Abstract
Clinical studies have so far not been able to show if robotic therapy is superior to conventional methods. The personalization of robot-assisted therapy according to the individual motor deficits might contribute to reach this goal. Here we present a statistical approach to automatically personalize robotic rehabilitation. Our method uses different motor performance measures to estimate motor improvement and adapt the motor task within a treatment session. This approach was tested with a pilot sub-acute stroke patient and the outcome was compared to a similar patient who underwent conventional physical therapy. Pilot results showed better outcomes in clinical tests, kinematics and muscle activity for the subject who trained using the personalized robotic approach.
Research supported by Wyss Center for Bio- and Neuro- Engineering and Bertarelli Foundation Chair in Translational Neuroengineering.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Veerbeek, J.M., Langbroek-Amersfoort, A.C., van Wegen, E.E., et al.: Effects of robot-assisted therapy for the upper limb after stroke. Neurorehabil. Neural Repair 31, 107–121 (2017)
Hesse, S., Schmidt, H., Werner, C., Bardeleben, A.: Upper and lower extremity robotic devices for rehabilitation and for studying motor control. Curr. Opin. Neurol. 16, 705–710 (2003)
Klamroth-Marganska, V., Blanco, J., Campen, K., Curt, A., Dietz, V., Ettlin, T., et al.: Three-dimensional, task-specific robot therapy of the arm after stroke: a multicentre, parallel-group randomised trial. Lancet Neurol. 13, 159–166 (2014)
Krakauer, J.W.: Motor learning: its relevance to stroke recovery and neurorehabilitation. Curr. Opin. Neurol. 19, 84–90 (2006)
Panarese, A., Colombo, R., Sterpi, I., Pisano, F., Micera, S.: Tracking motor improvement at the subtask level during robot-aided neurorehabilitation of stroke patients. Neurorehabil. Neural Repair. 26, 822–833 (2012)
Pirondini, E., Coscia, M., Marcheschi, S., Roas, G., Salsedo, F., Frisoli, A., et al.: Evaluation of the effects of the Arm Light Exoskeleton on movement execution and muscle activities: a pilot study on healthy subjects. J. Neuroeng. Rehabil. 13, 9 (2016)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this paper
Cite this paper
Pierella, C. et al. (2019). Personalizing Exoskeleton-Based Upper Limb Rehabilitation Using a Statistical Model: A Pilot Study. In: Masia, L., Micera, S., Akay, M., Pons, J. (eds) Converging Clinical and Engineering Research on Neurorehabilitation III. ICNR 2018. Biosystems & Biorobotics, vol 21. Springer, Cham. https://doi.org/10.1007/978-3-030-01845-0_23
Download citation
DOI: https://doi.org/10.1007/978-3-030-01845-0_23
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-01844-3
Online ISBN: 978-3-030-01845-0
eBook Packages: EngineeringEngineering (R0)