Journal of Rehabilitation and Assistive Technologies Engineering最新文献

{"title":"Mapping of electrodermal activity (EDA) during outdoor community-level mobility tasks in individuals with lower-limb amputation.","authors":"Erina Cho,&nbsp;James M Wakeling,&nbsp;Brittany Pousett,&nbsp;Courtney L Pollock","doi":"10.1177/20556683211006837","DOIUrl":"https://doi.org/10.1177/20556683211006837","url":null,"abstract":"<p><strong>Introduction: </strong>Balance confidence and perception of task challenge is an important construct to measure in rehabilitation of people with lower-limb amputation (LLA). Measurement of electrodermal activity (EDA) captures physiological arousal responses reflecting an individual's perceived challenge in a task. This study explores the feasibility of the use of EDA during outdoor walking tasks to capture task-specific physiological arousal changes associated with perception of challenge in people with amputation.</p><p><strong>Objective: </strong>To develop and demonstrate feasibility of a portable EDA/GPS system mapping physiological arousal while challenging walking balance outdoors in individuals with LLA and controls.</p><p><strong>Methods: </strong>Sixteen people (eight with LLA and eight age-/sex-matched controls) completed an outdoor walking course in the community (3 laps). A battery-powered portable device was developed containing EDA/GPS sensors with data logged on a microcontroller. Phasic EDA response was extracted from EDA signal to explore the physiological arousal response to walking tasks.</p><p><strong>Results: </strong>Physiological arousal demonstrated task-specific modulation with ascending stairs without a handrail showing higher levels of phasic EDA than walking on a paved incline (p = 0.01) or a gravel decline (p = 0.01) in people with LLA. While evidence of habituation over repeated trials was shown in controls with lap 1 of walking down a gravel decline showing higher levels of phasic EDA than lap 3 (p = 0.01). Phasic EDA maps, representative of arousal levels throughout the walking course, showed individual-specific response.</p><p><strong>Conclusion: </strong>Mapping of EDA during outdoor walking is feasible. Modulation of physiological arousal between outdoor walking tasks and over repeated trials is suggestive of clinical utility. Further research is warranted to explore how EDA may be incorporated into assessment of response to outdoor walking amongst individuals following LLA.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"8 ","pages":"20556683211006837"},"PeriodicalIF":2.0,"publicationDate":"2021-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/20556683211006837","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39091487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Single limb cable driven wearable robotic device for upper extremity movement support after traumatic brain injury.","authors":"Zahra Kadivar,&nbsp;Christopher E Beck,&nbsp;Roger N Rovekamp,&nbsp;Marcia K O'Malley","doi":"10.1177/20556683211002448","DOIUrl":"https://doi.org/10.1177/20556683211002448","url":null,"abstract":"<p><strong>Introduction: </strong>Recently, soft exosuits have been proposed for upper limb movement assistance, most supporting single joint movements. We describe the design of a portable wearable robotic device (WRD), \"Armstrong,\" able to support three degrees-of-freedom of arm movements, and report on its feasibility for movement support of individuals with hemiparesis after traumatic brain injury (TBI).</p><p><strong>Methods: </strong>We introduce Armstrong and report on a pilot evaluation with two male individuals post-TBI (T1 and T2) and two healthy individuals. Testing involved elbow flexion/extension with and without robotic-assisted shoulder stabilization; shoulder abduction with and without robotic-assisted elbow stabilization; and assisted shoulder abduction and flexion. Outcome measures included range of motion and root mean square trajectory and velocity errors.</p><p><strong>Results: </strong>TBI subjects performed active, passive, hybrid and active assistive movements with Armstrong. Subjects showed improvements in movement trajectory and velocity. T1 benefited from hybrid, active, and assistive modes due to upper extremity weakness and muscle tone. T2 benefited from hybrid and assistive modes due to impaired coordination. Healthy subjects performed isolated movements of shoulder and elbow with minimal trajectory and velocity errors.</p><p><strong>Conclusions: </strong>This study demonstrates the safety and feasibility of Armstrong for upper extremity movement assistance for individuals with TBI, with therapist supervision.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"8 ","pages":"20556683211002448"},"PeriodicalIF":2.0,"publicationDate":"2021-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/20556683211002448","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39091486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of a mobile-based vocational skill building coaching technology intervention for people with cognitive disabilities: A pilot feasibility study.","authors":"Patricia C Heyn, Aleaza Goldberg, Greg McGrew, Cathy Bodine","doi":"10.1177/20556683211009731","DOIUrl":"10.1177/20556683211009731","url":null,"abstract":"<p><p>We designed a feasibility study to evaluate a mobile-based vocational skill building coaching technology (aka Mobile Coach) intervention by using an ecological design approach. We compared the Mobile Coach to a standard job coach (no Mobile Coach technology) assistance in a facility that employs adults with significant cognitive disabilities (CDs). Twenty working-age adults with CDs were enrolled in this feasibility study and were asked to use the Vocational Mobile Coach Technology (on an iPad) to assist with their daily job functions. Project-specific usability and self-satisfaction survey was used to evaluate the user experience in performing the selected work assembly tasks with the Mobile Coach and without it. This report has the goal to describe our feasibility study design, methods, and results.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"8 ","pages":"20556683211009731"},"PeriodicalIF":2.0,"publicationDate":"2021-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2e/15/10.1177_20556683211009731.PMC8108073.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38988176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modeling of a controlled flow cup for improved transitional drinking development in children.","authors":"Michael M Bailey-Van Kuren,&nbsp;Donna Scarborough","doi":"10.1177/20556683211008765","DOIUrl":"https://doi.org/10.1177/20556683211008765","url":null,"abstract":"<p><strong>Introduction: </strong>Clinical observations of children with swallowing disorders using a traditional \"sippy\" or transitional drinking cup identified a need for a novel cup. Children with swallowing disorders are often unable to initiate the forces required to activate the cup and/or maintain suction pressure. Furthermore, fast flow rates can result in choking.</p><p><strong>Methods: </strong>A new cup design tool is proposed using fluid-cup interactions to capture the changing geometry of the fluid during drinking. A Petri net formulation is integrated with standard fluid flow principles. A new parametric cup simulation provides visualization and direct implementation for microcontroller prototypes. A vent-based controller is developed and modeled for a novel transitional drinking cup design. A simulated pouring study is performed for water and a baseline liquid volume of 200 ml in the cup. The study varies rotation rates, initial volume, system control and desired flow rates.</p><p><strong>Results: </strong>Volumetric flow rate curves over time are generated and compared in relation to a target flow rate. The simulation results show expected behavior for variations in cup parameters.</p><p><strong>Conclusion: </strong>The new simulation model facilitates future dysphagia research through rapid prototyping by tuning cup geometry, liquid parameters and control signals to meet the varying needs of the users.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"8 ","pages":"20556683211008765"},"PeriodicalIF":2.0,"publicationDate":"2021-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/20556683211008765","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38988174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The design of Lil'Flo, a socially assistive robot for upper extremity motor assessment and rehabilitation in the community via telepresence.","authors":"Michael J Sobrepera, Vera G Lee, Michelle J Johnson","doi":"10.1177/20556683211001805","DOIUrl":"10.1177/20556683211001805","url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>Lil'Flo represents a novel approach to delivering rehabilitation care in the community while maintaining the clinician-patient connection.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"8 ","pages":"20556683211001805"},"PeriodicalIF":2.0,"publicationDate":"2021-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/dc/c5/10.1177_20556683211001805.PMC8058807.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38873990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The SE-AssessWrist for robot-aided assessment of wrist stiffness and range of motion: Development and experimental validation.","authors":"Andrew Erwin,&nbsp;Craig G McDonald,&nbsp;Nicholas Moser,&nbsp;Marcia K O'Malley","doi":"10.1177/2055668320985774","DOIUrl":"https://doi.org/10.1177/2055668320985774","url":null,"abstract":"<p><strong>Introduction: </strong>Physical human-robot interaction offers a compelling platform for assessing recovery from neurological injury; however, robots currently used for assessment have typically been designed for the requirements of rehabilitation, not assessment. In this work, we present the design, control, and experimental validation of the SE-AssessWrist, which extends the capabilities of prior robotic devices to include complete wrist range of motion assessment in addition to stiffness evaluation.</p><p><strong>Methods: </strong>The SE-AssessWrist uses a Bowden cable-based transmission in conjunction with series elastic actuation to increase device range of motion while not sacrificing torque output. Experimental validation of robot-aided wrist range of motion and stiffness assessment was carried out with five able-bodied individuals.</p><p><strong>Results: </strong>The SE-AssessWrist achieves the desired maximum wrist range of motion, while having sufficient position and zero force control performance for wrist biomechanical assessment. Measurements of two-degree-of-freedom wrist range of motion and stiffness envelopes revealed that the axis of greatest range of motion and least stiffness were oblique to the conventional anatomical axes, and approximately parallel to each other.</p><p><strong>Conclusions: </strong>Such an assessment could be beneficial in the clinic, where standard clinical measures of recovery after neurological injury are subjective, labor intensive, and graded on an ordinal scale.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"8 ","pages":"2055668320985774"},"PeriodicalIF":2.0,"publicationDate":"2021-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2055668320985774","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38919371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using a robotic teleoperation system for haptic exploration.","authors":"Lina M Becerra Puyo,&nbsp;Heather M Capel,&nbsp;Shanon K Phelan,&nbsp;Sandra A Wiebe,&nbsp;Kim D Adams","doi":"10.1177/2055668320969308","DOIUrl":"https://doi.org/10.1177/2055668320969308","url":null,"abstract":"<p><strong>Introduction: </strong>When children with physical impairments cannot perform hand movements for haptic exploration, they miss opportunities to learn about object properties. Robotics systems with haptic feedback may better enable object exploration.</p><p><strong>Methods: </strong>Twenty-four adults and ten children without physical impairments, and one adult with physical impairments, explored tools to mix substances or transport different sized objects. All participants completed the tasks with both a robotic system and manual exploration. Exploratory procedures used to determine object properties were also observed.</p><p><strong>Results: </strong>Adults and children accurately identified appropriate tools for each task using manual exploration, but they were less accurate using the robotic system. The adult with physical impairment identified appropriate tools for transport in both conditions, however had difficulty identifying tools used for mixing substances. A new exploratory procedure was observed, Tapping, when using the robotic system.</p><p><strong>Conclusions: </strong>Adults and children could make judgements on tool utility for tasks using both manual exploration and the robotic system, however they experienced limitations in the robotics system that require more study. The adult with disabilities required less assistance to explore tools when using the robotic system. The robotic system may be a feasible way for individuals with physical disabilities to perform haptic exploration.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"8 ","pages":"2055668320969308"},"PeriodicalIF":2.0,"publicationDate":"2021-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2055668320969308","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38927446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lab-based feasibility and acceptability of neuromuscular electrical stimulation in hip osteoarthritis rehabilitation.","authors":"Louise C Burgess, Paul Taylor, Thomas W Wainwright, Ian D Swain","doi":"10.1177/2055668320980613","DOIUrl":"10.1177/2055668320980613","url":null,"abstract":"<p><strong>Introduction: </strong>Neuromuscular electrical stimulation (NMES) could provide an alternative or adjunct treatment modality to induce muscle hypertrophy in the hip osteoarthritis population. This preliminary study evaluates the feasibility and acceptability of NMES to evoke involuntary muscle contractions in adults with advanced hip osteoarthritis.</p><p><strong>Methods: </strong>Thirteen adults with moderate-to-severe hip osteoarthritis and fifteen healthy, older adults were invited to a lab-based testing session. NMES was applied unilaterally to the knee extensors and hip abductors for one continuous, five-minute testing session. Data were collected on device acceptability, tolerability and muscle contractile force, and compared between groups.</p><p><strong>Results: </strong>Electrical stimulation of the knee extensors elicited a visible muscular contraction in 11 participants (85%) with hip osteoarthritis and 15 controls (100%) at an intensity acceptable to the participant. Electrical stimulation of the hip abductors elicited a muscular contraction in eight participants (62%) with osteoarthritis, and ten controls (67%). Muscle contractile force, pain, discomfort and acceptability did not differ between groups, however NMES of the knee extensors was favoured across all measures of assessment when compared to the hip abductors.</p><p><strong>Conclusions: </strong>Electrical stimulation of the knee extensors may be a feasible and acceptable treatment modality to address muscle atrophy in adults with advanced hip osteoarthritis.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"8 ","pages":"2055668320980613"},"PeriodicalIF":2.0,"publicationDate":"2021-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7970175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25540411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Smartphone-guided secondary prevention for patients with coronary artery disease.","authors":"Irina Eckardt,&nbsp;Clara Buschhaus,&nbsp;Georg Nickenig,&nbsp;Felix Jansen","doi":"10.1177/2055668321996572","DOIUrl":"https://doi.org/10.1177/2055668321996572","url":null,"abstract":"<p><strong>Introduction: </strong>Coronary artery disease (CAD) is the leading cause of death worldwide. Lifestyle change is a crucial part of secondary prevention. Only 30% of CAD patients follow the corresponding guideline recommendations. The widespread adoption of smartphones offers the opportunity to integrate secondary prevention into the daily routine of CAD patients.</p><p><strong>Methods: </strong>We developed an app to integrate secondary prevention into CAD patients' everyday life (smartphone-guided secondary prevention, SGSP). The app provided a daily 15-minute program that included video-guided exercises, video sessions with background information about CAD, and a tool to record blood pressure and heart rate once a day. The SGSP app was tested with the primary outcome of 28-day adherence. The secondary outcome was a composite of (1) self-reported behavioral changes, (2) gain of knowledge about cardiovascular risk factors, and (3) an increase in quality of life.</p><p><strong>Results: </strong>Of the 66 patients screened, 43 (65%) were included into the study and, of those, 17 (40%) used the app continuously for 28 days. From this group, 14 (82%) were physically more active and ten (59%) improved their dietary habits. Usage of the SGSP app was also associated with a gain of knowledge about cardiovascular risk factors (70% physical activity, 59% healthy diet).</p><p><strong>Conclusion: </strong>The regular use of a SGSP app appears to support lifestyle changes in patients with CAD.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"8 ","pages":"2055668321996572"},"PeriodicalIF":2.0,"publicationDate":"2021-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2055668321996572","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25540363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends and developments in hip and knee arthroplasty technology.","authors":"Martin Marsh,&nbsp;Simon Newman","doi":"10.1177/2055668320952043","DOIUrl":"https://doi.org/10.1177/2055668320952043","url":null,"abstract":"<p><p>The developments in hip and knee arthroplasty over recent years have aimed to improve outcomes, reduce complications and improve implant survival. This review describes some of the most interesting trends and developments in this important and fast-moving field. Notable developments have included ceramic hip resurfacing, mini hip stems, cementless knee replacement and the wider adoption of the dual mobility articulation for hip arthroplasty. Advances in additive manufacturing and the surface modification of joint replacements offer increasing options for more challenging arthroplasty cases. Robotic assisted surgery is one of the most interesting developments in hip and knee surgery. The recent growth in the use of this technology is providing data that will help determine whether this approach should become the standard of care for hip and knee arthroplasty in the future.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"8 ","pages":"2055668320952043"},"PeriodicalIF":2.0,"publicationDate":"2021-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2055668320952043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25391373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}