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Interactive Robotic Training Modes In Self-telerehabilitation.

机译：自我远程康复中的交互式机器人培训模式。

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摘要

Despite the existing evidence of possible recovery long after the onset of stroke, regaining functional use of upper extremity has been an ongoing challenge. Recent neurorehabilitation studies have pointed to technological manipulation of error signals during practice to stimulate improvement in coordination for individuals with a history of stroke. This thesis contains four studies dedicated to exploring prospects of teleoperation using advanced haptic/graphic environments for hemiparetic patients. Reviewing the existing robotic rehabilitation technology, we investigated the concept of error augmentation in addition to standard therapist-guided repetitive practice and how it translates into clinical outcomes in hemiparetic stroke survivors. Development of bimanual skills plays a major role in fostering recovery in neural injuries resulting in hemiparesis, because recovery of both the affected arm, as well as the coordination of both arms, is critical to the restoration of quality of life. In the next step, using healthy subjects, we dug deeper into the bimanual movement and its underlying mechanisms. One experiment examined the intuitiveness of different bimanual reaching modes; mirror versus parallel. In a second experiment, the concept of bimanual movement was tested in a more complicated drawing task where only the left-hand was challenged with a visual transformation, and both hands must have moved either simultaneously or sequentially. These results were then employed in the design of a bimanual self-telerehabilitation experiment tested on chronic stroke survivors. The combination of these studies highlight new prospects for training and functional recovery, and opens new doors for future creative applications such as gaming or full body activity to enhance practice in a variety of fields.
机译：尽管已有证据表明中风发作后很长一段时间可能会恢复，但是重新获得上肢的功能使用一直是一项持续的挑战。最近的神经康复研究指出，在练习过程中对错误信号进行技术处理可刺激具有中风病史的个体的协调能力得到改善。本论文包含四项研究，旨在探索偏瘫患者使用先进的触觉/图形环境进行远程手术的前景。回顾了现有的机器人康复技术，除了标准的治疗师指导的重复性练习之外，我们还研究了错误增加的概念，以及如何将其转化为偏瘫中风幸存者的临床结果。双向技能的开发在促进导致偏瘫的神经损伤的恢复中起着重要作用，因为受影响的手臂的恢复以及手臂的协调对于恢复生活质量至关重要。在下一步中，使用健康的受试者，我们将更深入地研究双手运动及其潜在机制。一项实验检查了不同的双向到达模式的直观性；镜像与并行。在第二个实验中，在更复杂的绘图任务中测试了双向运动的概念，在该任务中，只有左手受到了视觉变换的挑战，并且两只手必须同时或顺序移动。然后将这些结果用于对慢性卒中幸存者进行测试的双手自我远程康复实验的设计。这些研究的结合突出了训练和功能恢复的新前景，并为未来的创造性应用（例如游戏或全身活动）打开了新的大门，从而增强了各个领域的练习能力。

著录项

  • 作者

    Abdollahi, Farnaz.;

  • 作者单位

    University of Illinois at Chicago.;

  • 授予单位 University of Illinois at Chicago.;
  • 学科 Engineering Biomedical.
  • 学位 Ph.D.
  • 年度 2013
  • 页码 108 p.
  • 总页数 108
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 遥感技术;
  • 关键词

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