Pedbothome: Robotically-Assisted Ankle Rehabilitation System For Children With Cerebral Palsy

Cleary, Kevin; Monfaredi, Reza; Salvador, Tyler; Talari, Hadi Fooladi; Coley, Catherine; Kovelman, Staci; Belschner, Justine; Alyamani, Sara; Schladen, Manon Maitland; Evans, Sarah Helen

doi:10.1109/icorr.2019.8779468

Cited by 9 publications

(18 citation statements)

References 24 publications

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“…We searched the literature to identify existing studies of adherence in home exercise programs (HEP) for children with CP: those implemented manually (by children and parents) [13,14] and those facilitated by technologies that incorporated games to incentivize engagement [35][36][37][38][39]. We used these inputs in conjunction with items from the PYTHEIA [31] to develop a schedule (see supplemental materials) to probe the user experience of seven families who had just completed a month-long, home pilot of PedBotHome, [16,18,19,24] an A/R gamebot prototype designed to promote ankle stretching and strengthening therapeutic exercise.…”

Section: Conceptualization Of An Instrument For the Subjective Evaluamentioning

confidence: 99%

“…The positive effect [15,16] of robot-mediated ankle maneuvers on gait therapeutic targets has been demonstrated, as has the feasibility of the transfer of the technology from lab to clinic [17] and home. [18][19][20] Delivering physical therapy interventions to children with CP in a game-play context (i.e. games used seriously) has likewise been shown to spur interest and motivate engagement fairly consistently across a wide range of therapeutic targets involving both lower and upper extremities.…”

Section: Introductionmentioning

confidence: 99%

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Toward Evaluation of The Subjective Experience of A General Class of User-Controlled, Robot-Mediated Rehabilitation Technologies for Children with Neuromotor Disability

Schladen

Cleary

Koumpouros

et al. 2020

Preprint

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Technological advances in game-mediated robotics provide an opportunity to engage children with cerebral palsy (CP) and other neuromotor disabilities in more frequent and intensive therapy by making personalized, programmed interventions available 24/7 in children’s homes. Though shown to be clinically effective and feasible to produce, little is known of the subjective factors impacting acceptance of what we term assistive/rehabilitative (A/R) gamebots by their target populations. This research describes the conceptualization phase of an effort to develop a valid and reliable instrument to guide the design of A/R gamebots. We conducted in-depth interviews with 8 children with CP and their families who had trialed an exemplar A/R gamebot, PedBotHome, for 28 days in their homes. The goal was to understand how existing theories and instruments were either appropriate or inappropriate for measuring the subjective experience of A/R gamebots. Key findings were the importance of differentiating the use case of therapy from that of assistance in rehabilitative technology assessment, the need to incorporate the differing perspectives of children with CP and those of their parents into A/R gamebot evaluation, and the potential conflict between the goals of preserving the quality of the experience of game play for the child while also optimizing the intensity and duration of therapy provided during play.

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Section: Conceptualization Of An Instrument For the Subjective Evaluamentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Toward Evaluation of The Subjective Experience of A General Class of User-Controlled, Robot-Mediated Rehabilitation Technologies for Children with Neuromotor Disability

Schladen

Cleary

Koumpouros

et al. 2020

Preprint

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“…Repeated ankle flexion/extension exercises improve gait and balance because they promote muscle strengthening and ankle joint flexibility and can prevent plantar flexor contracture [5][6]. A previous study also applied an ankle robot system for children with CP to manipulate the device and improve their ankle range of motion [7]. Therefore, here we observed the repetitive operation of a pedal switch to analyze the treatment effect on the range of motion and balance involved in ankle rehabilitation.…”

Section: Introductionmentioning

confidence: 97%

“…An increasing number of studies have investigated the effects of interventions in improving the functional abilities of children with CP who have different ability levels. The training effect on pediatric rehabilitation is dependent on the physical characteristics associated with CP (e.g., muscle tone, range of motion, and balance) [4][5][6] as well as traits such as motivation, attention, and cognition [7][8][9]. However, increasing motivation for pediatric rehabilitation is important.…”

Section: Introductionmentioning

confidence: 99%

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An Accessible Training Device for Children With Cerebral Palsy

Wan¹,

Hsieh

Lin

et al. 2021

IEEE Trans. Neural Syst. Rehabil. Eng.

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Walking and balance capabilities can be improved upon using repetitive ankle dorsiflexion exercises. Here we developed two types of pedal switches incorporated with training devices to improve their walking and balance performance of children with cerebral palsy. The first type of pedal switch can be used to operate a home appliance, while the second type of pedal switch can connect them to web games. Pedal switches can be used for home rehabilitation. This randomized controlled trial included patients in the intervention (n = 24) and control (n = 24) groups who completed 15 weeks of ankle training. The experimental group performed ankle dorsiflexion using a pressure-activated pedal switch connected to the web games. The control group performed ankle dorsiflexion exercises using a pedal switch that operated a home appliance (a fan). Standing balance and walking performance were estimated using the Zebris FDM system, a pressure force platform, the Pediatric Balance Scale score, and the 1-minute walk test. The pre-and posttest data were analyzed using analysis of variance and analysis of covariance, which revealed that the intervention group had more significant improvements in sway patterns and balance and walking. The developed facility of a modified pedal switch integrated with web games can achieve better exercise adherence to promote balance and walking performance than that with home appliances. Maintaining motivation in children with cerebral palsy plays a very important role in the rehabilitation process.

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PedBotHome: A Video Game–Based Robotic Ankle Device Created for Home Exercise in Children With Neurological Impairments

Coley

Kovelman²,

Belschner³

et al. 2022

Pediatric Physical Therapy

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Purpose: This pilot study assesses the feasibility of using PedBotHome to promote adherence to a home exercise program, the ability of the device to withstand frequent use, and changes in participant ankle mobility. PedBotHome is a robotic ankle device with integrated video game software designed to improve ankle mobility in children with cerebral palsy. Methods: Eight participants enrolled in a 28-day trial of PedBotHome. Ankle strength, range of motion, and plantar flexor spasticity were measured pre-and posttrial. Performance was monitored remotely, and game settings were modified weekly by physical therapists. Results: Four participants met the study goal of 20 days of use. There were statistically significant improvements in ankle strength, spasticity, and range of motion. Conclusions: PedBotHome is a feasible device to engage children with static neurological injuries in ankle home exercise. This pilot study expands the paradigm for future innovative home-based robotic rehabilitation. (Pediatr Phys Ther 2022;34:212-219

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Pedbothome: Robotically-Assisted Ankle Rehabilitation System For Children With Cerebral Palsy

Cited by 9 publications

References 24 publications

Toward Evaluation of The Subjective Experience of A General Class of User-Controlled, Robot-Mediated Rehabilitation Technologies for Children with Neuromotor Disability

Toward Evaluation of The Subjective Experience of A General Class of User-Controlled, Robot-Mediated Rehabilitation Technologies for Children with Neuromotor Disability

An Accessible Training Device for Children With Cerebral Palsy

PedBotHome: A Video Game–Based Robotic Ankle Device Created for Home Exercise in Children With Neurological Impairments

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