Novel Mixed Active Hand Exoskeleton and Assistive Arm Device for Intensive Rehabilitative Treatment for Stroke Patients
Abstract
This paper presents a novel rehabilitative platform designed to provide a functional upper-limb task specific training for hemiparetic chronic stroke patients. The system provides arm weight support and robotic assistance of the hand closing/opening skill. A graphical interface allows clinicians to administer different virtual reality scenarios and to customize training tasks providing progressive complexity based on patients motor skills. In order to assess motor function recovery along the whole treatment, objective performance metrics have been extracted and analyzed, showing an overall improvement of upper limb motor function after the treatment period.
Notes
Acknowledgments
This work has been partially funded from the EU Horizon2020 project nr.644839 ICT-23-2014 CENTAURO and EU FP7 project nr.601165 FP7-ICT-2011-9 WEARHAP.
References
- 1.S.M. Michaelsen, S. Jacobs, A. Roby-Brami, M.F. Levin, Compensation for distal impairments of grasping in adults with hemiparesis. Exp. Brain Res. 157(2), 162–173 (2004)CrossRefGoogle Scholar
- 2.Kwakkel, G., Kollen, B.J., Krebs, H.I.: Effects of robot-assisted therapy on upper limb recovery after stroke: a systematic review. Neurorehabil. Neural Repair (2007)Google Scholar
- 3.T. Krabben, G.B. Prange, B.I. Molier, A.H. Stienen, M.J. Jannink, J.H. Buurke, J.S. Rietman, Influence of gravity compensation training on synergistic movement patterns of the upper extremity after stroke, a pilot study. J. NeuroEng. Rehabil. 9(1), 1–12 (2012)CrossRefGoogle Scholar
- 4.B. Lenzo, M. Fontana, S. Marcheschi, F. Salsedo, A. Frisoli, M. Bergamasco, Trackhold: a novel passive arm-support device. J. Mech. Robot. 8(2) (2015)Google Scholar
- 5.M. Troncossi, M.M. Foumashi, M. Carricato, V.P. Castelli, Feasibility study of hand exoskeleton for rehabilitation of post-stroke patients, in ASME 2012 11th Biennial Conference on Engineering Systems Design and Analysis (ESDA2012) (Nantes—France, 2012)Google Scholar
- 6.M. Barsotti, D. Leonardis, E. Sotgiu, C. Procopio, C. Chisari, M. Bergamasco, A. Frisoli, A novel approach for upper limb robotic rehabilitation for stroke patients, in Eurohaptics 2016, to be published (2016)Google Scholar
- 7.G. Sgherri, G. Lamola, C. Fanciullacci, M. Barsotti, D. Leonardis, E. Sotgiu, C. Procopio, A. Frisoli, C. Chisari, Rationale of an integrated robotic approach in upper limb functional rehabilitation, in ICNR 2016, submitted for publication (2016)Google Scholar
- 8.D.G. Kamper, A.N. McKenna-Cole, L.E. Kahn, D.J. Reinkensmeyer, Alterations in reaching after stroke and their relation to movement direction and impairment severity. Arch. Phys. Med. Rehabil. 83(5), 702–707 (2002)CrossRefGoogle Scholar
- 9.C. Bosecker, L. Dipietro, B. Volpe, H.I. Krebs, Kinematic robot-based evaluation scales and clinical counterparts to measure upper limb motor performance in patients with chronic stroke. Neurorehabil. Neural Repair (2009)Google Scholar