Rehabilitation Robotics: Performance-Based Progressive Robot-Assisted Therapy

@article{Krebs2003RehabilitationRP,
  title={Rehabilitation Robotics: Performance-Based Progressive Robot-Assisted Therapy},
  author={Hermano Igo Krebs and Jerome Joseph Palazzolo and Laura Dipietro and Mark Ferraro and Jennifer Krol and Keren Rannekleiv and Bruce T. Volpe and Neville Hogan},
  journal={Autonomous Robots},
  year={2003},
  volume={15},
  pages={7-20}
}
In this paper we describe the novel concept of performance-based progressive robot therapy that uses speed, time, or EMG thresholds to initiate robot assistance. We pioneered the clinical application of robot-assisted therapy focusing on stroke—the largest cause of disability in the US. We have completed several clinical studies involving well over 200 stroke patients. Research to date has shown that repetitive task-specific, goal-directed, robot-assisted therapy is effective in reducing motor… Expand
Current Trends in Robot-Assisted Upper-Limb Stroke Rehabilitation: Promoting Patient Engagement in Therapy
TLDR
Robotic stroke rehabilitation has received significant attention for upper-limb therapy due to its ability to provide high-intensity repetitive movement therapy with less effort than would be required for traditional methods. Expand
Robot-Aided Neurorehabilitation: A Robot for Wrist Rehabilitation
  • H. Krebs, B. Volpe, +4 authors N. Hogan
  • Engineering, Medicine
  • IEEE Transactions on Neural Systems and Rehabilitation Engineering
  • 2007
TLDR
The results demonstrate that further improvement should be expected by adding additional training to other limb segments by a robot for wrist rehabilitation designed to provide three rotational degrees-of-freedom. Expand
Robot-Assisted Therapy in Upper Extremity Hemiparesis: Overview of an Evidence-Based Approach
TLDR
This overview addresses basic principles related to robotic therapy applied to upper limb paresis and demonstrates how this innovation is an evidence-based approach that meets both the improved clinical and more fundamental knowledge-base about regaining effective motor function after stroke and the need of more objective, flexible and controlled therapeutic paradigms. Expand
Model-based Control of Upper Extremity Human-Robot Rehabilitation Systems
TLDR
A high-fidelity biomechatronic model of the human-robot interaction is developed and model-based controllers for an endeffector-based upper extremity stroke rehabilitation robot are presented to achieve a reliable and real-time implementable controller. Expand
Motor improvement estimation and task adaptation for personalized robot-aided therapy: a feasibility study
TLDR
The results demonstrated the feasibility of the proposed model-based approach for the personalization of robot-aided rehabilitation therapy within training sessions and illustrated the model’s capability to differentiate distinct motor improvement progressions among subjects and subtasks. Expand
A Comprehensive Analysis of a Novel Real-time Adaptive Assist-as-needed Controller for Robot-assisted Rehabilitation for Stroke Patients
Background: Rehabilitation therapy plays an essential role in assisting stroke patients in regaining function. For this reason, many studies have been conducted to optimize rehabilitationExpand
Motor improvement estimation and task adaptation for personalized robot-aided therapy: a feasibility study
TLDR
A model-based approach to personalize robot-aided rehabilitation therapy within training sessions that combines the information from different motor performance measures recorded from the robot to continuously estimate patients’ motor improvement for a series of point-to-point reaching movements in different directions is presented. Expand
Adaptive Impedance Control Applied to Robot-Aided Neuro-Rehabilitation of the Ankle
TLDR
An assistive-resistive approach to promote active patient participation during robotic therapy and a novel approach for real-time adaptation of the robotic assistance according to the instantaneous patient's participation and performance are recommended. Expand
Robot-Assisted Arm Training in Chronic Stroke: Addition of Transition-to-Task Practice
TLDR
The replacement of part of the robotic training with nonrobotic tasks did not reduce treatment effect and may benefit stroke-affected hand use and motor task performance and Chronic UE motor deficits are responsive to intensive robot-assisted therapy of 45 or 60 minutes per session duration. Expand
Robot assisted rehabilitation of the arm after stroke: prototype design and clinical evaluation
TLDR
A novel upper limb rehabilitation robot that can provide safe and compliant force feedbacks to the patient for the benefits of its stiff and low-inertia parallel structure, highly backdrivable capstan-cable transmission, and impedance control method in the workspace is presented. Expand
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