A proprioceptive neuromuscular facilitation integrated robotic ankle–foot system for post stroke rehabilitation

Zhou, Zhihao; Zhou, Yuan; Wang, Ninghua; Gao, Fan; Wei, Kunlin; Wang, Qining

doi:10.1016/j.robot.2014.09.023

Cited by 34 publications

(35 citation statements)

References 37 publications

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“…An amputated patient experiences a loss in life quality, due to the difficulties in mobility or aesthetic changes (Molero-Sánchez, Molina-Rueda, Alguacil-Diego, Cano-De la Cuerda and Miangolarra-Page, 2015; Zhou et al, 2015). This condition generates psychological sequels (Sagawa et al, 2011) which lead to changes in personality and affect rehabilitation and loss acceptance (Lewis, 2008).…”

Section: General State Of the Art In The Field Of Orthopedic Technologymentioning

confidence: 99%

“…Prosthesis with these adaptation characteristics can be used in different patients by only adjusting the parameters of weight and physical length of the prosthesis (Ferris, Aldridge, Rábago, and Wilken, 2012;Laferrier and Gailey, 2010;Zhou et al, 2015). Other prosthesis technologies require personal study of each patient, which consumes a considerable amount of time and does not guarantee patient's comfort with the result (Ferris et al, 2012;Laferrier and Gailey, 2010;Molero-Sánchez et al, 2015;Zhou et al, 2015).…”

Section: General State Of the Art In The Field Of Orthopedic Technologymentioning

confidence: 99%

“…Other prosthesis technologies require personal study of each patient, which consumes a considerable amount of time and does not guarantee patient's comfort with the result (Ferris et al, 2012;Laferrier and Gailey, 2010;Molero-Sánchez et al, 2015;Zhou et al, 2015).…”

Section: General State Of the Art In The Field Of Orthopedic Technologymentioning

confidence: 99%

“…Patients' rejection to the use of prosthesis propels the study of new techniques to make their use more natural (Ferris et al, 2012;Laferrier and Gailey, 2010;Rusaw and Ramstrand, 2010;Sanders, Zachariah, Baker, Greve and Clinton, 2000;Zhou et al, 2015). Changes in design, type of actuators, sensors and control techniques enable the improvement of commodities and functionality of prosthesis (Cherelle et al, 2014(Cherelle et al, , 2012Shultz et al, 2016;Zheng and Shen, 2013).…”

Section: General State Of the Art In The Field Of Orthopedic Technologymentioning

confidence: 99%

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Current overview of the state of disabled population, regarding the use of transtibial prosthesis

Martin¹,

Parra²

2017

Inf. Téc.

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En el Centro de Diseño y Metrología del SENA– CDM se ha detectado que la población en condición de discapacidad de miembros inferiores representa un desafío técnico y tecnológico en la recuperación de las condiciones normales de la marcha, puesto que se requieren intervenciones costosas o elementos que ayuden al desplazamiento de estas personas, como bastones, sillas de ruedas, muletas u otros implementos que sirvan de soporte y faciliten la rehabilitación del paciente. Es importante tener en cuenta que hay dudas acerca de si las prótesis existentes en el mercado suplen las necesidades económicas y de funcionalidad de cada paciente. Con esta investigación se pretende implementar una prótesis transtibial, a fin de mejorar algunas condiciones de la marcha del paciente. Colombia no cuenta con muchas entidades que diseñen y fabriquen los elementos que componen una prótesis. Por tal razón y porque en el SENA, específicamente en el Centro de Diseño y Metrología- CDM, hace aproximadamente cinco años se viene trabajando en el diseño y adaptación de ortesis y prótesis, pero con componentes importados, se quiere diseñar e implementar una articulación de tobillo para amputación transtibial, haciendo uso del recurso humano y tecnológico disponible en el país, y así, poder desarrollar un sistema con manufactura propia y 100 % SENA, que cumpla con las características de funcionalidad y ergonomía para los pacientes con dicha discapacidad. Este artículo científico original recopila la Información más relevante sobre un tema que afecta nuestra sociedad. Aquí se analizan diferentes fuentes bibliográficas descritas en la literatura existente. Con ellas creamos las etapas necesarias para la redacción del artículo definiendo los objetivos de la revisión, haciendo la búsqueda más relevante de la bibliografía y organizando la información de acuerdo con mapas mentales para redactar el artículo.

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Section: General State Of the Art In The Field Of Orthopedic Technologymentioning

confidence: 99%

Section: General State Of the Art In The Field Of Orthopedic Technologymentioning

confidence: 99%

Section: General State Of the Art In The Field Of Orthopedic Technologymentioning

confidence: 99%

Section: General State Of the Art In The Field Of Orthopedic Technologymentioning

confidence: 99%

See 2 more Smart Citations

Current overview of the state of disabled population, regarding the use of transtibial prosthesis

Martin¹,

Parra²

2017

Inf. Téc.

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“…Homma and Usuba (2007) also developed a CPM-based device but did not present the clinical experiments. However, improvements of muscle strength and coordination are limited due to the lack of voluntary movement (Maynard et al, 2005; Zhou et al, 2015). Moreover, there are few studies which focus on long-term robotic treatment (always less than 6-week) for ankle joint with plantar flexor spasticity.…”

Section: Introductionmentioning

confidence: 99%

Robot-Assisted Rehabilitation of Ankle Plantar Flexors Spasticity: A 3-Month Study with Proprioceptive Neuromuscular Facilitation

et al. 2016

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In this paper, we aim to investigate the effect of proprioceptive neuromuscular facilitation (PNF)-based rehabilitation for ankle plantar flexors spasticity by using a Robotic Ankle–foot Rehabilitation System (RARS). A modified robot-assisted system was proposed, and seven poststroke patients with hemiplegic spastic ankles participated in a 3-month robotic PNF training. Their impaired sides were used as the experimental group, while their unimpaired sides as the control group. A robotic intervention for the experimental group started from a 2-min passive stretching to warming-up or relaxing the soleus and gastrocnemius muscles and also ended with the same one. Then a PNF training session including 30 trials was activated between them. The rehabilitation trainings were carried out three times a week as an addition to their regular rehabilitation exercise. Passive range of motion, resistance torque, and stiffness were measured in both ankles before and after the interventions. The changes in Achilles tendon length, walking speed, and lower limb function were also evaluated by the same physician or physiotherapist for each participant. Biomechanical measurements before interventions showed significant difference between the experimental group and the control group due to ankle spasticity. For the control group, there was no significant difference in the 3 months with no robotic intervention. But for the experimental group, passive dorsiflexion range of motion increased (p < 0.01), resistance torque under different dorsiflexion angle levels (0°, 10°, and 20°) decreased (p < 0.05, p < 0.001, and p < 0.001, respectively), and quasi-static stiffness under different dorsiflexion angle levels (0°, 10°, and 20°) also decreased (p < 0.01, p < 0.001, and p < 0.001, respectively). Achilles’s tendon length shortened (p < 0.01), while its thickness showed no significant change (p > 0.05). The robotic rehabilitation also improved the muscle strength (p < 0.01) and muscle control performance (p < 0.001). In addition, improvements were observed in clinical and functional measurements, such as Timed Up-and-Go (p < 0.05), normal walking speed (p > 0.05), and fast walking speed (p < 0.05). These results indicated that the PNF-based robotic intervention could significantly alleviate lower limb spasticity and improve the motor function in chronic stroke participant. The robotic system could potentially be used as an effective tool in poststroke rehabilitation training.

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Design and Operation Requirements for an Ankle Assisting Device

Mastrangelo,

Ceccarelli,

Russo

2024

Lecture Notes in Computer Science

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A proprioceptive neuromuscular facilitation integrated robotic ankle–foot system for post stroke rehabilitation

Cited by 34 publications

References 37 publications

Current overview of the state of disabled population, regarding the use of transtibial prosthesis

Current overview of the state of disabled population, regarding the use of transtibial prosthesis

Robot-Assisted Rehabilitation of Ankle Plantar Flexors Spasticity: A 3-Month Study with Proprioceptive Neuromuscular Facilitation

Design and Operation Requirements for an Ankle Assisting Device

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