The New Jersey Institute of Technology Robot-Assisted Virtual Rehabilitation (NJIT-RAVR) system for children with cerebral palsy: a feasibility study
Identifieur interne : 001329 ( Ncbi/Merge ); précédent : 001328; suivant : 001330The New Jersey Institute of Technology Robot-Assisted Virtual Rehabilitation (NJIT-RAVR) system for children with cerebral palsy: a feasibility study
Auteurs : Qinyin Qiu [États-Unis] ; Diego A. Ramirez [États-Unis] ; Soha Saleh [États-Unis] ; Gerard G. Fluet [États-Unis] ; Heta D. Parikh [États-Unis] ; Donna Kelly [États-Unis] ; Sergei V. Adamovich [États-Unis]Source :
- Journal of NeuroEngineering and Rehabilitation [ 1743-0003 ] ; 2009.
English descriptors
- KwdEn :
- MESH :
- instrumentation : Robotics.
- physiopathology : Cerebral Palsy.
- rehabilitation : Cerebral Palsy.
- Child, Computer Simulation, Computers, Feasibility Studies, Female, Humans, Male, Motor Skills, Psychomotor Performance, User-Computer Interface, Video Games.
Abstract
We hypothesize that the integration of virtual reality (VR) with robot assisted rehabilitation could be successful if applied to children with hemiparetic CP. The combined benefits of increased attention provided by VR and the larger training stimulus afforded by adaptive robotics may increase the beneficial effects of these two approaches synergistically. This paper will describe the NJIT-RAVR system, which combines adaptive robotics with complex VR simulations for the rehabilitation of upper extremity impairments and function in children with CP and examine the feasibility of this system in the context of a two subject training study.
The NJIT-RAVR system consists of the Haptic Master, a 6 degrees of freedom, admittance controlled robot and a suite of rehabilitation simulations that provide adaptive algorithms for the Haptic Master, allowing the user to interact with rich virtual environments. Two children, a ten year old boy and a seven year old girl, both with spastic hemiplegia secondary to Cerebral Palsy were recruited from the outpatient center of a comprehensive pediatric rehabilitation facility. Subjects performed a battery of clinical testing and kinematic measurements of reaching collected by the NJIT-RAVR system. Subjects trained with the NJIT-RAVR System for one hour, 3 days a week for three weeks. The subjects played a combination of four or five simulations depending on their therapeutic goals, tolerances and preferences. Games were modified to increase difficulty in order to challenge the subjects as their performance improved. The testing battery was repeated following the training period.
Both participants completed 9 hours of training in 3 weeks. No untoward events occurred and no adverse responses to treatment or complaints of cyber sickness were reported. One participant showed improvements in overall performance on the functional aspects of the testing battery. The second subject made improvements in upper extremity active range of motion and in kinematic measures of reaching movements.
We feel that this study establishes the feasibility of integrating robotics and rich virtual environments to address functional limitations and decreased motor performance in children with mild to moderate cerebral palsy.
Url:
DOI: 10.1186/1743-0003-6-40
PubMed: 19917124
PubMed Central: 2781812
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The New Jersey Institute of Technology Robot-Assisted Virtual Rehabilitation (NJIT-RAVR) system for children with cerebral palsy: a feasibility study</title>
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<term>Cerebral Palsy (rehabilitation)</term>
<term>Child</term>
<term>Computer Simulation</term>
<term>Computers</term>
<term>Feasibility Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Motor Skills</term>
<term>Psychomotor Performance</term>
<term>Robotics (instrumentation)</term>
<term>User-Computer Interface</term>
<term>Video Games</term>
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<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Robotics</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Cerebral Palsy</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Cerebral Palsy</term>
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<keywords scheme="MESH" xml:lang="en"><term>Child</term>
<term>Computer Simulation</term>
<term>Computers</term>
<term>Feasibility Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Motor Skills</term>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>We hypothesize that the integration of virtual reality (VR) with robot assisted rehabilitation could be successful if applied to children with hemiparetic CP. The combined benefits of increased attention provided by VR and the larger training stimulus afforded by adaptive robotics may increase the beneficial effects of these two approaches synergistically. This paper will describe the NJIT-RAVR system, which combines adaptive robotics with complex VR simulations for the rehabilitation of upper extremity impairments and function in children with CP and examine the feasibility of this system in the context of a two subject training study.</p>
</sec>
<sec><title>Methods</title>
<p>The NJIT-RAVR system consists of the Haptic Master, a 6 degrees of freedom, admittance controlled robot and a suite of rehabilitation simulations that provide adaptive algorithms for the Haptic Master, allowing the user to interact with rich virtual environments. Two children, a ten year old boy and a seven year old girl, both with spastic hemiplegia secondary to Cerebral Palsy were recruited from the outpatient center of a comprehensive pediatric rehabilitation facility. Subjects performed a battery of clinical testing and kinematic measurements of reaching collected by the NJIT-RAVR system. Subjects trained with the NJIT-RAVR System for one hour, 3 days a week for three weeks. The subjects played a combination of four or five simulations depending on their therapeutic goals, tolerances and preferences. Games were modified to increase difficulty in order to challenge the subjects as their performance improved. The testing battery was repeated following the training period.</p>
</sec>
<sec><title>Results</title>
<p>Both participants completed 9 hours of training in 3 weeks. No untoward events occurred and no adverse responses to treatment or complaints of cyber sickness were reported. One participant showed improvements in overall performance on the functional aspects of the testing battery. The second subject made improvements in upper extremity active range of motion and in kinematic measures of reaching movements.</p>
</sec>
<sec><title>Conclusion</title>
<p>We feel that this study establishes the feasibility of integrating robotics and rich virtual environments to address functional limitations and decreased motor performance in children with mild to moderate cerebral palsy.</p>
</sec>
</div>
</front>
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<author><name sortKey="Qiu, Qinyin" sort="Qiu, Qinyin" uniqKey="Qiu Q" first="Qinyin" last="Qiu">Qinyin Qiu</name>
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<author><name sortKey="Ramirez, Diego A" sort="Ramirez, Diego A" uniqKey="Ramirez D" first="Diego A" last="Ramirez">Diego A. Ramirez</name>
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<author><name sortKey="Saleh, Soha" sort="Saleh, Soha" uniqKey="Saleh S" first="Soha" last="Saleh">Soha Saleh</name>
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<author><name sortKey="Fluet, Gerard G" sort="Fluet, Gerard G" uniqKey="Fluet G" first="Gerard G" last="Fluet">Gerard G. Fluet</name>
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<wicri:regionArea>University of Medicine and Dentistry of New Jersey, Department of Rehabilitation and Movement Science, 65 Bergen Street Newark, NJ 07107</wicri:regionArea>
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<author><name sortKey="Parikh, Heta D" sort="Parikh, Heta D" uniqKey="Parikh H" first="Heta D" last="Parikh">Heta D. Parikh</name>
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<author><name sortKey="Kelly, Donna" sort="Kelly, Donna" uniqKey="Kelly D" first="Donna" last="Kelly">Donna Kelly</name>
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<author><name sortKey="Adamovich, Sergei V" sort="Adamovich, Sergei V" uniqKey="Adamovich S" first="Sergei V" last="Adamovich">Sergei V. Adamovich</name>
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<affiliation wicri:level="2"><nlm:aff id="I2">University of Medicine and Dentistry of New Jersey, Department of Rehabilitation and Movement Science, 65 Bergen Street Newark, NJ 07107, USA</nlm:aff>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The New Jersey Institute of Technology Robot-Assisted Virtual Rehabilitation (NJIT-RAVR) system for children with cerebral palsy: a feasibility study</title>
<author><name sortKey="Qiu, Qinyin" sort="Qiu, Qinyin" uniqKey="Qiu Q" first="Qinyin" last="Qiu">Qinyin Qiu</name>
<affiliation wicri:level="2"><nlm:aff id="I1">New Jersey Institute of Technology, Department of Biomedical Engineering, University Heights Newark, NJ 07102, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>New Jersey Institute of Technology, Department of Biomedical Engineering, University Heights Newark, NJ 07102</wicri:regionArea>
<placeName><region type="state">New Jersey</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Ramirez, Diego A" sort="Ramirez, Diego A" uniqKey="Ramirez D" first="Diego A" last="Ramirez">Diego A. Ramirez</name>
<affiliation wicri:level="2"><nlm:aff id="I1">New Jersey Institute of Technology, Department of Biomedical Engineering, University Heights Newark, NJ 07102, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>New Jersey Institute of Technology, Department of Biomedical Engineering, University Heights Newark, NJ 07102</wicri:regionArea>
<placeName><region type="state">New Jersey</region>
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</author>
<author><name sortKey="Saleh, Soha" sort="Saleh, Soha" uniqKey="Saleh S" first="Soha" last="Saleh">Soha Saleh</name>
<affiliation wicri:level="2"><nlm:aff id="I1">New Jersey Institute of Technology, Department of Biomedical Engineering, University Heights Newark, NJ 07102, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>New Jersey Institute of Technology, Department of Biomedical Engineering, University Heights Newark, NJ 07102</wicri:regionArea>
<placeName><region type="state">New Jersey</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Fluet, Gerard G" sort="Fluet, Gerard G" uniqKey="Fluet G" first="Gerard G" last="Fluet">Gerard G. Fluet</name>
<affiliation wicri:level="2"><nlm:aff id="I2">University of Medicine and Dentistry of New Jersey, Department of Rehabilitation and Movement Science, 65 Bergen Street Newark, NJ 07107, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Medicine and Dentistry of New Jersey, Department of Rehabilitation and Movement Science, 65 Bergen Street Newark, NJ 07107</wicri:regionArea>
<placeName><region type="state">New Jersey</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Parikh, Heta D" sort="Parikh, Heta D" uniqKey="Parikh H" first="Heta D" last="Parikh">Heta D. Parikh</name>
<affiliation wicri:level="2"><nlm:aff id="I3">Children's Specialized Hospital 150 New Providence Road, Mountainside, NJ 07092, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Children's Specialized Hospital 150 New Providence Road, Mountainside, NJ 07092</wicri:regionArea>
<placeName><region type="state">New Jersey</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Kelly, Donna" sort="Kelly, Donna" uniqKey="Kelly D" first="Donna" last="Kelly">Donna Kelly</name>
<affiliation wicri:level="2"><nlm:aff id="I3">Children's Specialized Hospital 150 New Providence Road, Mountainside, NJ 07092, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Children's Specialized Hospital 150 New Providence Road, Mountainside, NJ 07092</wicri:regionArea>
<placeName><region type="state">New Jersey</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Adamovich, Sergei V" sort="Adamovich, Sergei V" uniqKey="Adamovich S" first="Sergei V" last="Adamovich">Sergei V. Adamovich</name>
<affiliation wicri:level="2"><nlm:aff id="I1">New Jersey Institute of Technology, Department of Biomedical Engineering, University Heights Newark, NJ 07102, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>New Jersey Institute of Technology, Department of Biomedical Engineering, University Heights Newark, NJ 07102</wicri:regionArea>
<placeName><region type="state">New Jersey</region>
</placeName>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="I2">University of Medicine and Dentistry of New Jersey, Department of Rehabilitation and Movement Science, 65 Bergen Street Newark, NJ 07107, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Medicine and Dentistry of New Jersey, Department of Rehabilitation and Movement Science, 65 Bergen Street Newark, NJ 07107</wicri:regionArea>
<placeName><region type="state">New Jersey</region>
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</author>
</analytic>
<series><title level="j">Journal of NeuroEngineering and Rehabilitation</title>
<idno type="eISSN">1743-0003</idno>
<imprint><date when="2009">2009</date>
</imprint>
</series>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>We hypothesize that the integration of virtual reality (VR) with robot assisted rehabilitation could be successful if applied to children with hemiparetic CP. The combined benefits of increased attention provided by VR and the larger training stimulus afforded by adaptive robotics may increase the beneficial effects of these two approaches synergistically. This paper will describe the NJIT-RAVR system, which combines adaptive robotics with complex VR simulations for the rehabilitation of upper extremity impairments and function in children with CP and examine the feasibility of this system in the context of a two subject training study.</p>
</sec>
<sec><title>Methods</title>
<p>The NJIT-RAVR system consists of the Haptic Master, a 6 degrees of freedom, admittance controlled robot and a suite of rehabilitation simulations that provide adaptive algorithms for the Haptic Master, allowing the user to interact with rich virtual environments. Two children, a ten year old boy and a seven year old girl, both with spastic hemiplegia secondary to Cerebral Palsy were recruited from the outpatient center of a comprehensive pediatric rehabilitation facility. Subjects performed a battery of clinical testing and kinematic measurements of reaching collected by the NJIT-RAVR system. Subjects trained with the NJIT-RAVR System for one hour, 3 days a week for three weeks. The subjects played a combination of four or five simulations depending on their therapeutic goals, tolerances and preferences. Games were modified to increase difficulty in order to challenge the subjects as their performance improved. The testing battery was repeated following the training period.</p>
</sec>
<sec><title>Results</title>
<p>Both participants completed 9 hours of training in 3 weeks. No untoward events occurred and no adverse responses to treatment or complaints of cyber sickness were reported. One participant showed improvements in overall performance on the functional aspects of the testing battery. The second subject made improvements in upper extremity active range of motion and in kinematic measures of reaching movements.</p>
</sec>
<sec><title>Conclusion</title>
<p>We feel that this study establishes the feasibility of integrating robotics and rich virtual environments to address functional limitations and decreased motor performance in children with mild to moderate cerebral palsy.</p>
</sec>
</div>
</front>
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<pubmed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The New Jersey Institute of Technology Robot-Assisted Virtual Rehabilitation (NJIT-RAVR) system for children with cerebral palsy: a feasibility study.</title>
<author><name sortKey="Qiu, Qinyin" sort="Qiu, Qinyin" uniqKey="Qiu Q" first="Qinyin" last="Qiu">Qinyin Qiu</name>
<affiliation wicri:level="2"><nlm:affiliation>New Jersey Institute of Technology, Department of Biomedical Engineering, University Heights Newark, NJ 07102, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>New Jersey Institute of Technology, Department of Biomedical Engineering, University Heights Newark, NJ 07102</wicri:regionArea>
<placeName><region type="state">New Jersey</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Ramirez, Diego A" sort="Ramirez, Diego A" uniqKey="Ramirez D" first="Diego A" last="Ramirez">Diego A. Ramirez</name>
</author>
<author><name sortKey="Saleh, Soha" sort="Saleh, Soha" uniqKey="Saleh S" first="Soha" last="Saleh">Soha Saleh</name>
</author>
<author><name sortKey="Fluet, Gerard G" sort="Fluet, Gerard G" uniqKey="Fluet G" first="Gerard G" last="Fluet">Gerard G. Fluet</name>
</author>
<author><name sortKey="Parikh, Heta D" sort="Parikh, Heta D" uniqKey="Parikh H" first="Heta D" last="Parikh">Heta D. Parikh</name>
</author>
<author><name sortKey="Kelly, Donna" sort="Kelly, Donna" uniqKey="Kelly D" first="Donna" last="Kelly">Donna Kelly</name>
</author>
<author><name sortKey="Adamovich, Sergei V" sort="Adamovich, Sergei V" uniqKey="Adamovich S" first="Sergei V" last="Adamovich">Sergei V. Adamovich</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2009">2009</date>
<idno type="doi">10.1186/1743-0003-6-40</idno>
<idno type="RBID">pubmed:19917124</idno>
<idno type="pmid">19917124</idno>
<idno type="wicri:Area/PubMed/Corpus">001192</idno>
<idno type="wicri:Area/PubMed/Curation">001192</idno>
<idno type="wicri:Area/PubMed/Checkpoint">001040</idno>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">The New Jersey Institute of Technology Robot-Assisted Virtual Rehabilitation (NJIT-RAVR) system for children with cerebral palsy: a feasibility study.</title>
<author><name sortKey="Qiu, Qinyin" sort="Qiu, Qinyin" uniqKey="Qiu Q" first="Qinyin" last="Qiu">Qinyin Qiu</name>
<affiliation wicri:level="2"><nlm:affiliation>New Jersey Institute of Technology, Department of Biomedical Engineering, University Heights Newark, NJ 07102, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>New Jersey Institute of Technology, Department of Biomedical Engineering, University Heights Newark, NJ 07102</wicri:regionArea>
<placeName><region type="state">New Jersey</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Ramirez, Diego A" sort="Ramirez, Diego A" uniqKey="Ramirez D" first="Diego A" last="Ramirez">Diego A. Ramirez</name>
</author>
<author><name sortKey="Saleh, Soha" sort="Saleh, Soha" uniqKey="Saleh S" first="Soha" last="Saleh">Soha Saleh</name>
</author>
<author><name sortKey="Fluet, Gerard G" sort="Fluet, Gerard G" uniqKey="Fluet G" first="Gerard G" last="Fluet">Gerard G. Fluet</name>
</author>
<author><name sortKey="Parikh, Heta D" sort="Parikh, Heta D" uniqKey="Parikh H" first="Heta D" last="Parikh">Heta D. Parikh</name>
</author>
<author><name sortKey="Kelly, Donna" sort="Kelly, Donna" uniqKey="Kelly D" first="Donna" last="Kelly">Donna Kelly</name>
</author>
<author><name sortKey="Adamovich, Sergei V" sort="Adamovich, Sergei V" uniqKey="Adamovich S" first="Sergei V" last="Adamovich">Sergei V. Adamovich</name>
</author>
</analytic>
<series><title level="j">Journal of neuroengineering and rehabilitation</title>
<idno type="eISSN">1743-0003</idno>
<imprint><date when="2009" type="published">2009</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cerebral Palsy (physiopathology)</term>
<term>Cerebral Palsy (rehabilitation)</term>
<term>Child</term>
<term>Computer Simulation</term>
<term>Computers</term>
<term>Feasibility Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Motor Skills</term>
<term>Psychomotor Performance</term>
<term>Robotics (instrumentation)</term>
<term>User-Computer Interface</term>
<term>Video Games</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Robotics</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Cerebral Palsy</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Cerebral Palsy</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Child</term>
<term>Computer Simulation</term>
<term>Computers</term>
<term>Feasibility Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Motor Skills</term>
<term>Psychomotor Performance</term>
<term>User-Computer Interface</term>
<term>Video Games</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">We hypothesize that the integration of virtual reality (VR) with robot assisted rehabilitation could be successful if applied to children with hemiparetic CP. The combined benefits of increased attention provided by VR and the larger training stimulus afforded by adaptive robotics may increase the beneficial effects of these two approaches synergistically. This paper will describe the NJIT-RAVR system, which combines adaptive robotics with complex VR simulations for the rehabilitation of upper extremity impairments and function in children with CP and examine the feasibility of this system in the context of a two subject training study.</div>
</front>
</TEI>
</pubmed>
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