Skip to main content
Log in

Development of a robotic device for upper limb stroke rehabilitation: A user-centered design approach

  • Research Article
  • Published:
Paladyn

Abstract

Stroke is one of the major causes of permanent adult disability. Stroke frequently affects motor control of the arm, leading to diffculties in doing activities of daily living. This research focuses on developing an upper limb rehabilitation robotic prototype through user-centered design to aid stroke survivors in rehabilitating their arm. To gather requirements from end users, stroke therapy sessions were observed and a survey of stroke therapists was conducted. End user requirements were evaluated to determine technical targets for the mechanical design of the prototype. Evaluation of the prototype was done with stroke therapists in a focus group and a preliminary biomechanical study. As user-centered design would require more iterations of design, testing and evaluation, this project reports a first step in developing an affordable, portable device, which could increase access to stroke rehabilitation for the arm.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. T. Truelsen, R. Bonita, ”The worldwide burden of stroke: current status and future projections,” in Handbook of Clinical Neurology Vol 92 (3rd Series): Stroke Part I: Basic and Epidemiological Aspects, M. Fisher, Ed. Amsterdam: Elsevier, 2009, pp. 327–336.

    Google Scholar 

  2. The Consensus Panel on the Stroke Rehabilitation System, Time is function, Heart and Stroke Foundation of Ontario, Ottawa, Canada, Report April 30, 2007.

  3. F. Lowry, ”Stroke rehabilitation services inadequate, experts say.,” Can Med Assoc J, vol. 182, no. 7, pp. E283–E284, Apr. 2010.

    Article  Google Scholar 

  4. A. C. Lo et al., ”Robot-assisted therapy for long-term upper-limb impairment after stroke.,” New Engl J Med, vol. 362, no. 19, pp. 1772–1783, May. 2010.

    Article  Google Scholar 

  5. G. Kwakkel, B. J. Kollen, and H. I. Krebs, ”Effects of robot-assisted therapy on upper limb recovery after stroke: a systematic review.,” Neurorehab Neural Repair, vol. 22, no. 2, pp. 111–121, 2008.

    Article  Google Scholar 

  6. B. R. Brewer, S. K. McDowell, and L. C. Worthen-Chaudhari, ”Poststroke Upper Extremity Rehabilitation: A Review of Robotic Systems and Clinical Results,” Top Stroke Rehabil, vol. 14, no. 6, pp. 22–44, 2007.

    Article  Google Scholar 

  7. S. E. Fasoli, H. I. Krebs, J. Stein, W. R. Frontera, and N. Hogan, ”Effects of robotic therapy on motor impairment and recovery in chronic stroke,” Arch Phys Med Rehabil, vol. 84, no. 4, pp. 477–482, Apr. 2003.

    Article  Google Scholar 

  8. H. I. Krebs, N. Hogan, M. L. Aisen, and B. T. Volpe, “Robot-aided neurorehabilitation,” IEEE Trans Rehabil Eng, vol. 6, no. 1, pp. 75–87, 1998.

    Article  Google Scholar 

  9. T. Nef, M. Mihelj, and R. Riener, ”ARMin: a robot for patient-cooperative arm therapy,” Med Biol Eng Comput, vol. 45, no. 9, pp. 887–900, 2007.

    Article  Google Scholar 

  10. E. Lu, R. Wang, D. Hebert, J. Boger, M. Galea, and A. Mihailidis, ”The development of an upper limb stroke rehabilitation robot: Identification of clinical practices and design requirements through a survey of therapists,” Disabil Rehabil Assist Technol, vol. 6, no. 5, pp. 420–431, 2011.

    Article  Google Scholar 

  11. M. Lee, M. Rittenhouse, and H. A. Abdullah, ”Design Issues for Therapeutic Robot Systems: Results from a Survey of Physiotherapists,” J Intell Robot Syst, vol. 42, no. 3, pp. 239–252, Mar. 2005.

    Article  Google Scholar 

  12. K. Holtzblatt, J. B. Wendell, and S. Wood, ”Introduction,” in Rapid Contextual Design, San Francisco, CA: Morgan Kaufmann Publishers, pp. 21–31, 2005.

    Chapter  Google Scholar 

  13. D. Schuler and A. Namioka, Participatory Design: Principles and Practices. Hillsdale, NJ: Lawrence Erlbaum Associates, Inc., 1993.

    Google Scholar 

  14. J. Gulliksen, B. Goransson, I. Boivie, S. Blomkvist, J. Persson, and Cajander, ”Key principles for user-centred systems design,” Behaviour & Information Technology, vol. 22, no. 6, pp. 397–409, Nov. 2003.

    Article  Google Scholar 

  15. Y. Akao, ”An Introduction to Quality Function Deployment,” in Quality Function Deployment: Integrating Customer Requirements into Product Design, Y. Akao, Ed. Cambridge, Massachusetts: Productivity Press, 1990, pp. 3–24.

    Google Scholar 

  16. E. C. Lu, ”Development of an Upper Limb Robotic Device for Stroke Rehabilitation By Development of an Upper Limb Robotic Device for Stroke Rehabilitation,” MHSc thesis, University of Toronto, Toronto, Canada, 2011.

    Google Scholar 

  17. E. Lu, R. Wang, J. Boger, D. Hebert, and A. Mihailidis, ”Development of a rehabilitation robot: national differences in therapist practice,” in Rehabil Eng Assist Technol Soc N Am Jun 5–8, 2011, 2011.

  18. L. Chan, ”Quality function deployment: A literature review,” Eur J Oper Res, vol. 143, no. 3, pp. 463–497, Dec. 2002.

    Article  MATH  Google Scholar 

  19. J. R. Hauser and D. Clausing, “The house of quality,” Harvard Bus Rev, vol. 66, no. 3, pp. 63–73, 1988.

    Google Scholar 

  20. C. L. Ogden, P.D, and K. M. Flegal, Anthropometric Reference Data for Children and Adults?: United States, 2003–2006, no. 10. 2008, pp. 1–45.

  21. S. M. Donelson and C. C. Gordon, 1995 Matched Anthropometric Database of U.S. Marine Corps Personnel: Summary Statistics. Newton Centre, MA: United States Army Soldier Systems Command, 1996, pp. 1–224.

    Google Scholar 

  22. M. H. M. Lee and A. Moroz, ”Physical Therapy,” Merck Manuals, 2009. [Online]. Available: http://www.merckmanuals.com/professional/sec22/ch336/ch336b.html#CIHEFGGH. [Accessed: 27-Jan-2011].

  23. NB Worksafe, Ergonomics guidelines for manual handling. St. John, NB, Canada:, 2010.

  24. ”Aircanada — Carry-on Baggage,” 2009. [Online]. Available: http://www.aircanada.com/en/travelinfo/airport/baggage/carry-on.html. [Accessed: 31-Jan-2011].

  25. P. Lammertse, ”Admittance control and impedance control — a dual,” FCS Control Systems, 2004.

  26. I. A. Murray and G. R. Johnson, ”A study of the external forces and moments at the shoulder and elbow while performing every day tasks,” Clin Biomech, vol. 19, no. 6, pp. 586–594, Jul. 2004.

    Article  Google Scholar 

  27. J. Y. Ryu, W. P. Cooney, L. J. Askew, K. N. An, and E. Y. Chao, ”Functional ranges of motion of the wrist joint.,” J Hand Surg, vol. 16, no. 3, pp. 409–419, May. 1991.

    Article  Google Scholar 

  28. P. Kan, R. Huq, J. Hoey, R. Goestschalckx, and A. Mihailidis, ”The development of an adaptive upper-limb stroke rehabilitation robotic system,” Journal of NeuroEngineering and Rehabilitation.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Elaine C. Lu.

About this article

Cite this article

Lu, E.C., Wang, R., Huq, R. et al. Development of a robotic device for upper limb stroke rehabilitation: A user-centered design approach. Paladyn 2, 176–184 (2011). https://doi.org/10.2478/s13230-012-0009-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.2478/s13230-012-0009-0

Keywords

Navigation