Abstract
As a kind of progressive obstructive pulmonary disease, chronic obstructive pulmonary disease (COPD) is seriously harmful to people’s health, especially for the elder. People with COPD usually have symptoms of respiratory discomfort, leg tiredness, and even dyspnea. Traditionally, pulmonary rehabilitation is considered as an important management and treatment for COPD and is widely applied in clinics. The pulmonary rehabilitation training robot proposed in this paper is designed based on the pulmonary rehabilitation principle. Additionally, this respiratory robot can effectively assist COPD patients with respiratory rehabilitation training exercise, relief the burden of respiratory muscle and help them adjust the respiratory strategy. In the experimental study, we used the wireless EMG measurement technique to study the activity of respiratory muscle during training exercise and found that the activity of the diaphragm muscle decreases under training state comparing with that the nonassisted state. In addition, with the increase of the motor’s speed, the diaphragm muscle becomes less active. We also studied the motion changes of the subject’s chest and diaphragm muscle during training through motion capture system.
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Ambrosino N, Casaburi R, Ford G et al (2008) Developing concepts in the pulmonary rehabilitation of COPD. J Respir Med 102(1):17–26. doi:10.1016/S0954-6111(08)70002-7
Cielen N, Maes K, Gayan-Ramirez G (2014) Musculoskeletal disorders in chronic obstructive pulmonary disease. BioMed Res Int, 2014:1–17. [http://dx.doi.org/10.1155/2014/965764]
Duiverman ML, Eykern LAV, Vennik PW et al (2004) Reproducibility and responsiveness of a noninvasive EMG technique of the respiratory muscles in COPD patients and in healthy subjects. J Appl Physiol 96(5):1723–1729. doi:10.1152/japplphysiol.00914.2003
Lopez-Campos JL, Calero C, Quintana-Gallego E (2013) Symptom variability in COPD: a narrative review. Int J COPD 8:231–238. doi:10.2147/COPD.S42866
Marc D (2009) Response of the respiratory muscles to rehabilitation in COPD. J Appl Physiol 107(3):971–976. doi:10.1152/japplph-ysiol.91459.2008
McCarthy B, Casey D, Devane D et al (2015) Pulmonary rehabilitation for chronic obstructive pulmonary disease (Review). Cochrane Database Syst Rev 2(2):CD003793. [10.1002/14651858.CD003793.pub3]
Ottenheijm CAC, Heunks LMA, Sieck GC et al (2005) Diaphragm dysfunction in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 172(2):200–205. doi:10.1164/rccm.200502-26OC2OC
Rochester CL (2003) Exercise training in chronic obstructive pulmonary disease. J Rehabil Res Dev 40(5):59–80
Romagnoli I, Scano G, Binazzi B et al (2013) Effects of unsupported arm training on arm exercise-related perception in COPD patients. J Respir Physiol Neurobiol 186(1):95–102. doi:10.1016/j.resp.2013.01.005
Scullion J, Holmes S (2010) Chronic obstructive pulmonary disease (COPD): updated guidelines. Prim Health Care 20(8):33
Sin DD, Anthonisen NR, Soriano JB et al (2006) Mortality in COPD: role of comorbidities. Eur Respir J 28(6):1245–1257. doi:10.1183/09031936.00133805
Troosters T, Casaburi R, Gosselink R et al (2005) Pulmonary rehabilitation in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 172(1):19–38. doi:10.1164/rccm.200408-1109SO
William M (2003) COPD: causes and pathology. Medicine 31(12):71–75. doi:10.1383/medc.31.12.71.27170
Zhu ZH, Liu T, Li GY et al (2015a) Wearable sensor systems for infants. Sensors 15(2):3721–3749. doi:10.3390/s150203721
Zhu ZH, Cong B, Liu FP et al (2015b). Design of respiratory training robot in rehabilitation of chronic obstructive pulmonary disease. In: 2015 IEEE international conference on advanced intelligent mechatronics (AIM), p 866–870
Acknowledgments
Project supported by the National Natural Science Foundation of China (NSFC) under grants 61428304, Zhejiang Provincial Natural Science Foundation of China under Grant No. LR15E050002, and the China State Key Laboratory of Robotics and System (HIT) SKLRS-2014-ZD-04.
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© 2017 Zhejiang University Press and Springer Science+Business Media Singapore
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Zhu, Zh., Liu, T., Cong, B., Liu, F. (2017). A Pulmonary Rehabilitation Training Robot for Chronic Obstructive Pulmonary Disease Patient. In: Yang, C., Virk, G., Yang, H. (eds) Wearable Sensors and Robots. Lecture Notes in Electrical Engineering, vol 399. Springer, Singapore. https://doi.org/10.1007/978-981-10-2404-7_20
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DOI: https://doi.org/10.1007/978-981-10-2404-7_20
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