Development of a Wearable Haptic Feedback System for Limb Movement Symmetry Training

  • Amre Eizad
  • Muhammad Raheel Afzal
  • Hosu Lee
  • Sung-Ki Lyu
  • Jungwon YoonEmail author
Conference paper
Part of the Biosystems & Biorobotics book series (BIOSYSROB, volume 22)


Arm swing asymmetry brought on by hemiparesis or hemi-neglect due to stroke causes increased ground reaction moments during walking. Thus, increasing loading asymmetry of the lower limbs and the metabolic load of walking. The system presented here consists of wearable bracelets, designed to help decrease arm swing asymmetry in people with stroke. Design of the bracelets and outcomes of pilot tests with a healthy subject with artificially induced arm swing asymmetry are presented. The healthy subject was able to utilize the vibration feedback to reduce arm swing asymmetry with involuntary increase in arm swing magnitude. Thus, exploration of the effects of using this system with stroke patients is warranted.


  1. 1.
    Afzal, M.R., Eizad, A., Palo Pena, C.E., Yoon, J.: Evaluating the effects of kinesthetic biofeedback delivered using reaction wheels on standing balance. J. Healthcare Eng. (2018). Article ID: 7892020Google Scholar
  2. 2.
    Afzal, M.R., Lee, H., Yoon, J., Oh, M.K., Lee, C.H.: Development of an augmented feedback system for training of gait improvement using vibrotactile cues. In: 14th International Conference on Ubiquitous Robots and Ambient Intelligence (URAI), pp. 818–823. IEEE, June 2017Google Scholar
  3. 3.
    Punt, T.D., Riddoch, M.J.: Motor neglect: implications for movement and rehabilitation following stroke. Disabil. Rehabil. 28, 857–864 (2006)CrossRefGoogle Scholar
  4. 4.
    Park, J.: Synthesis of natural arm swing motion in human bipedal walking. J. Biomech. 41, 1417–1426 (2008)CrossRefGoogle Scholar
  5. 5.
    Collins, S.H., Adamczyk, P.G., Kuo, A.D.: Dynamic arm swinging in human walking. Proc. Royal Soc. London B: Biol. Sci. 276, 3679–3688 (2009)CrossRefGoogle Scholar
  6. 6.
    Trejo-Gabriel-Galan, J.M., et al.: Rehabilitation of hemineglect of the left arm using movement detection bracelets activating a visual and acoustic alarm. J. Neuroeng. Rehabil. 13, 79 (2016)CrossRefGoogle Scholar
  7. 7.
    Thompson, E., Agada, P., Wright, W.G., Reimann, H., Jeka, J.: Spatiotemporal gait changes with use of an arm swing cueing device in people with Parkinson’s disease. Gait posture 58, 46–51 (2017)CrossRefGoogle Scholar
  8. 8.
    Killeen, T., et al.: Increasing cognitive load attenuates right arm swing in healthy human walking. Royal Soc. Open Sci. 4, 160993 (2017)CrossRefGoogle Scholar
  9. 9.
    Donker, S.F., Mulder, T., Nienhuis, B., Duysens, J.: Adaptations in arm movements for added mass to wrist or ankle during walking. Exp. Brain Res. 146, 26–31 (2002)CrossRefGoogle Scholar
  10. 10.
    Afzal, M.R., Oh, M.K., Lee, C.H., Park, Y.S., Yoon, J.: A portable gait asymmetry rehabilitation system for individuals with stroke using a vibrotactile feedback. BioMed Res. Int. (2015). Article ID: 375638Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Amre Eizad
    • 1
  • Muhammad Raheel Afzal
    • 2
  • Hosu Lee
    • 2
  • Sung-Ki Lyu
    • 1
  • Jungwon Yoon
    • 2
    Email author
  1. 1.School of Mechanical and Aerospace EngineeringGyeongsang National UniversityJinjuRepublic of Korea
  2. 2.School of Integrated TechnologyGwangju Institute of Science and TechnologyGwangjuRepublic of Korea

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