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Design for the Lower Limbs. A Study for the Development of an Assistive Robotic System for Sensorimotor Rehabilitation After Stroke

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Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018) (IEA 2018)

Part of the book series: Advances in Intelligent Systems and Computing ((AISC,volume 824))

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Abstract

Stroke is the first cause of disability and the second of death in Europe.

Given the wideness of the target of patients affected by it and the impossibility to reduce them in a sample, the study focused on the need of therapists to start the rehabilitation with bedridden patients that for different reasons cannot stand but have a good cognitive response: the lack of assistive devices for the rehabilitation for lying patients and the time needed for their discharge from a stroke unit to another ward are times of inactivity that can lead to a less effective recovery. The paper is the synthesis of a doctoral research in Design Sciences: based on the concept of neural plasticity and the possibility of complete recovery after stroke, a project concept has been built on technologically-driven dynamics of distraction, involving the patients in a flow heading to an optimal experience state, fostering the engagement through the gamification of the exercises and giving to the therapist the possibility to control and customize the levels of complexity of the stimulation. After an interdisciplinary desktop research, an on-field observation has been conducted to identify possible areas of intervention: attention has been given to the environment of use, the therapists as main users, the patients as secondary users and beneficiary of the interaction, the design and the usability of the system. The result is a design concept of an assistive robotic system for sensorimotor rehabilitation of lower limbs enhanced by a digital gaming and progress monitoring system.

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Notes

  1. 1.

    The reference to the designed concept as a system refers to the definition of system given by Sanders (Sanders 1993).

References

  • Abt CC (1987) Serious games. University Press of America

    Google Scholar 

  • Belda-Lois JM, Mena-del Horno S, Bermejo-Bosch I, Moreno JC, Pons JL, Farina D, Iosa M, Molinari M, Tamburella F, Ramos A, Caria A (2011) Rehabilitation of gait aft er stroke: a review towards a top-down approach. J NeuroEng Rehab 8:66. https://doi.org/10.1186/1743-0003-8-66

    Article  Google Scholar 

  • Blessing LTM, Chakrabarti A (2009) DRM, a design research methodology. Springer Science & Business Media, London

    Book  Google Scholar 

  • Calabrese JD (2013). Ethnographic approaches to health experiences research.pdf. In: Understanding and using health experiences: improving patient care, vol. 2

    Chapter  Google Scholar 

  • Calleja G (2011) In-game: from immersion to incorporation. MIT Press, Cambridge

    Google Scholar 

  • Carvalho D, Teixeira S, Lucas M, Yuan TF, Chaves F, Peressutti C, Machado S, Bittencourt J, Menéndez-González M, Nardi AE, Velasques B, Cagy M, Piedade R, Ribeiro P, Arias-Carrión O (2013). The mirror neuron system in post-stroke rehabilitation. Int Arch Med. http://www.intarchmed.com/content/6/1/41

  • Csikszentmihalyi M (2009) Flow: the psychology of optimal experience. Harper Collins

    Google Scholar 

  • ESO (2017) In Brussels, ESO urges Europe to end the “stroke care lottery.” https://eso-stroke.org/kategorie-1/brussels-eso-urges-europe-end-stroke-care-lottery/. Accessed 24 Oct 2017

  • Gallese V (2005) Embodied simulation: from neurons to phenomenal experience. Phenomenol Cogn Sci 4(1):23–48

    Article  Google Scholar 

  • Gazzaley A, Rosen LD (2016) The distracted mind: ancient brains in a high-tech world. MIT Press, Cambridge

    Google Scholar 

  • Mival O, Benyon D (2015) User Experience (UX) design for medical personnel and patients. In: Requirements engineering for digital health. Springer, Cham, pp 117–131. https://doi.org/10.1007/978-3-319-09798-5_6

    Google Scholar 

  • Perfetti C (1986) Movimento, azione, recupero. Liviana Scolastica, Padova

    Google Scholar 

  • Perfetti C (1979) La rieducazione motoria dell’emiplegico. Ghedimedia

    Google Scholar 

  • Perfetti C (1992). Esercizi per una memoria riabilitativa. Idelson Liviana

    Google Scholar 

  • Perfetti C, Pieroni A (1992) La logica dell’esercizio. Idelson Liviana

    Google Scholar 

  • Rizzolatti G, Sinigaglia C (2006) So quel che fai: il cervello che agisce e i neuroni specchio. Cortina Raffaello

    Google Scholar 

  • Sanders M (1993) Human factors in engineering and design. McGraw-Hill Education, New York

    Google Scholar 

  • Stevenson F (2013) Observing interactions as an approach to understanding patients’ experiences. In: Understanding and using health experiences: improving patient care, vol. 2

    Chapter  Google Scholar 

  • Tilley AR (1994) Le misure dell’uomo e della donna: dati di riferimento per il progetto. BE-MA

    Google Scholar 

  • Toso F (2017) Sense and movement. Design of a system for sensorimotor rehabilitation after stroke. Des J 20(sup1):S2463–S2472. https://doi.org/10.1080/14606925.2017.1352761

    Article  Google Scholar 

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Correspondence to Francesca Toso .

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Toso, F. (2019). Design for the Lower Limbs. A Study for the Development of an Assistive Robotic System for Sensorimotor Rehabilitation After Stroke. In: Bagnara, S., Tartaglia, R., Albolino, S., Alexander, T., Fujita, Y. (eds) Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018). IEA 2018. Advances in Intelligent Systems and Computing, vol 824. Springer, Cham. https://doi.org/10.1007/978-3-319-96071-5_124

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