scholarly journals Modular Self-Reconfigurable Robot for Autonomous Rehabilitation Assistance in Daily Living Tasks for Spinal Cord Injury Patients

Author(s):  
Carl A. Nelson ◽  
Mitchell A. Bruckner ◽  
Jay S. Chae ◽  
Judith M. Burnfield ◽  
Thad W. Buster ◽  
...  

This paper presents a modular robot for assisting individuals with spinal cord injury with everyday tasks. The basic premise of modularity for task-variable environments is laid out, and the modular robot design is detailed including needs assessment, kinematics, and hardware. Early pilot testing of the robot is also described.

2021 ◽  
Vol 8 (3) ◽  
Author(s):  
Masoud Hatefi ◽  
AmirHosein Meisami ◽  
Alalleh Dalvand ◽  
Milad Borji

Background: Spinal cord injuries (SCI) are a variety of chronic diseases that various causes such as trauma may contribute to its onset. One of the problems in these patients is the problem of physical activity and, consequently, daily activities. Objectives: This study aimed to assess daily living of patients with SCI. Methods: In this descriptive cross-sectional study in 2019, 120 patients with SCI in Kermanshah were included in the study using purposive sampling. The instruments used in this study fell into two parts. One part included the demographic characteristics of the SCI patients, and the other part was a questionnaire of the rate of the Impact on Participation and Autonomy questionnaire (IPA-P). Data were analyzed by SPSS software version 16 using descriptive tests such as mean and standard deviation. Results: The result showed there was a significant relationship between demographic characteristics such as education (P < 0.007), time of spinal cord injury (P < 0.01), and income (P = 0.000). Also, the results showed there was a relationship between Autonomy and Participation, and the age of patients and their autonomy and participation decreased with age (P = 0.000, R = 0.72). Most of the patients had severe problems with daily activities. Also, most patients had very poor scores in relation to daily living activities. Conclusions: Considering the low rate of participation and autonomy in patients with SCI, it is suggested to conduct studies aimed at improving their self-care and social participation.


2014 ◽  
Vol 29 (2) ◽  
pp. 265-269
Author(s):  
Kazunori KOSEKI ◽  
Kenichi YOSHIKAWA ◽  
Takayuki MAEZAWA ◽  
Yasutsugu ASAKAWA ◽  
Masafumi MIZUKAMI

Aquichan ◽  
2014 ◽  
Vol 14 (2) ◽  
pp. 148-158
Author(s):  
Zuila Maria Figueiredo Carvalho ◽  
Winner Gomes-Machado ◽  
Dilene Maria De Araújo-Façanha ◽  
Samira Rocha-Magalhães ◽  
Adilina Soares Romero-Rodrigues ◽  
...  

Objetivo: aplicar el índice de Barthel en la evaluación de personas con lesión medular hospitalizada y en lo domicilio, comparando las condiciones de funcionalidad en el desarrollo de las Actividades de la Vida Diaria. Material y Método: estudio cuantitativo, transversal, realizado con 62 personas, hospitalizadas y en domicilios. Los datos fueron recolectados mediante un formulario con las variables de interés del estudio, en enero a mayo de 2010. Para a analice se utilizó el programa Predictive Analytics Software, con Pruebas de Mann — Whitney y Kruskal — Wallis. Resultados: la edad media de 37,5 años con desvío patrón de ± 13,74. En las actividades: baño un 79 % son dependientes; vestirse un 59 %; el uso de toielet un 91%; intestino un 81 % eran incontinentes; transferencias un 95 % presentaron incapacidad; actividad de movilidad un 94 % hacían con ayuda; utilización de escaleras con silla de ruedas en los hospitalizados un 94,1% presentaron incapacidad y en lo domicilio, un 78,5 %. El análisis de la puntuación final de Barthel obtuvo media del 48,4 % con desvío patrón de ± 32,62. Conclusiones: existe significancia acentuada en relación al grado de dependencia entre hospitalizados en relación a los que se encuentra en domicilio.


2021 ◽  
Vol 45 (5) ◽  
pp. 379-392
Author(s):  
Chang-Won Moon ◽  
Il-Young Jung ◽  
Ju Young Kim ◽  
Ha Neul Jang ◽  
Kang Hee Cho

Objective To develop and evaluate the Korean version of a hospital-based transitional rehabilitation program (TRP), using daily living home for spinal cord injury (SCI) patients.Methods In this study, we developed the Korean version of a hospital-based TRP through domestic and overseas surveys and focus group meetings. By applying this to chronic SCI patients, we observed the functional and quality of life (QOL) changes and evaluated the degree of achievement of the core goals set for each patient during hospital-based TRP.Results Hospital-based TRP, for 21.8±3.9 days on average, was applied to four chronic SCI patients (two patients with long-term hospital stays and two homebound disabled individuals) with an average injury period of 736.8±185.4 days. The Korean version of the Spinal Cord Independence Measure (49.3±6.9 vs. 62.5±6.0; p<0.05) showed functional improvement at the end of TRP, when compared to that before the TRP. The Korean version of the World Health Organization’s QOL scale, abbreviated version (159.8±36.6 vs. 239.8±36.1; p<0.05), showed improvement in QOL. Goal attainment scaling showed a significant degree of achievement for the core goals through TRP (33.6±4.4 vs. 70.0±2.8; p<0.05). These results confirmed that the effect was maintained 1 month after the end of TRP. Additionally, two patients were successfully discharged after TRP completion, and the other two could start social activities.Conclusion The Korean version of the hospital-based TRP, applied to chronic SCI patients, showed the potential to improve the patients’ functioning and QOL and appeared to be effective in successful discharge and social participation.


Author(s):  
Shelley Fulton ◽  
Laura Wilkinson ◽  
Kathy Stiller

Purpose: A combination of a stroke and spinal cord injury adversely affecting both upper limbs is an unusual combination for a patient presenting for outpatient rehabilitation services. Although the management of these conditions in isolation is well documented, there is limited literature regarding rehabilitation for these conditions in combination, particularly the use of assistive technology in this setting. Methods: A case report is presented of a 53-year-old male referred for outpatient rehabilitation following a left-sided stroke, with resultant dense right sided hemiplegia. A pre-existing spinal cord injury had affected his left upper limb such that he had marked proximal weakness. This combination of impairments meant he was unable to perform even basic activities of daily living involving the upper limbs. A therapy program, led by an occupational therapist with support and input from the multi-disciplinary team, included the use of an assistive device (a mobile arm support) to facilitate functional upper limb activities. This greatly improved his ability to do upper limb functional activities. Conclusion: The use of an assistive device enabled the patient to engage in meaningful activities of daily living involving the upper limbs.


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