Towards Personalized Interaction and Corrective Feedback of a Socially Assistive Robot for Post-Stroke Rehabilitation Therapy

This paper presents the technological status of robot-assisted gait self-training under real clinical environment conditions. A successful rehabilitation after surgery in hip endoprosthetics comprises self-training of the lessons taught by physiotherapists. While doing this, immediate feedback to the patient about deviations from the expected physiological gait pattern during training is important. Hence, the Socially Assistive Robot (SAR) developed for this type of training employs task-specific, user-centered navigation and autonomous, real-time gait feature classification techniques to enrich the self-training through companionship and timely corrective feedback. The evaluation of the system took place during user tests in a hospital from the point of view of technical benchmarking, considering the therapists’ and patients’ point of view with regard to training motivation and from the point of view of initial findings on medical efficacy as a prerequisite from an economic perspective. In this paper, the following research questions were primarily considered: Does the level of technology achieved enable autonomous use in everyday clinical practice? Has the gait pattern of patients who used additional robot-assisted gait self-training for several days been changed or improved compared to patients without this training? How does the use of a SAR-based self-training robot affect the motivation of the patients?

Download Full-text

Access to post-stroke physical rehabilitation after acute reperfusion therapy– the neglected link in ischemic stroke management: a retrospective cohort study

Balneo and PRM Research Journal ◽

10.12680/balneo.2021.418 ◽

2021 ◽

Vol 12 (Vol.12, no.1) ◽

pp. 46-52

Author(s):

Răzvan Alexandru RADU ◽

Elena Oana TERECOASĂ ◽

CĂȘARU Bogdan ◽

Iulian ENACHE ◽

Cristina GHIȚĂ ◽

...

Keyword(s):

Ischemic Stroke ◽

Physical Therapy ◽

Stroke Rehabilitation ◽

Reperfusion Therapy ◽

Median Frequency ◽

Stroke Patients ◽

Rehabilitation Therapy ◽

Post Stroke ◽

Tertiary Center ◽

Hospital Rehabilitation

Background: The burden of stroke is high in Romania and data regarding access to post – stroke rehabilitation are almost non–existent. We aimed to determine the percentage of patients who benefited from post–stroke rehabilitation and to describe the most common rehabilitation settings. Methods: A structured telephone-based questionnaire regarding access to post–stroke rehabilitation therapy and outcomes was administered to all patients with ischemic stroke who benefited from reperfusion therapy in a tertiary center in 2019. Results: 211 stroke patients received reperfusion therapy during the studied period. Out of these, 208 patients were included in the initial analysis and 109 patients were deemed eligible for post–stroke rehabilitation therapy. 57 patients (55.8%) performed post–stroke rehabilitation. In-hospital rehabilitation was reported by 35 patients (32.1%) with a median length of hospital stay of 14 days. 28 patients (25.6%) performed home based physical therapy with a median frequency of 3 sessions per week. 12 patients (11.1%) were admitted to nursing homes. Compared to stroke patients who did not perform in–hospital rehabilitation, those who did were younger (median age 65 years vs. 73 years, p=0.01) and more likely to have moderate–severe post–stroke disability (mRS score 3 – 5 at discharge 80% vs. 59.4%, p=0.03). mRS score at discharge ≤ 2 was a significant predictor for not pursuing post-stroke rehabilitation (p < 0.001). Conclusion: Approximately 50% of the stroke patients treated with reperfusion therapies were eligible for post–stroke rehabilitation and approximately 50% of them had access to rehabilitation therapy while only 30% had access to in-hospital rehabilitation. Keywords: Stroke rehabilitation; Eastern Europe; Romania; Rehabilitation Center; Physical Therapy,

Download Full-text

The influence of a socially assistive robot on mood, anxiety, and arousal in children.

Professional Psychology Research and Practice ◽

10.1037/pro0000177 ◽

2018 ◽

Vol 49 (1) ◽

pp. 48-56 ◽

Cited By ~ 14

Author(s):

Molly K. Crossman ◽

Alan E. Kazdin ◽

Elizabeth R. Kitt

Keyword(s):

Assistive Robot ◽

Socially Assistive Robot

Download Full-text

Complementary and integrative health interventions in post-stroke rehabilitation: a systematic PRISMA review

Disability and Rehabilitation ◽

10.1080/09638288.2020.1830440 ◽

2020 ◽

pp. 1-10

Author(s):

Alysha A. Walter ◽

Marieke Van Puymbroeck ◽

Pamela Bosch ◽

Arlene A. Schmid

Keyword(s):

Stroke Rehabilitation ◽

Health Interventions ◽

Post Stroke ◽

Integrative Health

Download Full-text

The design of Lil’Flo, a socially assistive robot for upper extremity motor assessment and rehabilitation in the community via telepresence

Journal of Rehabilitation and Assistive Technologies Engineering ◽

10.1177/20556683211001805 ◽

2021 ◽

Vol 8 ◽

pp. 205566832110018

Author(s):

Michael J Sobrepera ◽

Vera G Lee ◽

Michelle J Johnson

Keyword(s):

Rural Areas ◽

Motor Rehabilitation ◽

Rehabilitation Care ◽

Rehabilitation Professionals ◽

Novel Approach ◽

Assistive Robot ◽

Care Facilities ◽

The Rich ◽

Socially Assistive Robot ◽

Assistive Robotic

Introduction We present Lil’Flo, a socially assistive robotic telerehabilitation system for deployment in the community. As shortages in rehabilitation professionals increase, especially in rural areas, there is a growing need to deliver care in the communities where patients live, work, learn, and play. Traditional telepresence, while useful, fails to deliver the rich interactions and data needed for motor rehabilitation and assessment. Methods We designed Lil’Flo, targeted towards pediatric patients with cerebral palsy and brachial plexus injuries using results from prior usability studies. The system combines traditional telepresence and computer vision with a humanoid, who can play games with patients and guide them in a present and engaging way under the supervision of a remote clinician. We surveyed 13 rehabilitation clinicians in a virtual usability test to evaluate the system. Results The system is more portable, extensible, and cheaper than our prior iteration, with an expressive humanoid. The virtual usability testing shows that clinicians believe Lil’Flo could be deployed in rural and elder care facilities and is more capable of remote stretching, strength building, and motor assessments than traditional video only telepresence. Conclusions Lil’Flo represents a novel approach to delivering rehabilitation care in the community while maintaining the clinician-patient connection.

Download Full-text