With the growing aging population, fall detection has become a significant research focus in recent years. However, most existing studies have not effectively improved the accuracy of centroid state estimation in huma...
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Reaching-to-grasp is a vital skill to be relearned following stroke. Robotic aided stroke rehabilitation reduces motor impairment but has is limited in improving ADL function. We present a case study examining the fea...
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Reaching-to-grasp is a vital skill to be relearned following stroke. Robotic aided stroke rehabilitation reduces motor impairment but has is limited in improving ADL function. We present a case study examining the feasibility of a custom developed glove to provide grasp assistance in a robotic therapy environment dedicated to the practice of real activities, ADLER. The case study consists of three subjects, a high functioning, and a low functioning stroke subject and a healthy subject. Results suggest that the glove system was able to providing grasp-assistance and that it was capable of collecting grasp aperture information during reach to grasp activities.
When real objects are used in therapy their presence affects movement kinematics and hence the trajectories themselves. We examine the effectiveness of a trajectory planning algorithm to model the natural curving wris...
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When real objects are used in therapy their presence affects movement kinematics and hence the trajectories themselves. We examine the effectiveness of a trajectory planning algorithm to model the natural curving wrist movements observed in real life functional tasks. The fifth order minimum jerk model that incorporates curvature is used as a starting point for the model. The model was further developed and modified using observed data from able-bodied individuals. The model will be implemented as a trajectory planning tool for the ADLER environment where it could be used to train stroke survivors during functional tasks. We assessed differences between predicted and actual movements for medium to high functional stroke survivors on a drink task for several variables such as peak velocity, total displacement, movement smoothness, etc. We found that the model was capable of predicting movements smoothness and total displacement but not peak velocities in the horizontal or vertical planes of movement. Our next steps would be to improve and implement the model in the ADLER environment for stroke rehabilitation.
Deficits in interlimb coordination(IC) contribute to the functional disability in stroke patients. Addressing IC deficits after stroke has been somewhat overlooked in the realm of robotic bilateral stroke intervention...
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Deficits in interlimb coordination(IC) contribute to the functional disability in stroke patients. Addressing IC deficits after stroke has been somewhat overlooked in the realm of robotic bilateral stroke interventions. Our goal is to develop a robotic therapy protocol to improve IC for bimanual tasks and to assess changes in IC due to therapy. We evaluated the metrics of phase difference (PD), goal synchronization (GS), task completion time (TCT), % movement overlap (%MO) to determine which are most sensitive to IC on both symmetric and asymmetric bimanual functional tasks (e.g., drink and feed). We assessed IC for able-bodied and strokes. We showed PD, TCT, and %MO to be sensitive to differences in IC across subject groups. PD was more sensitive in the symmetrical task while TCT and %MO were more sensitive in the asymmetrical task. Creating a robotic intervention with these metrics will enable us to explore the efficacy of addressing coordination deficits after stroke.
Reaching to grasp is an essential process in our everyday lives. Individual who suffer a stroke experience major deficits in this ability leading to compromised activities of daily living (ADL), employment, and social...
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Reaching to grasp is an essential process in our everyday lives. Individual who suffer a stroke experience major deficits in this ability leading to compromised activities of daily living (ADL), employment, and social interaction. Robotic aided therapy is at the forefront of stroke rehabilitation, however not many systems support functional goal oriented therapy using real world objects. We are interested in designing a grasp assistive component for our ADL-focused robotic therapy environment. This paper reports on the glove development and a static validation study to determine the accuracy and repeatability of the glove in the measurement of joint angles of the thumb and index fingers and grasp aperture, which is the distance between the fingers. Our results showed no significant differences between the glove and a hand-held goniometer for the measured joint angles and the derived grasp aperture. The results suggest that the glove is repeatable and has the potential to measure in vivo grasp aperture during a functional tasks. Our next steps are to complete a dynamic validation study and integrate the glove with our robotic environment.
Robot-assisted therapy devices are being used in the physical and neurological rehabilitation of persons after stroke, which is the leading cause of disability among adults in the United States. Motor gains after robo...
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Robot-assisted therapy devices are being used in the physical and neurological rehabilitation of persons after stroke, which is the leading cause of disability among adults in the United States. Motor gains after robot-assisted therapy may not transfer to functioning on activities of daily living. It is conceivable that carryover after training may be improved through the use of training activities that are patient-centered, engaging and focused on daily living activities. We have developed the activities of daily living exercise robot (ADLER) stroke training environment to test this idea. This environment permits the consistent and repeated practice of daily living tasks such as drinking. This paper describes the ADLER training system
Recent literature support the idea of using an intense, task-oriented, stroke rehabilitation to promote motor learning and cerebral reorganization. Supporting a task-oriented, robot-assisted therapy approach requires ...
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Recent literature support the idea of using an intense, task-oriented, stroke rehabilitation to promote motor learning and cerebral reorganization. Supporting a task-oriented, robot-assisted therapy approach requires better understanding of the components of real tasks and the limitations and benefits of current trajectory models. We set out to understand natural reach-to-grasp kinematics as it relates to various functional bilateral and unilateral tasks so as to better map this information to a robotic reach-to-grasp therapy systems. To do so, we investigated the influence of arm use and object functionality on four reaching kinematics in reach-to-grasp daily living tasks. We compared our results with the minimum jerk trajectory model used in robot-assisted therapy with the goal of understanding how best to support these real movements in a robotic environment. Eight neurologically intact, right handed subjects participated in the motion analysis study. They completed unilateral and bilateral reaching to objects in the same location with the same orientation, and with handles of the same size and shape. We discuss our results in terms of the minimum jerk model, which is typically used in robot-assisted trajectory planning. Our results showed significant differences in peak velocities, movement time and total displacement across tasks and across arm use conditions
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