Rehabilitation Robotics :Technology and Application

Publication subTitle :Technology and Application

Author: Colombo   Roberto;Sanguineti   Vittorio  

Publisher: Elsevier Science‎

Publication year: 2018

E-ISBN: 9780128119969

P-ISBN(Paperback): 9780128119952

Subject: R3 Basic Medical

Keyword: 基础医学

Language: ENG

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Description

Rehabilitation Robotics gives an introduction and overview of all areas of rehabilitation robotics, perfect for anyone new to the field. It also summarizes available robot technologies and their application to different pathologies for skilled researchers and clinicians. The editors have been involved in the development and application of robotic devices for neurorehabilitation for more than 15 years. This experience using several commercial devices for robotic rehabilitation has enabled them to develop the know-how and expertise necessary to guide those seeking comprehensive understanding of this topic.

Each chapter is written by an expert in the respective field, pulling in perspectives from both engineers and clinicians to present a multi-disciplinary view. The book targets the implementation of efficient robot strategies to facilitate the re-acquisition of motor skills. This technology incorporates the outcomes of behavioral studies on motor learning and its neural correlates into the design, implementation and validation of robot agents that behave as ‘optimal’ trainers, efficiently exploiting the structure and plasticity of the human sensorimotor systems. In this context, human-robot interaction plays a paramount role, at both the physical and cognitive level, toward achieving a symbiotic interaction where the human body and the robot can benefit from each other’s dynamics.

  • Provides a comprehensive review of recent developments in the area o

Chapter

Rehabilitation Robotics: Technology and Applications

PART I: Background and Technology

Neurophysiology

Technology and Design Concepts

Computational Neurorehabilitation

Software Environments for Rehabilitation Robotics

PART II: Applications

High Intensity, Assist-As-Needed Therapy to Improve Motor Functions

Robots Not Only for Stroke Rehabilitation

Integrating Robot Therapy With Neuro- and Psychophysiological Techniques

Robots And Information Technologies Advances Toward Long-Term Intervention

Chapter 1: Physiological basis of neuromotor recovery

Introduction

The Functional Organization of the Motor Network

Motor Network Activity and Movement

The Physiology of Ischemic Infarctions

Motor Deficits Following Stroke

Motor Network Plasticity Following Infarction

Functional Plasticity Following Infarction

Human Studies

Animal Models of Cortical Injury

Conclusions and Implications for Rehabilitative Therapies

References

Chapter 2: An overall framework for neurorehabilitation robotics: Implications for recovery

Introduction

Hierarchical Architecture of the Motor System

Functional Synergies

Neural Plasticity and Functional Recovery, After Lesion of the Central Nervous System

The Neurobiology of Motor Skills Acquisition and Learning for Rehabilitation

Rehabilitation Modalities

Characteristics of Successful Strategies for Neurorehabilitation: Clinical Evidence

Conclusion

References

Chapter 3: Biomechatronic design criteria of systems for robot-mediated rehabilitation therapy

Introduction

Design Criteria of Biomechatronic Devices for Robot-Mediated Rehabilitation

Modeling the Human Component

Overview of Control Strategies

The CBM-Motus and the LENAR: Two Case Studies

CBM-Motus: A Planar Robot for Upper Limb Neurorehabilitation

LENAR: A Nonanthropomorphic Wearable Exoskeleton for Human Walking Assistance and Rehabilitation

Conclusions

Acknowledgments

References

Chapter 4: Actuation for robot-aided rehabilitation: Design and control strategies

Introduction

Robot Architectures and Actuators

Control Strategies

Mechanical Impedance/Admittance Control

Impedance control

Admittance control

Friction and Backlash Compensation

Friction

Backlash

Implications for the Control of Rehabilitation Robots

Conclusion

References

Chapter 5: Assistive controllers and modalities for robot-aided neurorehabilitation

Introduction

Therapeutic Exercises

Haptic Simulation

Challenge-Based

Assistive

Assistive Scenarios

Assistive Controllers

Assistance Modalities

Continuous assistance

Time-triggered assistance

Activity-triggered assistance

Pulsed assistance

Negative assistance

Regulation of Assistance

Other Types of Assistance

Bilateral Training

Sensory Training

Conclusions

References

Chapter 6: Exoskeletons for upper limb rehabilitation

Introduction

Design of Exoskeletons

Kinematic Issues in Exoskeleton Design

Actuation Issues

Gear drive designs

Tendon transmission designs

Series elastic and variable impedance

Summary of actuation solutions

Clinical Evidences of Upper Limb Rehabilitation With Exoskeletons

Conclusions

References

Chapter 7: Exoskeletons for lower-limb rehabilitation

Introduction

Lower Limb Exoskeletons for Rehabilitation: State of the Art

New Horizons for Wearable Exoskeleton Technology: Symbiotic Interaction

Bioinspired Actuation in Wearable Exoskeletons for Walking

Conventional actuator technologies

Compliant actuators

Lightweight, low power controllable actuators

Bioinspired Control

Biomechanical principles

Admittance and impedance controllers

Setting references for robotic control

Neuromusculoskeletal (NMS) modelling for feedback and control

Conclusion

References

Further Reading

Chapter 8: Performance measures in robot assisted assessment of sensorimotor functions

Introduction

Classification of Robot-Measured Parameters

Measures Describing Motor Function

Measures Describing Sensory Function

Measures Describing Cognitive Function

Monitoring Components of Motor Recovery

Modeling Motor Recovery

Adapting Therapy Based on Motor Performance

Relationship Between Clinical and Robotic Measures

Conclusion

References

Chapter 9: Computational models of the recovery process in robot-assisted training

Introduction

Computational Models of Motor Learning

Models of Sensorimotor Adaptation

Multirate adaptation

Spatial generalization

Models of Motor Skill Learning

Models of Neuromotor Recovery

Models of Recovery at Neural Level

Models of Recovery at Function Level

Modeling the Role of Robot Assistance

Multirate and Spatial Generalization Models of Recovery

System Identification Techniques

Conclusions

References

Chapter 10: Interactive robot assistance for upper-limb training

Introduction

Optimal Control Interaction Framework

Master-Slave Interaction for Passive Training

Education-Type Interaction for Physical Rehabilitation

Interaction With Poststroke Individuals

Challenging Physical Rehabilitation Through Competition

Stable, Reactive and Adaptive Interaction Control Based on Game Theory

Conclusion

Acknowledgments

References

Chapter 11: Promoting motivation during robot-assisted rehabilitation

Introduction: Why is motivation important?

Virtual reality in robot-aided rehabilitation

Determining the patient’s goal in a virtual environment

Designing the appearance of the virtual environment

Ensuring appropriate challenge

Measuring motivation

Conclusion

References

Chapter 12: Software platforms for integrating robots and virtual environments

Introduction

Software Platforms

Robot Operating System

MATLAB/Simulink and VRML

H3dapi

Chai3d

Haptik Library

OpenHaptics

Unity

Conclusions

References

Further Reading

Chapter 13: Twenty+ years of robotics for upper-extremity rehabilitation following a stroke

Introduction

Neuroscience Principles

Rehabilitation Robotic Principles

Backdrivability and Performance

Impedance Control

Adaptive Control

MIT-Manus and Other Rehabilitation Robotics

Big Picture

1990’s Studies: Sub-Acute Stroke Phase

2000’s Studies: Chronic Stroke

Conclusion

Acknowledgment

References

Chapter 14: Three-dimensional, task-oriented robot therapy

Exoskeletons

Haptic Guidance

Task-Oriented Training

ARMin

ARMin Modes of Therapy

Clinical Experience With 3D Devices

Interpersonal Task Oriented Training

Outlook

References

Chapter 15: Robot-assisted rehabilitation of hand function

Introduction

Robotic Approaches for Hand Rehabilitation

Powered Hand Exoskeleton Devices

End-Effector Hand Rehabilitation Robots

Entire Upper Limb Solutions

Clinical Studies on Robot-Assisted Rehabilitation of Hand Function

Discussion

Clinical Evidence Supports the Application of Robotic Systems for Hand Rehabilitation

Training Modalities to Restore Hand Function and Promote Increased Intensity

The Clinical Need for Simple Devices

Potential to Further Promote Recovery Through Robot-Assisted Therapy of Hand Function

Conclusions

Acknowledgments

References

Chapter 16: Robot-assisted gait training

Introduction

Examples of Gait Rehabilitation Robots

Exoskeletal Robotic Systems

End-effector-Based Robotic Systems

Systems Supporting Overground Gait Training

Control Strategies

Clinical Outcomes

Stroke Therapy

Therapy of Spinal Cord Injury and Further Pathologies

Conclusion and Outlook

References

Chapter 17: Wearable robotic systems and their applications for neurorehabilitation

Introduction

Technological Barriers and Scientific Challenges

Compatibility of the Mechanical Structure

Actuators

Sensors

Energy Expenditure

Main Existing Devices

Rigid Systems for Assistance to a Single Joint

Lower limbs

Upper limbs

Multilink Rigid Systems for the Whole Lower Limbs

Passive orthoses

Powered orthoses and exoskeletons

Hybrid systems

Multilink Rigid Systems for the Upper-Limb and the Hand

Full body exoskeletons

Upper limbs

Hands

Soft Robotics and Suits

Wearable Interactive Systems

Conclusion

Acknowledgments

References

Chapter 18: Robot-assisted rehabilitation in multiple sclerosis: Overview of approaches, clinical outcomes, and perspectives

Introduction

Part I. Upper Limb Training

Part II. Gait Training

Clinical Effects of BWSTT and RAGT

Biomechanical Effects of BWSTT and RAGT in the Trunk and Lower Extremity

Conclusion of RAGT

References

Chapter 19: Robots for cognitive rehabilitation and symptom management

Introduction

A Case Study: Use of a SAR in Therapeutic Interventions With Cognitively Impaired Elderly

Clinical Protocol for SARs: Using PARO in the Clinical Setting

Conclusion

References

Chapter 20: Hybrid FES-robot devices for training of activities of daily living

Introduction

Hybrid Assistive Systems

Hybrid Assistive Systems for the Future

Take-Home Message

References

Chapter 21: Robotic techniques for the assessment of proprioceptive deficits and for proprioceptive training

What Is Proprioception and Why Is It Important?

Assessment of Proprioceptive Deficits

Clinical Scales

Robotic Assessment Methods

Joint position matching methods (JPM)

Unilateral vs bilateral matching protocols

Performance assessment: Accuracy vs precision

Adapting testing protocols to limitations due to neuromotor deficits

Psychophysical threshold methods (PTM)

Robotic Protocols of Proprioceptive Training

Enriching Robotic Assistance With Supplemental Proprioceptive Feedback

Conclusion

References

Chapter 22: Psychophysiological responses during robot-assisted rehabilitation

Introduction

Expression of Human Emotion

Physiological Signal Acquisition

Physiological Features

Electrocardiogram Physiological Features

Skin Conductance Signal Physiological Features

Respiration Signal Physiological Features

Peripheral Skin Temperature Physiological Features

An Example of Recording Physiological Signals

Physiological Responses

Physiological Responses in Healthy Subjects

Physiological Responses in a Stroke Population

Using Physiological Responses to Condition Human-Robot Interaction

Biocooperative Loop Control: State of the Art

Conclusion

References

Further Reading

Chapter 23: Muscle synergies approach and perspective on application to robot-assisted rehabilitation

Introduction

How to Extract Muscle Synergies From Muscle Activity

Muscle Synergies Evidences in Humans and Their Implication for Rehabilitation

Muscle Synergies in Stroke

Muscle Synergies in Spinal Cord Injury

Muscle Synergies in Parkinson’s Disease

Muscle Synergies in Multiple Sclerosis

Muscle Synergies During Robot-Assisted Rehabilitation

Muscle Synergies as a Quantitative Assessment for Robot-Aided Rehabilitation

Muscle Synergies for the Design of Control Strategies for Rehabilitative Devices

Conclusions and Future Trends

References

Chapter 24: Telerehabilitation Robotics: Overview of approaches and clinical outcomes

Introduction and Impetus for Telerehabilitation Robotics

Survey of Technology

Level of User Involvement/Assistance

Treatment Target

Implementations

Deployment

Intervention Protocols, Strategies, and Dosing

Monitoring/Oversight

Outcomes

Clinical

Satisfaction and Quality of Life

Increase Utilization

Cost

Conclusion and Future Directions

References

Index

Back Cover

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