Abstract
We have been proposing a robotic finger rehabilitation support device for hemiplegic patients that can be used at home. This device instructs a patient to lift a finger voluntarily and provides assistance when the patient is impossible to lift. In previous studies, we have shown an automated evaluation method which monitors the level of involuntary finger movement. However, the detailed procedure of finger rehabilitation has not been clarified. In this paper, we show a practical procedure of finger rehabilitation as well as a hardware design of the device. We also discuss safety issues during finger lift assistance. Our design limits the speed of finger lift so that it avoids unwanted contraction of finger muscles by stretch reflex. Also, the angle of finger lift is limited in our design so that it will not exceed the maximum excursion of an MP joint.
References
1.J. D. Schaechter, “Motor rehabilitation and brain plasticity after hemiparetic stroke”, Progress in Neurobiology, vol. 73, no. 1, pp. 61-72, May 2004.Show Context CrossRef Google Scholar 2.J. W. Krakauer, “Motor learning: its relevance to stroke recovery and neurorehabilitation”, Current Opinion in Neurology, vol. 19, no. 1, pp. 84, Feb. 2006.Show Context CrossRef Google Scholar 3.S. Balasubramanian, J. Klein and E. Burdet, “Robot-assisted rehabilitation of hand function”, Current Opinion in Neurology, vol. 23, no. 6, pp. 661-670, Dec. 2010.Show Context CrossRef Google Scholar 4.L. Bishop, A. M. Gordon and H. Kim, “Hand Robotic Therapy in Children with Hemiparesis: A Pilot Study”, American Journal of Physical Medicine & Rehabilitation, vol. 96, no. 1, pp. 1-7, Jan. 2017.Show Context CrossRef Google Scholar 5.O. Sandoval-Gonzalez et al., “Design and Development of a Hand Exoskeleton Robot for Active and Passive Rehabilitation”, International Journal of Advanced Robotic Systems, vol. 13, no. 66, pp. 1-12, 2016.Show Context CrossRef Google Scholar 6.P. Polygerinos, K. C. Galloway, E. Savage, M. Herman, K. O. Donnell and C. J. Walsh, “Soft robotic glove for hand rehabilitation and task specific training”, 2015 IEEE International Conference on Robotics and Automation (ICRA), pp. 2913-2919, 2015.Show Context View Article Full Text: PDF (3804KB) Google Scholar 7.D. Guilherme, N. DeSouza et al., “A pediatric robotic thumb exoskeleton for at-home rehabilitation: The isolated orthosis for thumb actuation (IOTA)”, International Journal of Intelligent Computing and Cybernetics, vol. 7, no. 3, pp. 233-252, 2014.Show Context Google Scholar 8.Y. Furudate, N. Onuki, K. Chiba, Y. Ishida and S. Mikami, “Automated Evaluation of Hand Motor Function Recovery by Using Finger Pressure Sensing Device for Home Rehabilitation”, IEEE BIBE 2018, pp. 207-214, 2018.Show Context View Article Full Text: PDF (500KB) Google Scholar 9.K. Yamamoto, Y. Furudate, K. Chiba, Y. Ishida and S. Mikami, “Home Robotic Device for Rehabilitation of Finger Movement of Hemiplegia Patients”, 2017 IEEE/SICE International Symposium on System Integration, pp. TuE1.3:1-6, 2017.Show Context View Article Full Text: PDF (1305KB) Google Scholar 10.Y. Furudate, K. Yamamoto, K. Chiba, Y. Ishida and S. Mikami, “Quantification Method of Motor Function Recovery of Fingers by Using the Device for Home Rehabilitation”, 2017 IEEE 39th Annual International Conference of the Engineering in Medicine and Biology Society, pp. 3872-3875, 2017.Show Context View Article Full Text: PDF (804KB) Google Scholar 11.K. Chiba et al., “Robotic Finger Rehabilitation Support Device for Home Use – An Analysis of the Effect of Finger Rehabilitation for the Upper Limb Function Recovery”, International Journal of Mechanical Engineering and Robotics Research, vol. 5, no. 4, pp. 288-294, Oct. 2016.Show Context CrossRef Google Scholar 12.“Joint motion: method of measuring and recording”, Churchill Livingstone, 1965.Show Context Google Scholar 13.S. Werle, J. Goldhahn, S. Drerup, B. R. Simmen, H. Sprott and D. B. Herren, “Age- and Gender-Specific Normative Data of Grip and Pinch Strength in a Healthy Adult Swiss Population”, J Hand Surg Eur Vol, vol. 34, no. 1, pp. 76-84, Feb. 2009.Show Context CrossRef Google Scholar 14.E. L. Altschuler et al., “Rehabilitation of hemiparesis after stroke with a mirror”, The Lancet, vol. 353, no. 9169, pp. 2035-2036, 1999.Show Context CrossRef Google Scholar