle>A haptic-robotic platform for upper-limb reaching stroke therapy: preliminary design and evaluation results.</ArticleTitle><Pagination><MedlinePgn>15</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/1743-0003-5-15</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">It has been shown that intense training can significantly improve post-stroke upper-limb 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 moderate-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.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A multi-disciplinary team of professionals were involved in identifying the rehabilitation needs of stroke survivors incorporating these into a prototype device. The prototype system consisted of an exercise device, postural sensors, and a elbow stimulation to encourage the reaching movement. Eight experienced physical and occupational therapists participated 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.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Seven of the nine questions regarding the haptic exercise device scored higher than 3.0 (somewhat good) out of 4.0 (good). The postural sensors detected 93 of 96 (97%) therapist-simulated 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 aspects that were surveyed, however the therapists felt the rehabilitation system was sufficient for use without the elbow stimulation device.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">All eight therapists felt the exercise platform could be a good tool to use in upper-limb rehabilitation as the prototype was considered to be generally well designed and capable of delivering reaching task therapy. The next stage of this project is to proceed to clinical trials with stroke patients.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lam</LastName><ForeName>Paul</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, ONT, M5S 3G9, Canada. pty.lam@utoronto.ca</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hebert</LastName><ForeName>Debbie</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Boger</LastName><ForeName>Jennifer</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Lacheray</LastName><ForeName>Hervé</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Gardner</LastName><ForeName>Don</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Apkarian</LastName><ForeName>Jacob</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Mihailidis</LastName><ForeName>Alex</ForeName><Initials>A</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D023362">Evaluation Studies</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2008</Year><Month>05</Month><Day>22</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Neuroeng Rehabil</MedlineTA><NlmUniqueID>101232233</NlmUniqueID><ISSNLinking>1743-0003</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Brain. 2000 May;123 ( Pt 5):940-53</RefSource><PMID Version="1">10775539</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Med Biol Eng Comput. 2005 Jan;43(1):2-10</RefSource><PMID 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Version="1">12960917</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Stroke. 1993 Jan;24(1):58-63</RefSource><PMID Version="1">8418551</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Phys Ther. 1997 May;77(5):488-507</RefSource><PMID Version="1">9149760</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Arch Phys Med Rehabil. 1997 Dec;78(12):1298-304</RefSource><PMID Version="1">9421981</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Stroke. 1999 Mar;30(3):586-92</RefSource><PMID Version="1">10066856</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>IEEE Trans Biomed Eng. 1999 Jun;46(6):652-62</RefSource><PMID Version="1">10356872</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Phys Ther. 1999 Sep;79(9):847-53</RefSource><PMID Version="1">10479785</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Psychol Bull. 1999 Sep;125(5):544-75</RefSource><PMID Version="1">10489541</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Stroke. 2000 Jun;31(6):1210-6</RefSource><PMID Version="1">10835434</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D001132">Arm</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D004867">Equipment Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D019544">Equipment Failure Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005081">Exercise Therapy</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000295">instrumentation</QualifierName><QualifierName MajorTopicYN="N" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" 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