Skip to main content

Towards an Integrated Approach to Multimodal Assistance of Stroke Patients Based on the Promotion of Intentionality

  • Conference paper
Converging Clinical and Engineering Research on Neurorehabilitation

Part of the book series: Biosystems & Biorobotics ((BIOSYSROB,volume 1))

Abstract

Different techniques for the rehabilitation of stroke patients have been developed so far mostly in isolation, namely robot therapy and functional electrical therapy. In many systems, assistance (either haptic or electrical) is provided without taking into account the intentionality of the patient. In this paper we review some general issues and advocate the need of an integrated approach to multimodal assistance, based on the evaluation of intentionality.

This work was supported in part by the EU, under FP7 project HUMOUR (grant n. ICT- 231724), and by internal funds of IIT (Istituto Italiano di Tecnologia, Genoa, Italy).

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 259.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 329.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Nudo, R.J.: Mechanisms for recovery of motor function following cortical damage. Current Opinion Neurobio. 16, 638–644 (2006)

    Article  Google Scholar 

  2. Nudo, R.J.: Postinfarct cortical plasticity and behavioral recovery. Stroke 38, 840–845 (2007)

    Article  Google Scholar 

  3. Cumberland, C.W.G.: The future of restorative neurosciences in stroke. NNR 23, 97–107 (2009)

    Google Scholar 

  4. Blennerhassett, J., Dite, W.: Additional task-related practice improves mobility and upper limb function early after stroke: A randomised controlled trial. Aust. J. Physiother. 50, 219–224 (2004)

    Article  Google Scholar 

  5. Higgins, J., et al.: The effect of a task-oriented intervention on arm function in people with stroke: A randomized controlled trial. Clin. Rehab. 20, 296–310 (2006)

    Article  Google Scholar 

  6. Timmermans, A.A., et al.: Influence of Task-Oriented Training Content on Skilled Arm-Hand Performance in Stroke. Neurorehab. Neural Repair 24, 858–870 (2010)

    Article  Google Scholar 

  7. Casadio, M., et al.: A proof of concept study for the integration of robot therapy with physiotherapy in the treatment of stroke patient. Clinical Rehab. 23, 217–228 (2009)

    Article  Google Scholar 

  8. Casadio, M., et al.: Minimally assistive robot training for proprioception-enhancement. Exp. Brain Res. 194, 219–231 (2009)

    Article  Google Scholar 

  9. Masia, L., et al.: Performance adaptive training control strategy for recovering wrist movements in stroke patients. J. NeuroEngi. Rehab. 6, 44 (2009)

    Article  Google Scholar 

  10. Vergaro, E., et al.: Self-adaptive robot-training of stroke patients for continuous tracking movements. J. NeuroEngi. Rehab. 7, 13 (2010)

    Article  Google Scholar 

  11. Masia, L., et al.: Reduced short term adaptation to robot generated dynamic environment in children affected by congenital hemiparesis. J. NeuroEngi. Rehab. 8, 28 (2011)

    Article  Google Scholar 

  12. Niazi, I.K., et al.: Detection of movement intention from single-trial movement-related cortical potentials. J. NeuroEngi. Rehab. 8, 6 (2011)

    Article  Google Scholar 

  13. Hayashi, Y., et al.: A feasible study of EEG driven assist robot system for stroke rehabilitation. In: BioRob 2012, Rome (2012)

    Google Scholar 

  14. Takata, Y., et al.: Analysis of Key Factors on ERD Production for BCI Neuro-Robotic Rehabilitation. In: BioRob 2012, Rome (2012)

    Google Scholar 

  15. Osu, R., et al.: A pilot study of contralateral homonymous muscle activity simulated electrical stimulation in chronic hemiplegia. Brain Inj. 26, 1105–1112 (2012)

    Article  Google Scholar 

  16. Kazerooni, H., Guo, J.: Human Extenders. Trans. ASME J. Dyn. Syst., Meas. Control 115, 281–290 (1993)

    Article  Google Scholar 

  17. Peshkin, M., Colgate, J.E.: COBOTS. Industrial Robot 26, 335–341 (1999)

    Article  Google Scholar 

  18. Mussa-Ivaldi, F.A., et al.: New Perspectives on the Dialogue between Brains and Machines. Front Neurosci. 4, 44 (2010)

    Google Scholar 

  19. Casadio, M., et al.: Body machine interface: remapping motor skills after spinal cord injury. In: IEEE ICORR 2011, Zurich (2011)

    Google Scholar 

  20. Reinkensmeyer, D.J., et al.: Slacking by the human motor system: computational models and implications for robotic orthoses. In: IEEE EMBC, Minneapolis (2009)

    Google Scholar 

  21. Piovesan, D., et al.: Multijoint arm stiffness during movements following stroke: implications for robot therapy. In: IEEE ICORR, Zurich (2011)

    Google Scholar 

  22. Squeri, V., et al.: Integrating proprioceptive assessement with proprioceptive training of stroke patients. In: IEEE ICORR, Zurich (2011)

    Google Scholar 

  23. Munih, M., et al.: River multimodal scenario for rehabilitation robotics. In: IEEE ICORR, Zurich (2011)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Pietro Morasso .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Morasso, P. (2013). Towards an Integrated Approach to Multimodal Assistance of Stroke Patients Based on the Promotion of Intentionality. In: Pons, J., Torricelli, D., Pajaro, M. (eds) Converging Clinical and Engineering Research on Neurorehabilitation. Biosystems & Biorobotics, vol 1. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-34546-3_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-34546-3_4

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-34545-6

  • Online ISBN: 978-3-642-34546-3

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics