Literature DB >> 29993459

A Portable Passive Rehabilitation Robot for Upper-Extremity Functional Resistance Training.

Edward Washabaugh, Jane Guo, Chih-Kang Chang, David Remy, Chandramouli Krishnan.   

Abstract

OBJECTIVE: Loss of arm function is common in individuals with neurological damage, such as stroke or cerebral palsy. Robotic devices that address muscle strength deficits in a task-specific manner can assist in the recovery of arm function; however, current devices are typically large, bulky, and expensive to be routinely used in the clinic or at home. This study sought to address this issue by developing a portable planar passive rehabilitation robot, PaRRo.
METHODS: We designed PaRRo with a mechanical layout that incorporated kinematic redundancies to generate forces that directly oppose the user's movement. Cost-efficient eddy current brakes were used to provide scalable resistances. The lengths of the robot's linkages were optimized to have a reasonably large workspace for human planar reaching. We then performed theoretical analysis of the robot's resistive force generating capacity and steerable workspace using MATLAB simulations. We also validated the device by having a subject move the end-effector along different paths at a set velocity using a metronome while simultaneously collecting surface electromyography (EMG) and end-effector forces felt by the user.
RESULTS: Results from simulation experiments indicated that the robot was capable of producing sufficient end-effector forces for functional resistance training. We also found the endpoint forces from the user were similar to the theoretical forces expected at any direction of motion. EMG results indicated that the device was capable of providing adjustable resistances based on subjects' ability levels, as the muscle activation levels scaled with increasing magnet exposures.
CONCLUSION: These results indicate that PaRRo is a feasible approach to provide functional resistance training to the muscles along the upper extremity. SIGNIFICANCE: The proposed robotic device could provide a technological breakthrough that will make rehabilitation robots accessible for small outpatient rehabilitation centers and in-home therapy.

Entities:  

Mesh:

Year:  2018        PMID: 29993459      PMCID: PMC6450771          DOI: 10.1109/TBME.2018.2849580

Source DB:  PubMed          Journal:  IEEE Trans Biomed Eng        ISSN: 0018-9294            Impact factor:   4.538


  52 in total

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Authors:  Nicholas A Burd; Cameron J Mitchell; Tyler A Churchward-Venne; Stuart M Phillips
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4.  Effects of task-specific locomotor and strength training in adults who were ambulatory after stroke: results of the STEPS randomized clinical trial.

Authors:  Katherine J Sullivan; David A Brown; Tara Klassen; Sara Mulroy; Tingting Ge; Stanley P Azen; Carolee J Winstein
Journal:  Phys Ther       Date:  2007-09-25

5.  A Semi-passive Planar Manipulandum for Upper-Extremity Rehabilitation.

Authors:  Chih-Kang Chang; Edward P Washabaugh; Andrew Gwozdziowski; C David Remy; Chandramouli Krishnan
Journal:  Ann Biomed Eng       Date:  2018-04-06       Impact factor: 3.934

6.  Mechanical arm trainer for the treatment of the severely affected arm after a stroke: a single-blinded randomized trial in two centers.

Authors:  S Hesse; C Werner; M Pohl; J Mehrholz; U Puzich; H I Krebs
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7.  A wearable resistive robot facilitates locomotor adaptations during gait.

Authors:  Edward P Washabaugh; Chandramouli Krishnan
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8.  Sensory-motor control in the ipsilesional upper extremity after stroke.

Authors:  P S Pohl; C J Winstein; S Onla-Or
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9.  Concurrent neuromechanical and functional gains following upper-extremity power training post-stroke.

Authors:  Carolynn Patten; Elizabeth G Condliffe; Christine A Dairaghi; Peter S Lum
Journal:  J Neuroeng Rehabil       Date:  2013-01-21       Impact factor: 4.262

10.  Motor effort training with low exercise intensity improves muscle strength and descending command in aging.

Authors:  Changhao Jiang; Vinoth K Ranganathan; Junmei Zhang; Vlodek Siemionow; Guang H Yue
Journal:  Medicine (Baltimore)       Date:  2016-06       Impact factor: 1.889

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1.  Self-powered robots to reduce motor slacking during upper-extremity rehabilitation: a proof of concept study.

Authors:  Edward P Washabaugh; Emma Treadway; R Brent Gillespie; C David Remy; Chandramouli Krishnan
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2.  Manipulating abnormal synergistic coupling of joint torques through force applications at the Hand: A Simulation-Based study.

Authors:  Thomas E Augenstein; Chandramouli Krishnan
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3.  PARS, low-cost portable rehabilitation system for upper arm.

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4.  Motor Modules are Impacted by the Number of Reaching Directions Included in the Analysis.

Authors:  Thomas E Augenstein; Edward P Washabaugh; C David Remy; Chandramouli Krishnan
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5.  Functional Resistance Training to Improve Knee Strength and Function After Acute Anterior Cruciate Ligament Reconstruction: A Case Study.

Authors:  Scott R Brown; Edward P Washabaugh; Aviroop Dutt-Mazumder; Edward M Wojtys; Riann M Palmieri-Smith; Chandramouli Krishnan
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6.  Design and Preliminary Assessment of a Passive Elastic Leg Exoskeleton for Resistive Gait Rehabilitation.

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Review 7.  Review: How Can Intelligent Robots and Smart Mechatronic Modules Facilitate Remote Assessment, Assistance, and Rehabilitation for Isolated Adults With Neuro-Musculoskeletal Conditions?

Authors:  S Farokh Atashzar; Jay Carriere; Mahdi Tavakoli
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8.  Effect of Continuous Care Combined with Constraint-Induced Movement Therapy Based on a Continuing Care Health Platform on MBI and FMA Scores of Acute Stroke Patients.

Authors:  Pan Yingying; Lixin Zang; Xiaojie Wang; Xiuqin Yang
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9.  Development, Dynamic Modeling, and Multi-Modal Control of a Therapeutic Exoskeleton for Upper Limb Rehabilitation Training.

Authors:  Qingcong Wu; Hongtao Wu
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10.  Detection of Participation and Training Task Difficulty Applied to the Multi-Sensor Systems of Rehabilitation Robots.

Authors:  Hao Yan; Hongbo Wang; Luige Vladareanu; Musong Lin; Victor Vladareanu; Yungui Li
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