Journal ArticleDOI
Rehabilitation Robotics: Performance-Based Progressive Robot-Assisted Therapy
Hermano Igo Krebs,J.J. Palazzolo,Laura Dipietro,Mark Ferraro,Jennifer Krol,K. Rannekleiv,Bruce T. Volpe,Neville Hogan +7 more
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TLDR
A proposed method to achieve this goal is a novel performance-based impedance control algorithm, which is triggered via speed, time, or EMG, which has already noted one very strong benefit, a significant reduction in arm tone.Abstract:
In this paper we describe the novel concept of performance-based progressive robot therapy that uses speed, time, or EMG thresholds to initiate robot assistance. We pioneered the clinical application of robot-assisted therapy focusing on stroke—the largest cause of disability in the US. We have completed several clinical studies involving well over 200 stroke patients. Research to date has shown that repetitive task-specific, goal-directed, robot-assisted therapy is effective in reducing motor impairments in the affected arm after stroke. One research goal is to determine the optimal therapy tailored to each stroke patient that will maximize his/her recovery. A proposed method to achieve this goal is a novel performance-based impedance control algorithm, which is triggered via speed, time, or EMG. While it is too early to determine the effectiveness of the algorithm, therapists have already noted one very strong benefit, a significant reduction in arm tone.read more
Citations
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Journal ArticleDOI
Effects of Robot-Assisted Therapy on Upper Limb Recovery After Stroke: A Systematic Review
TL;DR: Future research into the effects of robot-assisted therapy should distinguish between upper and lower robotics arm training and concentrate on kinematical analysis to differentiate between genuine upper limb motor recovery and functional recovery due to compensation strategies by proximal control of the trunk and upper limb.
Journal ArticleDOI
Review of control strategies for robotic movement training after neurologic injury
TL;DR: There is increasing interest in using robotic devices to assist in movement training following neurologic injuries such as stroke and spinal cord injury, and this review summarizes techniques for implementing assistive strategies, including impedance-, counterbalance-, and EMG- based controllers, as well as adaptive controllers that modify control parameters based on ongoing participant performance.
Journal ArticleDOI
Augmented visual, auditory, haptic, and multimodal feedback in motor learning: A review
TL;DR: The aim of this review is to address the potential of augmented unimodal and multimodal feedback in the framework of motor learning theories and the reasons for the different impacts of feedback strategies within or between the visual, auditory, and haptic modalities.
Journal ArticleDOI
Soft Robotics: Review of Fluid‐Driven Intrinsically Soft Devices; Manufacturing, Sensing, Control, and Applications in Human‐Robot Interaction
Panagiotis Polygerinos,Nikolaus Correll,Stephen A. Morin,Bobak Mosadegh,Cagdas D. Onal,Kirstin Petersen,Matteo Cianchetti,Michael T. Tolley,Robert F. Shepherd +8 more
TL;DR: In this paper, the authors focus on a particular type of intrinsically soft, elastomeric robot powered via fluidic pressurization, and present a review of their use in soft robotics.
Journal ArticleDOI
Acceptance of Healthcare Robots for the Older Population: Review and Future Directions
TL;DR: The literature about human responses to healthcare robots is reviewed and the variables that have been found to influence responses are summarised.
References
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Proceedings ArticleDOI
Impedance Control: An Approach to Manipulation
TL;DR: In this paper, a unified approach to kinematically constrained motion, dynamic interaction, target acquisition and obstacle avoidance is presented, which results in a unified control of manipulator behaviour.
Journal ArticleDOI
Neural Substrates for the Effects of Rehabilitative Training on Motor Recovery After Ischemic Infarct
TL;DR: The results suggest that, after local damage to the motor cortex, rehabilitative training can shape subsequent reorganization in the adjacent intact cortex, and that the undamaged motor cortex may play an important role in motor recovery.
Journal ArticleDOI
Induction of plasticity in the human motor cortex by paired associative stimulation.
TL;DR: It is proposed that the induced plasticity may represent a signature of associative long-term potentiation of cortical synapses or closely related neuronal mechanisms in the human cortex.
Journal ArticleDOI
Robot-aided neurorehabilitation
TL;DR: Evidence is presented that robot-aided therapy does not have adverse effects, that patients tolerate the procedure, and that peripheral manipulation of the impaired limb may influence brain recovery, and one approach using kinematic data in a robot- aided assessment procedure.
Journal ArticleDOI
Somatosensory cortical map changes following digit amputation in adult monkeys
Michael M. Merzenich,R. J. Nelson,Michael P. Stryker,Max S. Cynader,Axel Schoppmann,John M. Zook +5 more
TL;DR: The cortical representations of the hand in area 3b in adult owl monkeys were defined with use of microelectrode mapping techniques 2–8 months after surgical amputation of digit 3, or of both digits 2 and 3.
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Albert C. Lo,Peter Guarino,Lorie Richards,Jodie K. Haselkorn,George F. Wittenberg,Daniel G. Federman,Daniel G. Federman,Robert J. Ringer,Todd H. Wagner,Hermano Igo Krebs,Bruce T. Volpe,Christopher T. Bever,Dawn M. Bravata,Pamela W. Duncan,Barbara H. Corn,Alysia D. Maffucci,Stephen E. Nadeau,Susan S. Conroy,Janet M. Powell,Grant D. Huang,Peter Peduzzi +20 more