A hand rehabilitation system with force feedback for children with cerebral palsy: two case studies

Choi, Kup‐Sze; Lo, King-Hung

doi:10.3109/09638288.2010.535091

Cited by 14 publications

(7 citation statements)

References 17 publications

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“…Control of voluntary movement Control of voluntary movement was measured for the upper extremity [43, 44, 47-60, 63-67, 78, 79], for the fingers [69][70][71][72][73][74][75][76][77], for the lower extremity [43], head [81] and trunk [78,79] in a variety of ways: (a) Position and joint angle measurements were performed using 3D motion tracking and other measures like electrogoniometry and shape tape to assess spatiotemporal and kinematic parameters during different upper extremity tasks [48, 51-56, 58-60, 63, 75, 76, 78, 79] (Additional file 7). Thorax position and stability of the trunk during reaching was assessed in two studies [78,79] (Additional file 7).…”

Section: Movement Functionsmentioning

confidence: 99%

“…Several input and output devices were used i.e. a manipulandum controlled by arm movement [49,50], a touch screen tablet operated by the index finger [69,70], a virtual handwriting system [77], touch activated switches [65][66][67] and different kind of mice [81]. These devices were used to assess a range of outcome parameters mainly studying movement time and/or accuracy (Additional file 7).…”

Section: Movement Functionsmentioning

confidence: 99%

“…Control of voluntary and involuntary movement was assessed within functional activities in some studies and these studies were classified within the following categories of activities and participation with the ICF-CY: (a) maintaining a body position [79,80,83], (b) lifting and carrying objects [52,53,55,56], (c) fine hand use [69,70,[75][76][77]; (d) hand and arm use [51, 54, 57-60, 63, 65-67, 78, 79]. One study measured not only gait pattern but also walking velocity and was therefore classified within the ICF-CY category (e) walking [38].…”

Section: Activities and Participationmentioning

confidence: 99%

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Instrumented assessment of motor function in dyskinetic cerebral palsy: a systematic review

Haberfehlner

Goudriaan

Bonouvrié

et al. 2020

J NeuroEngineering Rehabil

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Background: In this systematic review we investigate which instrumented measurements are available to assess motor impairments, related activity limitations and participation restrictions in children and young adults with dyskinetic cerebral palsy. We aim to classify these instrumented measurements using the categories of the international classification of functioning, disability and health for children and youth (ICF-CY) and provide an overview of the outcome parameters. Methods: A systematic literature search was performed in November 2019. We electronically searched Pubmed, Embase and Scopus databases. Search blocks included (a) cerebral palsy, (b) athetosis, dystonia and/or dyskinesia, (c) age 2-24 years and (d) instrumented measurements (using keywords such as biomechanics, sensors, smartphone, and robot). Results: Our search yielded 4537 articles. After inspection of titles and abstracts, a full text of 245 of those articles were included and assessed for further eligibility. A total of 49 articles met our inclusion criteria. A broad spectrum of instruments and technologies are used to assess motor function in dyskinetic cerebral palsy, with the majority using 3D motion capture and surface electromyography. Only for a small number of instruments methodological quality was assessed, with only one study showing an adequate assessment of test-retest reliability. The majority of studies was at ICF-CY function and structure level and assessed control of voluntary movement (29 of 49) mainly in the upper extremity, followed by assessment of involuntary movements (15 of 49), muscle tone/motor reflex (6 of 49), gait pattern (5 of 49) and muscle power (2 of 49). At ICF-CY level of activities and participation hand and arm use (9 of 49), fine hand use (5 of 49), lifting and carrying objects (3 of 49), maintaining a body position (2 of 49), walking (1 of 49) and moving around using equipment (1 of 49) was assessed. Only a few methods are potentially suitable outside the clinical environment (e.g. inertial sensors, accelerometers). Conclusion: Although the current review shows the potential of several instrumented methods to be used as objective outcome measures in dyskinetic cerebral palsy, their methodological quality is still unknown. Future development should focus on evaluating clinimetrics, including validating against clinical meaningfulness. New technological developments should aim for measurements that can be applied outside the laboratory.

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Section: Movement Functionsmentioning

confidence: 99%

Section: Movement Functionsmentioning

confidence: 99%

Section: Activities and Participationmentioning

confidence: 99%

See 1 more Smart Citation

Instrumented assessment of motor function in dyskinetic cerebral palsy: a systematic review

Haberfehlner

Goudriaan

Bonouvrié

et al. 2020

J NeuroEngineering Rehabil

View full text Add to dashboard Cite

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“…This form of guidance can be performed in a variety of ways. Choi and Lo (2011) demonstrate the use of force feedback to provide total or partial guidance of a haptic controller in tracing a path, and a similar approach can be used with force feedback joysticks to keep players on the right path in a game. Where haptic guidance is not available, other approaches such as "locking" the object of control in a video game to a specific path when crossed by the player, or having the object of control list in the direction of goal objects can also be effective in compensating for limited motor control.…”

Section: Guiding User Input Through Restrictions and Interfacementioning

confidence: 98%

Developing serious games for children with cerebral palsy

Henschke

Hobbs

Wilkinson

2012

Proceedings of the 24th Australian Computer-Human Interaction Conference

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Serious computer games developed for motor rehabilitation produce a more engaging and enjoyable method to participate in physical therapy, but lack of variation and a secondary focus on fun limit long-term appeal. Traditionally, the focus of serious games in a health context is on the rehabilitation of motor function, neglecting the often-absent or impaired sensory function of the patient. This paper discusses a series of approaches used to develop appropriate serious games for children with cerebral palsy targeted at the impaired sensory system, taking into consideration longevity of play experience, requirements from therapists or researchers, and the interface requirements of the participants themselves. Two of the games that were developed are provided as examples, including data and feedback from one child with cerebral palsy who evaluated the games for entertainment, engagement and replay value.

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“…The idea is to synthesize the appropriate haptic cues using a motorized device and potentially to automate the role of another human who provides manual guidance. Results have been mixed in many studies, but a few studies have demonstrated the benefit of automated guidance for mastering motor skills, especially the studies of Feygin et al (2002), Marchal-Crespo and Reinkensmeyer (2008), and Choi and Lo (2011).…”

Section: Introductionmentioning

confidence: 99%

The effect of haptic cues on motor and perceptual based implicit sequence learning

Kim¹,

Johnson²,

Gillespie³

et al. 2014

Front. Hum. Neurosci.

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We introduced haptic cues to the serial reaction time (SRT) sequence learning task alongside the standard visual cues to assess the relative contributions of visual and haptic stimuli to the formation of motor and perceptual memories. We used motorized keys to deliver brief pulse-like displacements to the resting fingers, expecting that the proximity and similarity of these cues to the subsequent response motor actions (finger-activated key-presses) would strengthen the motor memory trace in particular. We adopted the experimental protocol developed by Willingham (1999) to explore whether haptic cues contribute differently than visual cues to the balance of motor and perceptual learning. We found that sequence learning occurs with haptic stimuli as well as with visual stimuli and we found that irrespective of the stimuli (visual or haptic) the SRT task leads to a greater amount of motor learning than perceptual learning.

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A hand rehabilitation system with force feedback for children with cerebral palsy: two case studies

Abstract: Provision of haptic feedback in a virtual environment appears to be a feasible approach to improve cerebral palsy children's handwriting skills.

Cited by 14 publications

References 17 publications

Instrumented assessment of motor function in dyskinetic cerebral palsy: a systematic review

Instrumented assessment of motor function in dyskinetic cerebral palsy: a systematic review

Developing serious games for children with cerebral palsy

The effect of haptic cues on motor and perceptual based implicit sequence learning

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