Advertisement

Virtual System Using Haptic Device for Real-Time Tele-Rehabilitation of Upper Limbs

  • Ivón Escobar
  • Catherine Gálvez
  • Gabriel Corrales
  • Edwin Pruna
  • Marco Pilatasig
  • Javier Montaluisa
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 10851)

Abstract

This paper proposes a tool to support the rehabilitation of upper limbs assisted remotely, which makes it possible for the physiotherapist to be able to assist and supervise the therapy to patients who can not go to rehabilitation centers. This virtual system for real-time tele-rehabilitation is non-invasive and focuses on involving the patient with mild or moderate mobility alterations within a dynamic therapy based on virtual games; Haptics Devices are used to reeducate and stimulate the movement of the upper extremities, at the same time that both motor skills and Visual-Motor Integration skills are developed. The system contains a virtual interface that emulates real-world environments and activities. The functionality of the Novint Falcon device is exploited to send a feedback response that corrects and stimulates the patient to perform the therapy session correctly. In addition, the therapy session can vary in intensity through the levels presented by the application, and the amount of time, successes and mistakes made by the patient are registered in a database. The first results show the acceptance of the virtual system designed for real-time tele-rehabilitation.

Keywords

Tele-rehabilitation 3D virtual environment Haptic device Motor skills 

Notes

Acknowledgements

We thank the “Universidad de las Fuerzas Armadas ESPE” for financing the investigation project number 2016-PIC-0017.

References

  1. 1.
    Ingram, T.T.S.: A historical review of the definition of cerebral palsy, the epidemiology of the cerebral palsies. In: Stanley, F.A.E. (ed.) The Epidemiology of the Cerebral Palsies, pp. 1–11. Lippincott, Philadelphia (1984)Google Scholar
  2. 2.
    Jones, M.W., Morgan, E., Shelton, J.E., Thorogood, C.: Cerebral palsy: introduction and diagnosis (part I). J. Pediatr. Health Care 21(3), 146–152 (2007)CrossRefGoogle Scholar
  3. 3.
    Aicardi, J.: Disease of the Nervous System in Childhood. MacKeith Press, London (1992)Google Scholar
  4. 4.
    Feldman, H.M., Chaves-Gnecco, D., Hofkosh, D.: Developmental-behavioral pediatrics. In: Zitelli, B.J., McIntire, S.C., Norwalk, A.J. (eds.) Atlas of Pediatric Diagnosis, Chap. 3, 6th edn. Elsevier Saunders, Philadelphia (2012)Google Scholar
  5. 5.
    Ketelaar, M., Vermeer, A., Hart, H., et al.: Effects of a functional therapy program on motor abilities of children with cerebral palsy. Phys. Ther. 81, 1534–1545 (2001)CrossRefGoogle Scholar
  6. 6.
    Taub, E., Ramey, S., DeLuca, S., Echols, K.: Efficacy of constraint-induced movement therapy for children with cerebral palsy with asymmetric motor impairment. Pediatrics 113, 305–312 (2004)CrossRefGoogle Scholar
  7. 7.
    Sakzewski, L., Ziviani, J., Boyd, R.N.: Efficacy of upper limb therapies for unilateral cerebral palsy: a meta-analysis. Pediatrics 133(1), e175–e204 (2014)CrossRefGoogle Scholar
  8. 8.
    Galil, A., Carmel, S., Lubetzky, H., Heiman, N.: Compliance with home rehabilitation therapy by parents of children with disabilities in Jews and Bedouin in Israel. Dev. Med. Child Neurol. 43(4), 261–268 (2001)CrossRefGoogle Scholar
  9. 9.
    De Campos, A.C., da Costa, C.S., Rocha, N.A.: Measuring changes in functional mobility in children with mild cerebral palsy. Dev. Neurorehabil. 14, 140–144 (2011)CrossRefGoogle Scholar
  10. 10.
    Prosser, L.A., Lee, S.C., Barbe, M.F., VanSant, A.F., Lauer, R.T.: Trunk and hip muscle activity in early walkers with and without cerebral palsy – a frequency analysis. J. Electromyogr. Kinesiol. 20, 851–859 (2010)CrossRefGoogle Scholar
  11. 11.
    Weiss, P.L.T., Tirosh, E., Fehlings, D.: Role of virtual reality for cerebral palsy management. J. Child Neurol. 29(8), 1119–1124 (2014). 0883073814533007CrossRefGoogle Scholar
  12. 12.
    Mitchell, L., Ziviani, J., Oftedal, S., Boyd, R.: The effect of virtual reality interventions on physical activity in children and adolescents with early brain injuries including cerebral palsy. Dev. Med. Child Neurol. 54, 667–671 (2012)CrossRefGoogle Scholar
  13. 13.
    Snider, L., Majnemer, A., Darsaklis, V.: Virtual reality as a therapeutic modality for children with cerebral palsy. Dev. Neurorehabil. 13, 120–128 (2010)CrossRefGoogle Scholar
  14. 14.
    Chen, Y.P., Lee, S.Y., Howard, A.M.: Effect of virtual reality on upper extremity function in children with cerebral palsy: a meta-analysis. Pediatric Phys. Therapy 26(3), 289–300 (2014)CrossRefGoogle Scholar
  15. 15.
    Golomb, M.R., McDonald, B.C., Warden, S.J., Yonkman, J., Saykin, A.J., Shirley, B., et al.: In-home virtual reality videogame telerehabilitation in adolescents with hemiplegic cerebral palsy. Arch. Phys. Med. Rehabil. 91, 1–8 (2010)CrossRefGoogle Scholar
  16. 16.
    Shin, J., Song, G., Hwangbo, G.: Effects of conventional neurological treatment and a virtual reality training program on eye-hand coordination in children with cerebral palsy. J. Phys. Therapy Sci. 27(7), 2151–2154 (2015).  https://doi.org/10.1589/jpts.27.2151CrossRefGoogle Scholar
  17. 17.
    Chen, Y.P., Kang, L.J., Chuang, T.Y., Doong, J.L., Lee, S.J., Tsai, M.W., Sung, W.H.: Use of virtual reality to improve upper-extremity control in children with cerebral palsy: a single-subject design. Phys. Therapy 87(11), 1441–1457 (2007)CrossRefGoogle Scholar
  18. 18.
    Bortone, I., Leonardis, D., Solazzi, M., Procopio, C., Crecchi, A., Bonfiglio, L., Frisoli, A.: Integration of serious games and wearable haptic interfaces for Neuro Rehabilitation of children with movement disorders: a feasibility study. In: 2017 International Conference on Rehabilitation Robotics (ICORR), pp. 1094–1099. IEEE, July 2017Google Scholar
  19. 19.
    Gupta, A., O’Malley, M.K.: Design of a haptic arm exoskeleton for training and rehabilitation. IEEE/ASME Trans. Mechatron. 11(3), 280–289 (2006)CrossRefGoogle Scholar
  20. 20.
    Kozhaeva, T., Zhestkov, S., Bulakh, D., Houlden, N.: Programmable gesture manipulator for hand injuries rehabilitation. In: Internet Technologies and Applications (ITA), pp. 134–136. IEEE, September 2017Google Scholar
  21. 21.
    Pruna, E., et al.: 3D virtual system using a haptic device for fine motor rehabilitation. In: Rocha, Á., Correia, A.M., Adeli, H., Reis, L.P., Costanzo, S. (eds.) WorldCIST 2017. AISC, vol. 570, pp. 648–656. Springer, Cham (2017).  https://doi.org/10.1007/978-3-319-56538-5_66CrossRefGoogle Scholar
  22. 22.
    Bortone, I., Leonardis, D., Solazzi, M., Procopio, C., Crecchi, A., Briscese, L., Andre, P., Bonfiglio, L., Frisoli, A.: Serious game and wearable haptic devices for neuro motor rehabilitation of children with cerebral palsy. In: Converging Clinical and Engineering Research on Neurorehabilitation II, pp. 443–447. Springer, Cham (2017).  https://doi.org/10.1007/978-3-319-46669-9_74Google Scholar
  23. 23.
    Khor, K.X., Chin, P.J.H., Hisyam, A.R., Yeong, C.F., Narayanan, A.L.T., Su, E.L.M.: Development of CR2-Haptic: a compact and portable rehabilitation robot for wrist and forearm training. In: IEEEIECBES International Conference on Biomedical Engineering and Sciences, pp. 424–429 (2014)Google Scholar
  24. 24.
    Maciejasz, P., Eschweiler, J., Gerlach-Hahn, K., Jansen-Troy, A., Leonhardt, S.: A survey on robotic devices for upper limb rehabilitation. J. Neuroeng. Rehabil. 11, 3 (2014)CrossRefGoogle Scholar
  25. 25.
    Lum, P.S., Burgar, C.G., Shor, P.C., Majmundar, M., Van der Loos, M.: Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after stroke. Arch. Phys. Med. Rehabil. 83, 952–959 (2002)CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Ivón Escobar
    • 1
  • Catherine Gálvez
    • 1
  • Gabriel Corrales
    • 1
  • Edwin Pruna
    • 1
  • Marco Pilatasig
    • 1
  • Javier Montaluisa
    • 1
  1. 1.Universidad de las Fuerzas Armadas ESPESangolquíEcuador

Personalised recommendations