Design, development and deployment of a hand/wrist exoskeleton for home-based rehabilitation after stroke - SCRIPT project

Amirabdollahian, Farshid; Ates, Serdar; Basteris, Angelo; Cesario, Alfredo; Buurke, Jaap H.; Hermens, Hermie; Hofs, Dennis; Johansson, Eva; Mountain, Gail; Nasr, Nasrin; Nijenhuis, Sharon M.; Prange, Grada Berendina; Rahman, Naila; Sale, Patrizio; Schätzlein, F.; Schooten, B.W. van; Stienen, Arno H. A.

doi:10.1017/s0263574714002288

Cited by 83 publications

(73 citation statements)

References 41 publications

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“…Several technologies, ranging from consumer devices such as the Microsoft Kinect [5] to complex exoskeletons [6], have been deployed for motor rehabilitation at home. These technologies usually combine limb tracking with virtual environments presented on a personal computer, which allow patients to perform a variety of simulated activities of daily living [7].…”

Section: Introductionmentioning

confidence: 99%

Competitive and cooperative arm rehabilitation games played by a patient and unimpaired person: effects on motivation and exercise intensity

Goršič

Cikajlo

Novak

2017

J NeuroEngineering Rehabil

123

129

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BackgroundPeople with chronic arm impairment should exercise intensely to regain their abilities, but frequently lack motivation, leading to poor rehabilitation outcome. One promising way to increase motivation is through interpersonal rehabilitation games, which allow patients to compete or cooperate together with other people. However, such games have mainly been evaluated with unimpaired subjects, and little is known about how they affect motivation and exercise intensity in people with chronic arm impairment.MethodsWe designed four different arm rehabilitation games that are played by a person with arm impairment and their unimpaired friend, relative or occupational therapist. One is a competitive game (both people compete against each other), two are cooperative games (both people work together against the computer) and one is a single-player game (played only by the impaired person against the computer). The games were played by 29 participants with chronic arm impairment, of which 19 were accompanied by their friend or relative and 10 were accompanied by their occupational therapist. Each participant played all four games within a single session. Participants’ subjective experience was quantified using the Intrinsic Motivation Inventory questionnaire after each game, as well as a final questionnaire about game preferences. Their exercise intensity was quantified using wearable inertial sensors that measured hand velocity in each game.ResultsOf the 29 impaired participants, 12 chose the competitive game as their favorite, 12 chose a cooperative game, and 5 preferred to exercise alone. Participants who chose the competitive game as their favorite showed increased motivation and exercise intensity in that game compared to other games. Participants who chose a cooperative game as their favorite also showed increased motivation in cooperative games, but not increased exercise intensity.ConclusionsSince both motivation and intensity are positively correlated with rehabilitation outcome, competitive games have high potential to lead to functional improvement and increased quality of life for patients compared to conventional rehabilitation exercises. Cooperative games do not increase exercise intensity, but could still increase motivation of patients who do not enjoy competition. However, such games need to be tested in longer, multisession studies to determine whether the observed increases in motivation and exercise intensity persist over a longer period of time and whether they positively affect rehabilitation outcome.Trial registrationThe study is not a clinical trial. While human subjects are involved, they participate in a single-session evaluation of a rehabilitation game rather than a full rehabilitation intervention, and no health outcomes are examined.Electronic supplementary materialThe online version of this article (doi:10.1186/s12984-017-0231-4) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Competitive and cooperative arm rehabilitation games played by a patient and unimpaired person: effects on motivation and exercise intensity

Goršič

Cikajlo

Novak

2017

J NeuroEngineering Rehabil

123

129

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“…Maliyetin yanı sıra, ev ortamında rehabilitasyon süreçleri ile yüksek yoğunluklu (gün içinde çok kez tekrar edilen) egzersizler gerçekleş-tirmek mümkündür. Böylece, iyileşme süreci hızlandırıl-maktadır [4,5].…”

Section: Gi̇ri̇ş (Introduction)unclassified

İnme Rehabilitasyonunda Kullanılabilecek Kablo ve Yay Tahrikli Giyilebilir Bir El Bileği Egzersiz Cihazı Tasarımı

Serbest¹,

Çilli²,

Yıldız³

et al. 2017

Journal of Polytechnic

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İnme rehabilitasyonunda kullanılabilecek kablo ve yay tahrikli giyilebilir bir el bileği egzersiz cihazı tasarımı Design of a cable and spring-driven wearable wrist exercise device for stroke rehabilitationPoliteknik Dergisi, 2017; 20 (4) : 953-959 Journal of Polytechnic, 2017; 20 (4) ÖZİnme, her yıl milyonlarca kişiyi etkilemektedir. Bu kişilerin çoğu, hareket kabiliyetlerini geri kazanabilmek için rehabilitasyona ihtiyaç duymaktadırlar. El kaslarının robotik temelli rehabilitasyonuna yönelik çok sayıda cihaz önerilmiş olmasına rağmen bu cihazların hala geliştirilmesi gereken yönleri vardır. Önceki cihazlarda kuvvet ve hareket aktarımı için kullanılan yöntemlerin bir takım olumsuz yönleri bulunmaktadır. Bunlardan biri, cihazlarda kullanılan mafsallar ile el ve el bileği eklemlerinin dönme merkezlerinin tam olarak hizalanamamasıdır. Bu durum, vücut eklemleri üzerinde kesme kuvvetleri oluşturmaktadır. Dönme merkezlerini hizalamak için uygulanan yöntemlerin bazı dezavantajları bulunduğundan yeni uygulamalara ihtiyaç vardır. Bu çalışmada, el bileği egzersizlerini gerçekleştirmek amacıyla yeni bir cihaz önerilmektedir. Cihaz, hareket ve kuvvet aktarımını kablo ve yay tahriki ile yapmaktadır. Böylece dönme merkezlerinin hizalanması sorunu yaşanmamaktadır. Cihaz, pasif ve aktif egzersizlere olanak sağlamaktadır. Cihazın ev ortamında kullanıma uygun, taşınabilir ve düşük maliyetli olması amaçlanmıştır. Geliştirilen cihazın, rehabilitasyon maliyetlerini azaltması ve tedavi sürecini kısaltması beklenmektedir. Cihaz, inme rehabilitasyonun yanı sıra sinir yaralanması, sinir sıkışması, tendon yaralanması, kırıklar ve spor yaralanmaları gibi durumlarda da kullanılabilir. Düşük maliyetli olması beklenen cihazın, ticarileştirilmesi durumunda tıbbi cihazlar alanında dış pazarlara bağımlı ülkemizin rekabet gücüne katkı yapması beklenmektedir. Anahtar Kelimeler: El rehabilitasyonu, inme, egzersiz cihazı. Design of a Cable and Spring-Driven Wearable WristExercise Device for Stroke Rehabilitation ABSTRACTStroke affects millions of people every year. Most of them need rehabilitation to recover their mobility. Although a lot of robotic based devices have been suggested for rehabilitation of the hand muscles, these devices still need some improvements. Methods using for transmitting movement and force in previous devices have some disadvantages. One of them is misalignment on the centre of rotation between joints used in devices and joints of the hand and the wrist. This situation causes a shear force on the joints of human limbs. To resolve these problems new approaches should be proposed. In this study a novel device is suggested to perform the wrist exercises. The device has a cable and spring-driven system for transmitting movement and force. Thus, it does not cause the alignment problem on the centre of rotation. The device allows both passive (assistive) and active exercises. It is aimed that the device is suitable for home use, portable and low cost. The proposed new device expected to reduces the rehabilitation cost and ...

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“…Several technologies have been deployed for arm rehabilitation at home, from inexpensive devices like the Microsoft Kinect [3] to complex exoskeletons [4]. However, most unsupervised patients do not comply with prescribed therapy regimens due to lack of motivation, and outcomes of technology-supported home rehabilitation are therefore significantly worse than those of clinical rehabilitation [5].…”

Section: Introductionmentioning

confidence: 99%

Design and pilot evaluation of competitive and cooperative exercise games for arm rehabilitation at home

Goršič

Novak

2016

2016 38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC)

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People with chronic arm impairment should exercise intensely at home after completing their clinical rehabilitation program, but frequently lack motivation. To address this issue, we present a home rehabilitation system that motivates patients by allowing them to perform arm exercises together with friends or relatives in competitive and cooperative games. Inertial sensors are used to track the patient’s arm and control the game. The system was tested with seven adults with arm impairment as well as their friends or spouses. They tested four exercise games (single-player, competitive and two different cooperative games) for 3 minutes each. Of the 7 participants, 4 preferred the competitive game, 2 preferred a cooperative game, and 1 preferred to exercise alone. Competition also increased exercise intensity (measured using inertial sensors) compared to exercising alone. Though preliminary, these results indicate that competitive exercise games could improve arm rehabilitation at home for survivors of neurological and orthopedic injuries.

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Design, development and deployment of a hand/wrist exoskeleton for home-based rehabilitation after stroke - SCRIPT project

Cited by 83 publications

References 41 publications

Competitive and cooperative arm rehabilitation games played by a patient and unimpaired person: effects on motivation and exercise intensity

Competitive and cooperative arm rehabilitation games played by a patient and unimpaired person: effects on motivation and exercise intensity

İnme Rehabilitasyonunda Kullanılabilecek Kablo ve Yay Tahrikli Giyilebilir Bir El Bileği Egzersiz Cihazı Tasarımı

Design and pilot evaluation of competitive and cooperative exercise games for arm rehabilitation at home

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