Skip to main content

Delivering Remote Rehabilitation at Home: An Integrated Physio-Neuro Approach to Effective and User Friendly Wearable Devices

  • Conference paper
  • First Online:

Part of the book series: Biosystems & Biorobotics ((BIOSYSROB,volume 15))

Abstract

There is a global shortage of manpower and technology in rehabilitation to attend to the five million new patients who are left disabled every year with stroke. Neuroplasticity is increasingly recognized to be a primary mechanism to achieve significant motor recovery. However, most rehabilitation devices either limit themselves to mechanical repetitive movement practice at a limb level or focus only on cognitive tasks. This may result in improvements in impairment but seldom translates into effective limb and hand use in daily activities. This paper presents an easy-to-use, wearable upper limb system, SynPhNe (pronounced like “symphony”), which trains brain and muscle as one system employing neuroplasticity principles. A summary of clinical results with stroke patients is presented. A new, wireless, home-use version of the solution architecture has been proposed, which can make it possible for patients to do guided therapy at home and thus have access to more therapy hours.

This study was supported by the Singapore-MIT Alliance (SMART) Innovation grant, 2012 and SPRING TECS grant, 2014, Singapore.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   429.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   549.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   549.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. B. Kollen, G. Kwakkel, E. Lindeman, Functional recovery after stroke: a review of current developments in stroke rehabilitation research. Reviews on Recent Clinical Trials 1(1), 75–80 (2006)

    Article  Google Scholar 

  2. J. Mehrholz, T. Platz, J. Kugler, M. Pohl, Electromechanical and robot-assisted arm training for improving arm function and activities of daily living after stroke, Cochrane Database of Systematic Reviews, Issue 4 (2008)

    Google Scholar 

  3. K.J. Waddell, R.L. Birkenmeier, J.L. Moore, T.G. Hornby, C.E. Lang, Feasibility of high-repetition, task specific training for individuals with upper-extremity paresis. Am. J. Occup. Ther. 68(4), 444–453 (2014)

    Article  Google Scholar 

  4. S. Hesse, G. Schulte-Tigges, M. Konrad, A. Bardeleben, C. Werner, Robotic assisted arm trainer for the passive and active practice of bilateral forearm and wrist movements in hemiparetic subjects. Arch. Phys. Med. Rehabil. 84(6), 915–920 (2003)

    Article  Google Scholar 

  5. A. Timmermans, H. Seelen, R. Willmann, H. Kingma, H., Technology-assisted training of arm-hand skills in stroke: concepts on reacquisition of motor control and therapist guidelines for rehabilitation technology design, J. NeuroEng. Rehabil. 6(1) (2009)

    Google Scholar 

  6. R.C.V. Loureiro, C.F. Collin, W.S. Harwin, Robot aided therapy: challenges ahead for upper limb stroke rehabilitation, in Proceedings of 5th International Conference on Disability, Virtual Reality and Associated Technologies, Oxford, UK, (2004). ISBN 07 049 11 44 2

    Google Scholar 

  7. J.A. Kleim, T.A. Jones, Principles of experience-dependent neural plasticity: implications for rehabilitation after brain damage. J. Speech Lang. Hear. Res. 51(1), 225–239 (2008)

    Article  Google Scholar 

  8. S. Banerji, J. Heng, P.S. Ponvignesh, D.D. Menezes, Augmenting rehabilitation after stroke: A flexible platform for combining multi-channel biofeedback with FES. Converging Clin. Eng. Res. Neurorehabilitation-Biosyst. Biorobotics 1, 259–263 (2012)

    Article  Google Scholar 

Download references

Acknowledgment

Sponsor and financial support acknowledgments are placed in the unnumbered footnote on the first page.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Subhasis Banerji .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this paper

Cite this paper

Banerji, S., Heng, J., Banerjee, A., Ponvignesh, P.S., Menezes, D., Kumar, R. (2017). Delivering Remote Rehabilitation at Home: An Integrated Physio-Neuro Approach to Effective and User Friendly Wearable Devices. In: Ibáñez, J., González-Vargas, J., Azorín, J., Akay, M., Pons, J. (eds) Converging Clinical and Engineering Research on Neurorehabilitation II. Biosystems & Biorobotics, vol 15. Springer, Cham. https://doi.org/10.1007/978-3-319-46669-9_178

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-46669-9_178

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-46668-2

  • Online ISBN: 978-3-319-46669-9

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics