Evaluation of upper extremity robot-assistances in subacute and chronic stroke subjectsReportar como inadecuado

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Journal of NeuroEngineering and Rehabilitation

, 7:52

First Online: 18 October 2010Received: 16 April 2010Accepted: 18 October 2010


BackgroundRobotic systems are becoming increasingly common in upper extremity stroke rehabilitation. Recent studies have already shown that the use of rehabilitation robots can improve recovery. This paper evaluates the effect of different modes of robot-assistances in a complex virtual environment on the subjects- ability to complete the task as well as on various haptic parameters arising from the human-robot interaction.

MethodsThe MIMICS multimodal system that includes the haptic robot HapticMaster and a dynamic virtual environment is used. The goal of the task is to catch a ball that rolls down a sloped table and place it in a basket above the table. Our study examines the influence of catching assistance, pick-and-place movement assistance and grasping assistance on the catching efficiency, placing efficiency and on movement-dependant parameters: mean reaching forces, deviation error, mechanical work and correlation between the grasping force and the load force.

ResultsThe results with groups of subjects 23 subacute hemiparetic subjects, 10 chronic hemiparetic subjects and 23 control subjects showed that the assistance raises the catching efficiency and pick-and-place efficiency. The pick-and-place movement assistance greatly limits the movements of the subject and results in decreased work toward the basket. The correlation between the load force and the grasping force exists in a certain phase of the movement. The results also showed that the stroke subjects without assistance and the control subjects performed similarly.

ConclusionsThe robot-assistances used in the study were found to be a possible way to raise the catching efficiency and efficiency of the pick-and-place movements in subacute and chronic subjects. The observed movement parameters showed that robot-assistances we used for our virtual task should be improved to maximize physical activity.

Electronic supplementary materialThe online version of this article doi:10.1186-1743-0003-7-52 contains supplementary material, which is available to authorized users.

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Autor: Jaka Ziherl - Domen Novak - Andrej Olenšek - Matjaž Mihelj - Marko Munih

Fuente: https://link.springer.com/

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