Design of Wearable Upper Limb Orthosis for Training and Rehabilitation without Actuator

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.

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.


2019 ◽  
Vol 9 (8) ◽  
pp. 1620 ◽  
Author(s):  
Bai ◽  
Song ◽  
Li

In order to improve the convenience and practicability of home rehabilitation training for post-stroke patients, this paper presents a cloud-based upper limb rehabilitation system based on motion tracking. A 3-dimensional reachable workspace virtual game (3D-RWVG) was developed to achieve meaningful home rehabilitation training. Five movements were selected as the criteria for rehabilitation assessment. Analysis was undertaken of the upper limb performance parameters: relative surface area (RSA), mean velocity (MV), logarithm of dimensionless jerk (LJ) and logarithm of curvature (LC). A two-headed convolutional neural network (TCNN) model was established for the assessment. The experiment was carried out in the hospital. The results show that the RSA, MV, LC and LJ could reflect the upper limb motor function intuitively from the graphs. The accuracy of the TCNN models is 92.6%, 80%, 89.5%, 85.1% and 87.5%, respectively. A therapist could check patient training and assessment information through the cloud database and make a diagnosis. The system can realize home rehabilitation training and assessment without the supervision of a therapist, and has the potential to become an effective home rehabilitation system.


2017 ◽  
Vol 2017 ◽  
pp. 1-12 ◽  
Author(s):  
Maram AlMousa ◽  
Hend S. Al-Khalifa ◽  
Hana AlSobayel

Stroke rehabilitation plays an important role in recovering the lifestyle of stroke survivors. Although existing research proved the effectiveness and engagement of nonimmersive virtual reality- (VR-) based rehabilitation systems, limited research is available on the applicability of fully immersive VR-based rehabilitation systems. In this paper, we present the elicited requirements of a fully immersive VR-based rehabilitation system that will be designed for domestic upper limb stroke patients; we will also provide an initial conceptual prototype of the proposed system.


2013 ◽  
Vol 721 ◽  
pp. 661-665
Author(s):  
Jia Jia Mo ◽  
Yi Jui Chiu ◽  
Dar Zen Chen

We propose a lower limb rehabilitation device to assist people with impairment in regaining the ability of legs. The device consists of links and the installation of springs, the features are as follows: (1) it is semi-passive and home-based, allowing stroke patients to conduct lower limb movement under their own control; (2) the structure is simple and the weight is light, but it has the similar benefit as other therapeutic robots; (3) Biodex and Electromyography (EMG) are utilized to analyze the device. The result shows rectus femoris, vastus lateralis and vastus medialis muscles are well trained.


BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jennifer Grau-Sánchez ◽  
Emma Segura ◽  
David Sanchez-Pinsach ◽  
Preeti Raghavan ◽  
Thomas F. Münte ◽  
...  

Abstract Background Residual motor deficits of the upper limb in patients with chronic stroke are common and have a negative impact on autonomy, participation and quality of life. Music-Supported Therapy (MST) is an effective intervention to enhance motor and cognitive function, emotional well-being and quality of life in chronic stroke patients. We have adapted the original MST training protocol to a home-based intervention, which incorporates increased training intensity and variability, group sessions, and optimisation of learning to promote autonomy and motivation. Methods A randomised controlled trial will be conducted to test the effectiveness of this enriched MST (eMST) protocol in improving motor functions, cognition, emotional well-being and quality of life of chronic stroke patients when compared to a program of home-based exercises utilizing the Graded Repetitive Arm Supplementary Program (GRASP). Sixty stroke patients will be recruited and randomly allocated to an eMST group (n = 30) or a control GRASP intervention group (n = 30). Patients will be evaluated before and after a 10-week intervention, as well as at 3-month follow-up. The primary outcome of the study is the functionality of the paretic upper limb measured with the Action Research Arm Test. Secondary outcomes include other motor and cognitive functions, emotional well-being and quality of life measures as well as self-regulation and self-efficacy outcomes. Discussion We hypothesize that patients treated with eMST will show larger improvements in their motor and cognitive functions, emotional well-being and quality of life than patients treated with a home-based GRASP intervention. Trial registration The trial has been registered at ClinicalTrials.gov and identified as NCT04507542 on 8 August 2020.


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.


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