[Abstract + References] A Bilateral Training System for Upper-limb Rehabilitation: A Follow-up Study

Abstract

Previously, we reported a novel bilateral upper-limb rehabilitation system, an adaptive admittance controller and a related bilateral recovery strategy. In this study, we want to get a stronger evidence to verify the robustness of the proposed system, controller and recovery strategy as well as to further investigate the possibility of bilateral trainings for clinical applications. To this end, ten healthy subjects took part in a 60-minute experiment. Trajectories of robots and interaction force were recorded under the proposed bilateral recovery strategy which contained four exercise modes. For mode-l and mode-2, results showed that the trajectories of master and slave robots can catch the reference trajectory very well, and be changed with active interaction force applied by participants. For mode-3 and mode-4, participants finished tasks very well by drawing the ‘square-shaped’ trajectories through their own force. In conclusion, the experimental results were good enough to provide a strong and positive evidence for the proposed system and controller. Moreover, according to the feedbacks from participants, the bilateral recovery strategy can be treated as a new and interesting training as compared to the traditional unilateral training, and could be tested in clinical applications further.

I. Introduction

Compared to the traditional manual therapy, the robot involved therapy can alleviate labor-intensive aspects of conventional rehabilitation trainings, and provide precise passive/active repetitive trainings in a sufficiently long timeframe [1], [2]. In terms of upper-limb rehabilitation trainings, some robotic systems have been developed for bilateral exercises, and figured out a problem that performing most activities of daily living tasks with one-hand is awkward, difficult and time-consuming [2].

 

1. M. Cortese, M. Cempini, P. R. de Almeida Ribeiro, S. R. Soekadar, M. C. Carrozza, N. Vitiello, “A mechatronic system for robot-mediated hand telerehabilitation”, IEEE/ASME Transactions on Mechatronics, vol. 20, pp. 1753-1764, September 2015.

2. P. S. Lum, C. G. Burgar, P. C. Shor, “Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after stroke”, Archives of physical medicine and rehabilitation, vol. 83, pp. 952-959, July 2002.

3. B. Sheng, Y. Zhang, W. Meng, C. Deng, S. Xie, “Bilateral robots for upper-limb stroke rehabilitation: State of the art and future prospects”, Medical engineering & physics, vol. 38, pp. 587-606, July 2016.

4. P. R. Culmer, A. E. Jackson, S. Makower, R. Richardson, J. A. Cozens, M. C. Levesley et al., “A control strategy for upper limb robotic rehabilitation with a dual robot system”, IEEE/ASME Transactions on Mechatronics, vol. 15, pp. 575-585, September 2010.

5. Z. Song, S. Guo, M. Pang, S. Zhang, N. Xiao, B. Gao et al., “Implementation of resistance training using an upper-limb exoskeleton rehabilitation device for elbow joint”, J. Med. Biol. Eng, vol. 34, pp. 188-196, 2014.

6. R. C. Loureiro, W. S. Harwin, K. Nagai, M. Johnson, “Advances in upper limb stroke rehabilitation: a technology push”, Medical & biological engineering & computing, vol. 49, pp. 1103, July 2011.

7. S. Hesse, C. Werner, M. Pohl, S. Rueckriem, J. Mehrholz, M. Lingnau, “Computerized arm training improves the motor control of the severely affected arm after stroke”, Stroke, vol. 36, pp. 1960-1966, August 2005.

8. C.-L. Yang, K.-C. Lin, H.-C. Chen, C.-Y. Wu, C.-L. Chen, “Pilot comparative study of unilateral and bilateral robot-assisted training on upper-extremity performance in patients with stroke”, American Journal of Occupational Therapy, vol. 66, pp. 198-206, March 2012.

9. E. Taub, G. Uswatte, R. Pidikiti, “Constraint-Induced Movement Therapy: a new family of techniques with broad application to physical rehabilitation-a clinical review”, Journal of rehabilitation research and development, vol. 36, pp. 237, July 1999.

10. S. B. Brotzman, R. C. Manske, “Clinical Orthopaedic Rehabilitation E-Book: An Evidence-Based Approach-Expert Consult” in Elsevier Health Sciences, 2011.

11. K. C. Lin, Y. F. Chang, C. Y. Wu, Y. A. Chen, “Effects of constraint-induced therapy versus bilateral arm training on motor performance daily functions and quality of life in stroke survivors”, Neurorehabilitation and Neural Repair, vol. 23, pp. 441-448, December 2009.

12. J. Chen, N. Y. Yu, D. G. Huang, B. T. Ann, G. C. Chang, “Applying fuzzy logic to control cycling movement induced by functional electrical stimulation”, IEEE transactions on rehabilitation engineering, vol. 5, pp. 158-169, Jun 1997.

13. D. A. Winter, “Biomechanics and motor control of human movement” in John Wiley & Sons, 2009.

 

via A Bilateral Training System for Upper-limb Rehabilitation: A Follow-up Study – IEEE Conference Publication

, , , , , , , , , , ,

  1. Leave a comment

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: