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One-Therapist to Three-Patient Telerehabilitation Robot System for the Upper Limb after Stroke

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Abstract

In this paper, a novel one-therapist to three-patient telerehabilitation robot system is developed, which consists of a web-based server computer for therapist at hospital, three telerehabilitation robots for patients at home or in nursing home, three client computers for robot control, and computer networks connect the client computers to the server computer. A kind of light, back-drivable and safe one degree-of-freedom rehabilitation robot with low cost is designed, and a safe control strategy which is combination of PI control and damping control is proposed for the robot control. Through this telerehabilitation robot system, a therapist can dialogue with post-stroke patients in video communication via the networks, and then he can remotely set or modify the training mode and control parameters of the rehabilitation robots for post-stroke patient training. Haptic based therapy game is also programmed to improve the activity of the patients during training process. Integrated with database management, the history and current performance data of patients acquired by all sensors of the telerehabilitation robot system during the training process are stored and managed. Three volunteer individual patients with upper limb disabilities participated in this study. After four weeks of periodic rehabilitation training with the telerehabilitation robot system, the muscle strength and movement coordination of the three patients had been obviously improved. Our study shows that the one-therapist to three-patient telerehabilitation robot system has good reliability and is able to greatly improve efficiency of the rehabilitation training, which can solve the problem of lack of therapist to a certain extent.

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References

  1. Homepage of Chinese Ministry of Health. http://www.moh.gov.cn/public/

  2. Van Elk Michel G, Driessen Bart JF, Dorrepaal M (2005) A motorized gravity compensation mechanism used for active rehabilitation of upper limbs. In: Proceedings of the 2005 IEEE 9th international conference on rehabilitation robotics. Chicago, pp 152–155

  3. Hussain S, Xie SQ, Jamwal PK (2013) Effect of cadence regulation on muscle activation patterns during robot-assisted gait: a dynamic simulation study. IEEE J Biomed Health Inf 17(2):442–451

    Article  Google Scholar 

  4. Riener R, Nef T, Colombo G (2005) Robot-aided neurorehabilitation of the upper extremities. Med Biol Eng Comput 43(1):2–10

    Article  Google Scholar 

  5. Patricia K, Rajibul H, Jesse H, Robby G, Alex M (2011) The development of an adaptive upper-limb stroke rehabilitation robotic system. J NeuroEeng Rehabil 8(1):1–18

    Article  Google Scholar 

  6. Burgar CG, Lum PS, Shor PC et al (2000) Development of robots for rehabilitation therapy: the Polo Alto VA/Stanford experience. J Rehabil Res Dev 37(6):663–673

    Google Scholar 

  7. Reinkensmeyer DJ, Kahn LE, Arerbuch M et al (2000) Understanding and treating arm movement impairment after chronic brain injury: progress with the ARM guide. J Rehabil Res Dev 37(6):653–662

    Google Scholar 

  8. Krebs HI, Volpe BT, Aisen ML, Hogan N (2000) Increasing productivity and quality of care: robot-aided neuro-rehabilitation. J Rehabil Res Dev 37(6):639–652

    Google Scholar 

  9. Yubo Z, Zixi W, Linhong J, Sheng B (2005) The clinical application of the upper extremity compound movements rehabilitation training robot. In: Proceedings of the 2005 IEEE 9th international conference on rehabilitation robotics. Chicago, pp 91–94

  10. Xu G, Song A, Li H (2011) Control system design for an upper-limb rehabilitation robot. Adv Robot 25(1):229–251

    Article  Google Scholar 

  11. Pan L, Song A, Xu G, Li H, Xu B, Xiong P (2013) Hierarchical safety supervisory control strategy for robot-assisted rehabilitation exercise. Robotica 31(5):757–766

    Article  Google Scholar 

  12. Krebs HI, Hogan N, Aisen ML, Volpe BT (1998) Robot-aided neurorehabilitation. IEEE Trans Rehabil Eng 6(1):75–87

    Article  Google Scholar 

  13. Lum PS, Burgar CG, Loos MV (1997) The use of a robotic device for post-stroke movement therapy. In: Proceedings of the conference on rehabilitation robotics, Bath, pp 107–110

  14. Ricker JH, Rosenthat M, Garay E et al (2002) Telerehabilitation needs: a survey of persons with acquired brain injury. J Head Trauma Rehabil 17(3):242–250

    Article  Google Scholar 

  15. Russell TG, Buttrum P, Wootton R, Jull GA (2003) Low-bandwidth telerehabilitation for patients who have undergone total knee replacement: preliminary results. J Telemed Telecare 9(2):S44–S47

    Article  Google Scholar 

  16. Forducey PG, Ruwe WD, Dawson SJ, Scheideman-Miller C, McDonald NB, Hantla MR (2003) Using telerehabilitation to promote TBI recovery and transfer of knowledge. Neurorehabilitation 18(2):103–111

    Google Scholar 

  17. Hauber RP, Jones ML (2002) Telerehabilitation support for families at home caring for individuals in prolonged states of reduced consciousness. J Head Trauma Rehabil 17(6):535–541

    Article  Google Scholar 

  18. Jadhav C, Nair P, Krovi V (2006) Individualized interactive home-based haptic telerehabilitation. IEEE Multimed 13(3):32–39

    Article  Google Scholar 

  19. Reinkensmeyer DJ, Pang CT, Nessler JA, Painter CC (2002) Web-based telerehabilitation for the upper extremity after stroke. IEEE Trans Neural Syst Rehabil Eng 10(2):102–108

    Article  Google Scholar 

  20. Song A, Wu J, Qin G, Huang W (2007) A novel self-decoupled four degree-of-freedom wrist force/torque sensor. Measurement 40(9):883–891

    Article  Google Scholar 

  21. Song A, Pan L, Xu G, Li H (2015) Adaptive motion control of arm rehabilitation robot based on impedance identification. Robotica 33(9):1795–1812

    Article  Google Scholar 

Download references

Acknowledgments

This work is supported by the National Nature Science Foundation of China (No. 61325018, 61272379), Project of Jiangsu Province Technology Support Plan (No. BK2014026).

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Correspondence to Aiguo Song.

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Song, A., Wu, C., Ni, D. et al. One-Therapist to Three-Patient Telerehabilitation Robot System for the Upper Limb after Stroke. Int J of Soc Robotics 8, 319–329 (2016). https://doi.org/10.1007/s12369-016-0343-1

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  • DOI: https://doi.org/10.1007/s12369-016-0343-1

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