Design and Development of Intelligent Home Rehab Device for Post Stroke Therapy with Electro-Hydraulic Interventions

Author(s):  
Kalaiarasi Arumugam ◽  
L.Ashok Kumar

Today, brain attack disorders are one of the most life-threatening areas in the medical era, which mankind is facing nowadays. Globally, more than 10,000,000 people are subjected to brain attack disorders like hemiplegia and tremor, every year, where two-thirds of them survive. Among the survival community, more than 80 per cent of them are subjected to long-term impairment of their upper extremity. In order to treat the impairment, the survival group is subjected to medications and rehabilitation in order to improve their daily living. But the facilities are very limited in fast-developing countries like India when compared to western standards. The rehabilitation given corresponding with medications during the treatment period in hospitals does not give a complete recovery from disability. People from rural background could not meet their rehabilitation requirements even in the hospital during treatment and also when they are discharged to home after treatment from hospitals due to financial constraints and reachability. In order to motivate the survival group to fulfill their daily living and improve their lifestyle, this paper is focused on intelligent home-based rehabilitation system at low cost, reliability, and affordability. One major movement disorder namely Upper Arm Hemiplegia was taken into account and visited few major hospitals around Coimbatore and Chennai for literature and case study. The facilities available in various hospitals and their drawbacks were analyzed.Acupuncture & Electro-therapeutics Research E-pubBased on the studies conducted at hospitals and taking advice from therapists, an innovative low-cost home-based rehabilitation device using Electro-Hydraulic systems has been developed to support patients who were used to impaired living even after treatments. To support Upper Arm Hemiplegia patients, the devices which were developed and experimented to hold different functionalities are discussed in this paper.

2020 ◽  
Vol 2 (2) ◽  
pp. 82-94
Author(s):  
Kalaiarasi Arumugam ◽  
Ashok Kumar Loganthan

Today, brain attack disorders are one of the most life-threatening areas in the medical era, which the mankind is facing nowadays. Globally, more than 10, 00,000people are subjected to brain attack disorders like hemiplegia and tremor, every year, where two-thirds of them survive. Among the survival community, more than 80 per cent of them are subjected to long-term impairment of their upper extremity. In order to treat the impairment, the survival group is subjected to medications and rehabilitation in order to improve their daily living. But the facilities are very limited in fast- developing countries like India when compared to western standards. The rehabilitation given in corresponding with medications during the treatment period in hospitals does not give a complete recovery from disability. People from rural background could not meet their rehabilitation requirements even in the hospital during treatment and also when they are discharged to home after treatment from hospitals due to financial constraints and reachability. In order to motivate the survival group to fulfill their daily living and improve their lifestyle, this paper is focused on intelligent home-based rehabilitation system at low cost, reliability, and affordability. One major movement disorder namely Upper Arm Hemiplegia was taken into account and visited few major hospitals around Coimbatore and Chennai for literature and case study. The facilities available in various hospitals and their drawbacks were analyzed. Based on the studies conducted at hospitals and taking advice from therapists, an innovative low-cost home- based rehabilitation device using Electro-Mechanical systems has been developed to support samples who were used to impaired living even after treatments. To support Upper Arm Hemiplegia patients, the devices which were developed and experimented with Fugl Meyer Assessment to analyse the improvements in different functionalities are discussed in this paper.


2014 ◽  
Vol 971-973 ◽  
pp. 1304-1307
Author(s):  
Yi Wang Wang

Aiming at the applications of smart home, a novel intelligent remote control switch socket based on Wifi and PLC technologies was described and designed to replace the traditional wired sppliances.The intelligent remote control switch socket using Wifi and PLC communication technologies, compared to the existing technology solutions, which has the advantages of more flexible networking, low cost, easy to implement and promotion, etc..It will provide an intelligent switch socket design idea and method for the development and promotion of smart home system .


2012 ◽  
Vol 201-202 ◽  
pp. 864-870 ◽  
Author(s):  
Xian Chen ◽  
Yi Jui Chiu ◽  
Dar Zen Chen

This paper describes a wearable upper limb orthosis that could be integrated within a home-based rehabilitation system for stroke patients. This orthosis consists of links and the installation of springs. First, the advantages of this design are with no actuating motors, with simple structure, and with lightweight, but with similar benefit as other therapeutic robots. Second, through the installation of springs to provide with spring force, when patients wearing this upper limb orthosis will feel the resistance, to benefit for more effective muscle rehabilitation exercise. At last, the advantage of this design is that due to the installation of springs and springy clamp one, users wearing the upper do rehabilitation training according with human skeleton movement trajectory, which makes users comfortable and that contributes to biceps, triceps, and deltoid muscles on the upper arm and shoulder training.


Sensors ◽  
2020 ◽  
Vol 20 (11) ◽  
pp. 3224 ◽  
Author(s):  
Walter Baccinelli ◽  
Maria Bulgheroni ◽  
Carlo Albino Frigo

Rehabilitation of the upper limb is an important aspect of the therapy for people affected by neuromotor diseases for the recovery of the capability to perform activities of daily living (ADLs). Nonetheless, the costs associated with the administration of rehabilitation therapy and the increasing number of patients highlight the need for new solutions. Technology-based solutions and, in particular, telerehabilitation could strongly impact in this field. In this paper, a new system based on radiofrequency (RF) technology is presented which is able to effectively provide home-based telerehabilitation and extract meaningful information on the therapy execution performance. The technology has been tuned to the needs of the rehabilitation system, optimizing the hardware, the communication protocol and the software control. A methodology for extracting the execution time of the rehabilitation tasks, the distance covered by the patient’s hand in each subtask and the velocity profile is presented. The results show that a highly usable system for the rehabilitation of the upper limb has been developed using the RF technology and that performance metrics can be reliably extracted by the acquired signals.


Author(s):  
Sanjay Saini ◽  
Dayang Rohaya Awang Rambli ◽  
Suziah Sulaiman ◽  
Mohamed Nordin Zakaria ◽  
Siti Rohkmah Mohd Shukri

Author(s):  
Gabriel Guízar Sahagún

Besides the well-known loss of motor and sensory capabilities, people with spinal cord injury (SCI) experience a broad range of systemic and metabolic abnormalities including, among others, dysfunction of cardiovascular, respiratory, gastrointestinal, urinary, and endocrine systems. These alterations are a significant challenge for patients with SCI because such disorders severely interfere with their daily living and can be potentially life-threatening. Most of these disorders are associated with impairment of regulation of the autonomic nervous system, arising from disruption of connections between higher brain centers and the spinal cord caudal to the injured zone. Thus, the higher and more complete the lesion, the greater the autonomic dysfunction and the severity of complications.This article summarizes the medical scientific literature on key systemic and metabolic alterations derived of SCI. It provides information primarily focused on the pathophysiology and clinical presentation of these disorders, as well as some guides to prevent and alleviate such complications. Due to the impact of these alterations, this topic must be a priority and diffuse to those involved with the care of people with SCI, including the patient himself/herself. We consider that any collaborative effort should be supported, like the development of international standards, to evaluate autonomic function after SCI, as well as the development of novel therapeutic approaches.


2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Shih Yea Sylvia Wu ◽  
Bridget Faire ◽  
Edward Gane

VIEKIRA PAK (ritonavir-boosted paritaprevir/ombitasvir and dasabuvir) is an approved treatment for compensated patients with genotype 1 (GT1) chronic hepatitis C virus (HCV) infection. This oral regimen has minimal adverse effects and is well tolerated. Cure rates are 97% in patients infected with HCV GT 1a and 99% in those with HCV GT 1b. We report the first case of life-threatening allergic pneumonitis associated with VIEKIRA PAK. This unexpected serious adverse event occurred in a 68-year-old Chinese female with genotype 1b chronic hepatitis C and Child-Pugh A cirrhosis. One week into treatment with VIEKIRA PAK without ribavirin, she was admitted to hospital with respiratory distress and acute kidney injury requiring intensive care input. She was initially diagnosed with community acquired pneumonia and improved promptly with intravenous antibiotics and supported care. No bacterial or viral pathogens were cultured. Following complete recovery, she recommenced VIEKIRA PAK but represented 5 days later with more rapidly progressive respiratory failure, requiring intubation and ventilation, inotropic support, and haemodialysis. The final diagnosis was drug induced pneumonitis.


2020 ◽  
Vol 9 (4) ◽  
pp. 309-317 ◽  
Author(s):  
Mahbubeh Setorki

Depression is a life-threatening chronic illness which affects people worldwide. Drugs used to treat this disease have multiple side effects and may cause drug-drug or drug-food interactions. Additionally, only 30% of patients respond adequately to the existing drugs and the remaining do not achieve complete recovery. Thus, finding effective treatments that have adequate efficacy, fewer side effects and lower cost seem to be necessary. The purpose of this study was to review animal and double-blind clinical studies on the anti-depressant effects of medicinal herbs. In this study, validated scientific articles indexed in PubMed, SID, Web of Science and Scopus databases were reviewed. A database search was performed using the following terms: clinical trials, depression, major depressive disorder, essential oil, extract and medicinal plant. Positive effects of a number of herbs and their active compounds such as St John’s-wort, saffron, turmeric, ginkgo, chamomile, valerian, Lavender, Echium amoenum and Rhodiola rosea L. in improvement of symptoms of mild, moderate or major depression have been shown in clinical trials. The above plants show antidepressant effects and have fewer side effects than synthetic drugs. Hence, they have the potential to treat patients with depression.


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