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description Publicationkeyboard_double_arrow_right Article 2019 United StatesPublisher:Springer Science and Business Media LLC Funded by:NIH | EFFECTIVENESS OF ROBOT-AS..., NIH | HealthyMe/MiSalud Smartph..., NIH | Interdisciplinary Enginee...NIH| EFFECTIVENESS OF ROBOT-ASSISTED HAND MOVEMENT TRAINING AFTER STROKE ,NIH| HealthyMe/MiSalud Smartphone Application: Identifying Mechanisms to Engage African Americans and Hispanics in Personal Health Libraries ,NIH| Interdisciplinary Engineering Career Development Center in Movement and Rehabilitation SciencesAuthors: Reinkensmeyer, David J.;Reinkensmeyer, David J.;Abstract On JNER’s 15th anniversary, this editorial analyzes the state of the field of neuroengineering and rehabilitation. I first discuss some ways that the nature of neurorehabilitation research has evolved in the past 15 years based on my perspective as editor-in-chief of JNER and a researcher in the field. I highlight increasing reliance on advanced technologies, improved rigor and openness of research, and three, related, new paradigms – wearable devices, the Cybathlon competition, and human augmentation studies – indicators that neurorehabilitation is squarely in the age of wearability. Then, I briefly speculate on how the field might make progress going forward, highlighting the need for new models of training and learning driven by big data, better personalization and targeting, and an increase in the quantity and quality of usability and uptake studies to improve translation.
Journal of NeuroEngi... arrow_drop_down Journal of NeuroEngineering and RehabilitationArticle . 2019Full-Text: http://europepmc.org/articles/PMC6864952Data sources: PubMed CentraleScholarship - University of CaliforniaArticle . 2019Data sources: eScholarship - University of CaliforniaJournal of NeuroEngineering and RehabilitationArticle . 2019 . Peer-reviewedLicense: CC BYData sources: Crossrefadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://www.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1186/s12984-019-0610-0&type=result"></script>'); --> </script>
For further information contact us at helpdesk@openaire.euAccess Routesgold 12 citations 12 popularity Top 10% influence Average impulse Top 10% Powered by BIP!more_vert Journal of NeuroEngi... arrow_drop_down Journal of NeuroEngineering and RehabilitationArticle . 2019Full-Text: http://europepmc.org/articles/PMC6864952Data sources: PubMed CentraleScholarship - University of CaliforniaArticle . 2019Data sources: eScholarship - University of CaliforniaJournal of NeuroEngineering and RehabilitationArticle . 2019 . Peer-reviewedLicense: CC BYData sources: Crossrefadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://www.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1186/s12984-019-0610-0&type=result"></script>'); --> </script>
For further information contact us at helpdesk@openaire.eudescription Publicationkeyboard_double_arrow_right Article , Other literature type 2017 United StatesPublisher:SAGE Publications Funded by:NIH | EFFECTIVENESS OF ROBOT-AS..., NIH | Institute for Clinical an...NIH| EFFECTIVENESS OF ROBOT-ASSISTED HAND MOVEMENT TRAINING AFTER STROKE ,NIH| Institute for Clinical and Translational ScienceRowe, Justin B; Chan, Vicky; Ingemanson, Morgan L; Cramer, Steven C; Wolbrecht, Eric T; Reinkensmeyer, David J;Background. Robots that physically assist movement are increasingly used in rehabilitation therapy after stroke, yet some studies suggest robotic assistance discourages effort and reduces motor learning. Objective. To determine the therapeutic effects of high and low levels of robotic assistance during finger training. Methods. We designed a protocol that varied the amount of robotic assistance while controlling the number, amplitude, and exerted effort of training movements. Participants (n = 30) with a chronic stroke and moderate hemiparesis (average Box and Blocks Test 32 ± 18 and upper extremity Fugl-Meyer score 46 ± 12) actively moved their index and middle fingers to targets to play a musical game similar to GuitarHero 3 h/wk for 3 weeks. The participants were randomized to receive high assistance (causing 82% success at hitting targets) or low assistance (55% success). Participants performed ~8000 movements during 9 training sessions. Results. Both groups improved significantly at the 1-month follow-up on functional and impairment-based motor outcomes, on depression scores, and on self-efficacy of hand function, with no difference between groups in the primary endpoint (change in Box and Blocks). High assistance boosted motivation, as well as secondary motor outcomes (Fugl-Meyer and Lateral Pinch Strength)—particularly for individuals with more severe finger motor deficits. Individuals with impaired finger proprioception at baseline benefited less from the training. Conclusions. Robot-assisted training can promote key psychological outcomes known to modulate motor learning and retention. Furthermore, the therapeutic effectiveness of robotic assistance appears to derive at least in part from proprioceptive stimulation, consistent with a Hebbian plasticity model.
https://journals.sag... arrow_drop_down eScholarship - University of CaliforniaArticle . 2017Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2017Data sources: eScholarship - University of Californiahttps://doi.org/10.1177/154596...Article . 2017 . Peer-reviewedLicense: SAGE TDMData sources: Crossrefadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://www.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1177/1545968317721975&type=result"></script>'); --> </script>
For further information contact us at helpdesk@openaire.euAccess RoutesGreen bronze 75 citations 75 popularity Top 1% influence Top 10% impulse Top 10% Powered by BIP!more_vert https://journals.sag... arrow_drop_down eScholarship - University of CaliforniaArticle . 2017Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2017Data sources: eScholarship - University of Californiahttps://doi.org/10.1177/154596...Article . 2017 . Peer-reviewedLicense: SAGE TDMData sources: Crossrefadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://www.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1177/1545968317721975&type=result"></script>'); --> </script>
For further information contact us at helpdesk@openaire.eudescription Publicationkeyboard_double_arrow_right Article 2016 Italy, Netherlands, United Kingdom, Germany, United States, Netherlands, NetherlandsPublisher:Springer Science and Business Media LLC Funded by:EC | REMAKE, NIH | EFFECTIVENESS OF ROBOT-AS..., EC | BALANCE +3 projectsEC| REMAKE ,NIH| EFFECTIVENESS OF ROBOT-ASSISTED HAND MOVEMENT TRAINING AFTER STROKE ,EC| BALANCE ,NIH| Optimizing the Dose of Rehabilitation After Stroke ,EC| CogIMon ,NIH| Dose-Response of Movement Practice During Stroke RehabilitationReinkensmeyer, David J.; Burdet, Etienne; Casadio, Maura; Krakauer, John W.; Kwakkel, Gert; Lang, Catherine E.; Swinnen, Stephan P.; Ward, Nick S.; Schweighofer, Nicolas;Despite progress in using computational approaches to inform medicine and neuroscience in the last 30 years, there have been few attempts to model the mechanisms underlying sensorimotor rehabilitation. We argue that a fundamental understanding of neurologic recovery, and as a result accurate predictions at the individual level, will be facilitated by developing computational models of the salient neural processes, including plasticity and learning systems of the brain, and integrating them into a context specific to rehabilitation. Here, we therefore discuss Computational Neurorehabilitation, a newly emerging field aimed at modeling plasticity and motor learning to understand and improve movement recovery of individuals with neurologic impairment. We first explain how the emergence of robotics and wearable sensors for rehabilitation is providing data that make development and testing of such models increasingly feasible. We then review key aspects of plasticity and motor learning that such models will incorporate. We proceed by discussing how computational neurorehabilitation models relate to the current benchmark in rehabilitation modeling - regression-based, prognostic modeling. We then critically discuss the first computational neurorehabilitation models, which have primarily focused on modeling rehabilitation of the upper extremity after stroke, and show how even simple models have produced novel ideas for future investigation. Finally, we conclude with key directions for future research, anticipating that soon we will see the emergence of mechanistic models of motor recovery that are informed by clinical imaging results and driven by the actual movement content of rehabilitation therapy as well as wearable sensor-based records of daily activity.
Publications at Biel... arrow_drop_down Publications at Bielefeld University; ZENODO; Archivio istituzionale della ricerca - Università di Genova; Journal of NeuroEngineering and RehabilitationOther literature type . Article . 2016 . Peer-reviewedLicense: CC BYEurope PubMed CentralArticle . 2016Full-Text: http://europepmc.org/articles/PMC4851823Data sources: PubMed CentralSpiral - Imperial College Digital RepositoryArticle . 2016Data sources: Spiral - Imperial College Digital RepositoryeScholarship - University of CaliforniaArticle . 2016Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2016Data sources: eScholarship - University of Californiaadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://www.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1186/s12984-016-0148-3&type=result"></script>'); --> </script>
For further information contact us at helpdesk@openaire.euAccess RoutesGreen gold 130 citations 130 popularity Top 1% influence Top 10% impulse Top 1% Powered by BIP!visibility 34visibility views 34 download downloads 94 Powered bymore_vert Publications at Biel... arrow_drop_down Publications at Bielefeld University; ZENODO; Archivio istituzionale della ricerca - Università di Genova; Journal of NeuroEngineering and RehabilitationOther literature type . Article . 2016 . Peer-reviewedLicense: CC BYEurope PubMed CentralArticle . 2016Full-Text: http://europepmc.org/articles/PMC4851823Data sources: PubMed CentralSpiral - Imperial College Digital RepositoryArticle . 2016Data sources: Spiral - Imperial College Digital RepositoryeScholarship - University of CaliforniaArticle . 2016Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2016Data sources: eScholarship - University of Californiaadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://www.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1186/s12984-016-0148-3&type=result"></script>'); --> </script>
For further information contact us at helpdesk@openaire.eudescription Publicationkeyboard_double_arrow_right Article 2014 United StatesPublisher:Springer Science and Business Media LLC Funded by:NIH | Inhibition of AMA1-RON2 I..., NIH | Institute for Clinical an..., NIH | EFFECTIVENESS OF ROBOT-AS...NIH| Inhibition of AMA1-RON2 Interaction to Disrupt Invasion of Malaria Parasite ,NIH| Institute for Clinical and Translational Science ,NIH| EFFECTIVENESS OF ROBOT-ASSISTED HAND MOVEMENT TRAINING AFTER STROKETaheri, Hossein; Rowe, Justin B; Gardner, David; Chan, Vicki; Gray, Kyle; Bower, Curtis; Reinkensmeyer, David J; Wolbrecht, Eric T;Background: This paper describes the design and preliminary testing of FINGER (Finger Individuating Grasp Exercise Robot), a device for assisting in finger rehabilitation after neurologic injury. We developed FINGER to assist stroke patients in moving their fingers individually in a naturalistic curling motion while playing a game similar to Guitar Hero® a . The goal was to make FINGER capable of assisting with motions where precise timing is important. Methods: FINGER consists of a pair of stacked single degree-of-freedom 8-bar mechanisms, one for the index and one for the middle finger. Each 8-bar mechanism was designed to control the angle and position of the proximal phalanx and the position of the middle phalanx. Target positions for the mechanism optimization were determined from trajectory data collected from 7 healthy subjects using color-based motion capture. The resulting robotic device was built to accommodate multiple finger sizes and finger-to-finger widths. For initial evaluation, we asked individuals with a stroke (n = 16) and without impairment (n = 4) to play a game similar to Guitar Hero® while connected to FINGER. Results: Precision design, low friction bearings, and separate high speed linear actuators allowed FINGER to individually actuate the fingers with a high bandwidth of control (�3 dB at approximately 8 Hz). During the tests, we were able to modulate the subject’s success rate at the game by automatically adjusting the controller gains of FINGER. We also used FINGER to measure subjects’ effort and finger individuation while playing the game. Conclusions: Test results demonstrate the ability of FINGER to motivate subjects with an engaging game environment that challenges individuated control of the fingers, automatically control assistance levels, and quantify finger individuation after stroke.
Europe PubMed Centra... arrow_drop_down Europe PubMed CentralArticle . 2014Full-Text: http://europepmc.org/articles/PMC3928667Data sources: PubMed CentraleScholarship - University of CaliforniaArticle . 2014Data sources: eScholarship - University of CaliforniaJournal of NeuroEngineering and RehabilitationArticle . 2014 . Peer-reviewedeScholarship - University of CaliforniaArticle . 2014Data sources: eScholarship - University of Californiaadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://www.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1186/1743-0003-11-10&type=result"></script>'); --> </script>
For further information contact us at helpdesk@openaire.euAccess RoutesGreen gold 72 citations 72 popularity Top 10% influence Top 10% impulse Top 10% Powered by BIP!more_vert Europe PubMed Centra... arrow_drop_down Europe PubMed CentralArticle . 2014Full-Text: http://europepmc.org/articles/PMC3928667Data sources: PubMed CentraleScholarship - University of CaliforniaArticle . 2014Data sources: eScholarship - University of CaliforniaJournal of NeuroEngineering and RehabilitationArticle . 2014 . Peer-reviewedeScholarship - University of CaliforniaArticle . 2014Data sources: eScholarship - University of Californiaadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://www.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1186/1743-0003-11-10&type=result"></script>'); --> </script>
For further information contact us at helpdesk@openaire.eudescription Publicationkeyboard_double_arrow_right Article 2013 United StatesPublisher:Springer Science and Business Media LLC Funded by:NIH | EFFECTIVENESS OF ROBOT-AS...NIH| EFFECTIVENESS OF ROBOT-ASSISTED HAND MOVEMENT TRAINING AFTER STROKEAuthors: Zondervan, Daniel K; Palafox, Lorena; Hernandez, Jorge; Reinkensmeyer, David J;Zondervan, Daniel K; Palafox, Lorena; Hernandez, Jorge; Reinkensmeyer, David J;Abstract Background Robotic arm therapy devices that incorporate actuated assistance can enhance arm recovery, motivate patients to practice, and allow therapists to deliver semi-autonomous training. However, because such devices are often complex and actively apply forces, they have not achieved widespread use in rehabilitation clinics or at home. This paper describes the design and pilot testing of a simple, mechanically passive device that provides robot-like assistance for active arm training using the principle of mechanical resonance. Methods The Resonating Arm Exerciser (RAE) consists of a lever that attaches to the push rim of a wheelchair, a forearm support, and an elastic band that stores energy. Patients push and pull on the lever to roll the wheelchair back and forth by about 20 cm around a neutral position. We performed two separate pilot studies of the device. In the first, we tested whether the predicted resonant properties of RAE amplified a user’s arm mobility by comparing his or her active range of motion (AROM) in the device achieved during a single, sustained push and pull to the AROM achieved during rocking. In a second pilot study designed to test the therapeutic potential of the device, eight participants with chronic stroke (35 ± 24 months since injury) and a mean, stable, initial upper extremity Fugl-Meyer (FM) score of 17 ± 8 / 66 exercised with RAE for eight 45 minute sessions over three weeks. The primary outcome measure was the average AROM measured with a tilt sensor during a one minute test, and the secondary outcome measures were the FM score and the visual analog scale for arm pain. Results In the first pilot study, we found people with a severe motor impairment after stroke intuitively found the resonant frequency of the chair, and the mechanical resonance of RAE amplified their arm AROM by a factor of about 2. In the second pilot study, AROM increased by 66% ± 20% (p = 0.003). The mean FM score increase was 8.5 ± 4 pts (p = 0.009). Subjects did not report discomfort or an increase in arm pain with rocking. Improvements were sustained at three months. Conclusions These results demonstrate that a simple mechanical device that snaps onto a manual wheelchair can use resonance to assist arm training, and that such training shows potential for safely increasing arm movement ability for people with severe chronic hemiparetic stroke.
Europe PubMed Centra... arrow_drop_down Europe PubMed CentralArticle . 2013Full-Text: http://europepmc.org/articles/PMC3654939Data sources: PubMed CentralJournal of NeuroEngineering and RehabilitationArticle . 2013 . Peer-reviewedeScholarship - University of CaliforniaArticle . 2013Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2013Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2013Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2013Data sources: eScholarship - University of Californiaadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://www.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1186/1743-0003-10-39&type=result"></script>'); --> </script>
For further information contact us at helpdesk@openaire.euAccess RoutesGreen gold 23 citations 23 popularity Top 10% influence Top 10% impulse Top 10% Powered by BIP!more_vert Europe PubMed Centra... arrow_drop_down Europe PubMed CentralArticle . 2013Full-Text: http://europepmc.org/articles/PMC3654939Data sources: PubMed CentralJournal of NeuroEngineering and RehabilitationArticle . 2013 . Peer-reviewedeScholarship - University of CaliforniaArticle . 2013Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2013Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2013Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2013Data sources: eScholarship - University of Californiaadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://www.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1186/1743-0003-10-39&type=result"></script>'); --> </script>
For further information contact us at helpdesk@openaire.eudescription Publicationkeyboard_double_arrow_right Article 2011 United States, ItalyPublisher:Springer Science and Business Media LLC Funded by:NIH | EFFECTIVENESS OF ROBOT-AS...NIH| EFFECTIVENESS OF ROBOT-ASSISTED HAND MOVEMENT TRAINING AFTER STROKEAuthors: Secoli R; Milot MH; ROSATI, GIULIO; Reinkensmeyer DJ;Secoli R; Milot MH; ROSATI, GIULIO; Reinkensmeyer DJ;Abstract Background Practicing arm and gait movements with robotic assistance after neurologic injury can help patients improve their movement ability, but patients sometimes reduce their effort during training in response to the assistance. Reduced effort has been hypothesized to diminish clinical outcomes of robotic training. To better understand patient slacking, we studied the role of visual distraction and auditory feedback in modulating patient effort during a common robot-assisted tracking task. Methods Fourteen participants with chronic left hemiparesis from stroke, five control participants with chronic right hemiparesis and fourteen non-impaired healthy control participants, tracked a visual target with their arms while receiving adaptive assistance from a robotic arm exoskeleton. We compared four practice conditions: the baseline tracking task alone; tracking while also performing a visual distracter task; tracking with the visual distracter and sound feedback; and tracking with sound feedback. For the distracter task, symbols were randomly displayed in the corners of the computer screen, and the participants were instructed to click a mouse button when a target symbol appeared. The sound feedback consisted of a repeating beep, with the frequency of repetition made to increase with increasing tracking error. Results Participants with stroke halved their effort and doubled their tracking error when performing the visual distracter task with their left hemiparetic arm. With sound feedback, however, these participants increased their effort and decreased their tracking error close to their baseline levels, while also performing the distracter task successfully. These effects were significantly smaller for the participants who used their non-paretic arm and for the participants without stroke. Conclusions Visual distraction decreased participants effort during a standard robot-assisted movement training task. This effect was greater for the hemiparetic arm, suggesting that the increased demands associated with controlling an affected arm make the motor system more prone to slack when distracted. Providing an alternate sensory channel for feedback, i.e., auditory feedback of tracking error, enabled the participants to simultaneously perform the tracking task and distracter task effectively. Thus, incorporating real-time auditory feedback of performance errors might improve clinical outcomes of robotic therapy systems.
Europe PubMed Centra... arrow_drop_down Europe PubMed CentralArticle . 2011Full-Text: http://europepmc.org/articles/PMC3104373Data sources: PubMed CentraleScholarship - University of CaliforniaArticle . 2011Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2011Data sources: eScholarship - University of CaliforniaJournal of NeuroEngineering and RehabilitationArticle . 2011 . Peer-reviewedeScholarship - University of CaliforniaArticle . 2011Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2011Data sources: eScholarship - University of Californiaadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://www.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1186/1743-0003-8-21&type=result"></script>'); --> </script>
For further information contact us at helpdesk@openaire.euAccess RoutesGreen gold 90 citations 90 popularity Top 10% influence Top 10% impulse Top 10% Powered by BIP!more_vert Europe PubMed Centra... arrow_drop_down Europe PubMed CentralArticle . 2011Full-Text: http://europepmc.org/articles/PMC3104373Data sources: PubMed CentraleScholarship - University of CaliforniaArticle . 2011Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2011Data sources: eScholarship - University of CaliforniaJournal of NeuroEngineering and RehabilitationArticle . 2011 . Peer-reviewedeScholarship - University of CaliforniaArticle . 2011Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2011Data sources: eScholarship - University of Californiaadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://www.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1186/1743-0003-8-21&type=result"></script>'); --> </script>
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description Publicationkeyboard_double_arrow_right Article 2019 United StatesPublisher:Springer Science and Business Media LLC Funded by:NIH | EFFECTIVENESS OF ROBOT-AS..., NIH | HealthyMe/MiSalud Smartph..., NIH | Interdisciplinary Enginee...NIH| EFFECTIVENESS OF ROBOT-ASSISTED HAND MOVEMENT TRAINING AFTER STROKE ,NIH| HealthyMe/MiSalud Smartphone Application: Identifying Mechanisms to Engage African Americans and Hispanics in Personal Health Libraries ,NIH| Interdisciplinary Engineering Career Development Center in Movement and Rehabilitation SciencesAuthors: Reinkensmeyer, David J.;Reinkensmeyer, David J.;Abstract On JNER’s 15th anniversary, this editorial analyzes the state of the field of neuroengineering and rehabilitation. I first discuss some ways that the nature of neurorehabilitation research has evolved in the past 15 years based on my perspective as editor-in-chief of JNER and a researcher in the field. I highlight increasing reliance on advanced technologies, improved rigor and openness of research, and three, related, new paradigms – wearable devices, the Cybathlon competition, and human augmentation studies – indicators that neurorehabilitation is squarely in the age of wearability. Then, I briefly speculate on how the field might make progress going forward, highlighting the need for new models of training and learning driven by big data, better personalization and targeting, and an increase in the quantity and quality of usability and uptake studies to improve translation.
Journal of NeuroEngi... arrow_drop_down Journal of NeuroEngineering and RehabilitationArticle . 2019Full-Text: http://europepmc.org/articles/PMC6864952Data sources: PubMed CentraleScholarship - University of CaliforniaArticle . 2019Data sources: eScholarship - University of CaliforniaJournal of NeuroEngineering and RehabilitationArticle . 2019 . Peer-reviewedLicense: CC BYData sources: Crossrefadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://www.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1186/s12984-019-0610-0&type=result"></script>'); --> </script>
For further information contact us at helpdesk@openaire.euAccess Routesgold 12 citations 12 popularity Top 10% influence Average impulse Top 10% Powered by BIP!more_vert Journal of NeuroEngi... arrow_drop_down Journal of NeuroEngineering and RehabilitationArticle . 2019Full-Text: http://europepmc.org/articles/PMC6864952Data sources: PubMed CentraleScholarship - University of CaliforniaArticle . 2019Data sources: eScholarship - University of CaliforniaJournal of NeuroEngineering and RehabilitationArticle . 2019 . Peer-reviewedLicense: CC BYData sources: Crossrefadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://www.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1186/s12984-019-0610-0&type=result"></script>'); --> </script>
For further information contact us at helpdesk@openaire.eudescription Publicationkeyboard_double_arrow_right Article , Other literature type 2017 United StatesPublisher:SAGE Publications Funded by:NIH | EFFECTIVENESS OF ROBOT-AS..., NIH | Institute for Clinical an...NIH| EFFECTIVENESS OF ROBOT-ASSISTED HAND MOVEMENT TRAINING AFTER STROKE ,NIH| Institute for Clinical and Translational ScienceRowe, Justin B; Chan, Vicky; Ingemanson, Morgan L; Cramer, Steven C; Wolbrecht, Eric T; Reinkensmeyer, David J;Background. Robots that physically assist movement are increasingly used in rehabilitation therapy after stroke, yet some studies suggest robotic assistance discourages effort and reduces motor learning. Objective. To determine the therapeutic effects of high and low levels of robotic assistance during finger training. Methods. We designed a protocol that varied the amount of robotic assistance while controlling the number, amplitude, and exerted effort of training movements. Participants (n = 30) with a chronic stroke and moderate hemiparesis (average Box and Blocks Test 32 ± 18 and upper extremity Fugl-Meyer score 46 ± 12) actively moved their index and middle fingers to targets to play a musical game similar to GuitarHero 3 h/wk for 3 weeks. The participants were randomized to receive high assistance (causing 82% success at hitting targets) or low assistance (55% success). Participants performed ~8000 movements during 9 training sessions. Results. Both groups improved significantly at the 1-month follow-up on functional and impairment-based motor outcomes, on depression scores, and on self-efficacy of hand function, with no difference between groups in the primary endpoint (change in Box and Blocks). High assistance boosted motivation, as well as secondary motor outcomes (Fugl-Meyer and Lateral Pinch Strength)—particularly for individuals with more severe finger motor deficits. Individuals with impaired finger proprioception at baseline benefited less from the training. Conclusions. Robot-assisted training can promote key psychological outcomes known to modulate motor learning and retention. Furthermore, the therapeutic effectiveness of robotic assistance appears to derive at least in part from proprioceptive stimulation, consistent with a Hebbian plasticity model.
https://journals.sag... arrow_drop_down eScholarship - University of CaliforniaArticle . 2017Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2017Data sources: eScholarship - University of Californiahttps://doi.org/10.1177/154596...Article . 2017 . Peer-reviewedLicense: SAGE TDMData sources: Crossrefadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://www.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1177/1545968317721975&type=result"></script>'); --> </script>
For further information contact us at helpdesk@openaire.euAccess RoutesGreen bronze 75 citations 75 popularity Top 1% influence Top 10% impulse Top 10% Powered by BIP!more_vert https://journals.sag... arrow_drop_down eScholarship - University of CaliforniaArticle . 2017Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2017Data sources: eScholarship - University of Californiahttps://doi.org/10.1177/154596...Article . 2017 . Peer-reviewedLicense: SAGE TDMData sources: Crossrefadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://www.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1177/1545968317721975&type=result"></script>'); --> </script>
For further information contact us at helpdesk@openaire.eudescription Publicationkeyboard_double_arrow_right Article 2016 Italy, Netherlands, United Kingdom, Germany, United States, Netherlands, NetherlandsPublisher:Springer Science and Business Media LLC Funded by:EC | REMAKE, NIH | EFFECTIVENESS OF ROBOT-AS..., EC | BALANCE +3 projectsEC| REMAKE ,NIH| EFFECTIVENESS OF ROBOT-ASSISTED HAND MOVEMENT TRAINING AFTER STROKE ,EC| BALANCE ,NIH| Optimizing the Dose of Rehabilitation After Stroke ,EC| CogIMon ,NIH| Dose-Response of Movement Practice During Stroke RehabilitationReinkensmeyer, David J.; Burdet, Etienne; Casadio, Maura; Krakauer, John W.; Kwakkel, Gert; Lang, Catherine E.; Swinnen, Stephan P.; Ward, Nick S.; Schweighofer, Nicolas;Despite progress in using computational approaches to inform medicine and neuroscience in the last 30 years, there have been few attempts to model the mechanisms underlying sensorimotor rehabilitation. We argue that a fundamental understanding of neurologic recovery, and as a result accurate predictions at the individual level, will be facilitated by developing computational models of the salient neural processes, including plasticity and learning systems of the brain, and integrating them into a context specific to rehabilitation. Here, we therefore discuss Computational Neurorehabilitation, a newly emerging field aimed at modeling plasticity and motor learning to understand and improve movement recovery of individuals with neurologic impairment. We first explain how the emergence of robotics and wearable sensors for rehabilitation is providing data that make development and testing of such models increasingly feasible. We then review key aspects of plasticity and motor learning that such models will incorporate. We proceed by discussing how computational neurorehabilitation models relate to the current benchmark in rehabilitation modeling - regression-based, prognostic modeling. We then critically discuss the first computational neurorehabilitation models, which have primarily focused on modeling rehabilitation of the upper extremity after stroke, and show how even simple models have produced novel ideas for future investigation. Finally, we conclude with key directions for future research, anticipating that soon we will see the emergence of mechanistic models of motor recovery that are informed by clinical imaging results and driven by the actual movement content of rehabilitation therapy as well as wearable sensor-based records of daily activity.
Publications at Biel... arrow_drop_down Publications at Bielefeld University; ZENODO; Archivio istituzionale della ricerca - Università di Genova; Journal of NeuroEngineering and RehabilitationOther literature type . Article . 2016 . Peer-reviewedLicense: CC BYEurope PubMed CentralArticle . 2016Full-Text: http://europepmc.org/articles/PMC4851823Data sources: PubMed CentralSpiral - Imperial College Digital RepositoryArticle . 2016Data sources: Spiral - Imperial College Digital RepositoryeScholarship - University of CaliforniaArticle . 2016Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2016Data sources: eScholarship - University of Californiaadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://www.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1186/s12984-016-0148-3&type=result"></script>'); --> </script>
For further information contact us at helpdesk@openaire.euAccess RoutesGreen gold 130 citations 130 popularity Top 1% influence Top 10% impulse Top 1% Powered by BIP!visibility 34visibility views 34 download downloads 94 Powered bymore_vert Publications at Biel... arrow_drop_down Publications at Bielefeld University; ZENODO; Archivio istituzionale della ricerca - Università di Genova; Journal of NeuroEngineering and RehabilitationOther literature type . Article . 2016 . Peer-reviewedLicense: CC BYEurope PubMed CentralArticle . 2016Full-Text: http://europepmc.org/articles/PMC4851823Data sources: PubMed CentralSpiral - Imperial College Digital RepositoryArticle . 2016Data sources: Spiral - Imperial College Digital RepositoryeScholarship - University of CaliforniaArticle . 2016Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2016Data sources: eScholarship - University of Californiaadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://www.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1186/s12984-016-0148-3&type=result"></script>'); --> </script>
For further information contact us at helpdesk@openaire.eudescription Publicationkeyboard_double_arrow_right Article 2014 United StatesPublisher:Springer Science and Business Media LLC Funded by:NIH | Inhibition of AMA1-RON2 I..., NIH | Institute for Clinical an..., NIH | EFFECTIVENESS OF ROBOT-AS...NIH| Inhibition of AMA1-RON2 Interaction to Disrupt Invasion of Malaria Parasite ,NIH| Institute for Clinical and Translational Science ,NIH| EFFECTIVENESS OF ROBOT-ASSISTED HAND MOVEMENT TRAINING AFTER STROKETaheri, Hossein; Rowe, Justin B; Gardner, David; Chan, Vicki; Gray, Kyle; Bower, Curtis; Reinkensmeyer, David J; Wolbrecht, Eric T;Background: This paper describes the design and preliminary testing of FINGER (Finger Individuating Grasp Exercise Robot), a device for assisting in finger rehabilitation after neurologic injury. We developed FINGER to assist stroke patients in moving their fingers individually in a naturalistic curling motion while playing a game similar to Guitar Hero® a . The goal was to make FINGER capable of assisting with motions where precise timing is important. Methods: FINGER consists of a pair of stacked single degree-of-freedom 8-bar mechanisms, one for the index and one for the middle finger. Each 8-bar mechanism was designed to control the angle and position of the proximal phalanx and the position of the middle phalanx. Target positions for the mechanism optimization were determined from trajectory data collected from 7 healthy subjects using color-based motion capture. The resulting robotic device was built to accommodate multiple finger sizes and finger-to-finger widths. For initial evaluation, we asked individuals with a stroke (n = 16) and without impairment (n = 4) to play a game similar to Guitar Hero® while connected to FINGER. Results: Precision design, low friction bearings, and separate high speed linear actuators allowed FINGER to individually actuate the fingers with a high bandwidth of control (�3 dB at approximately 8 Hz). During the tests, we were able to modulate the subject’s success rate at the game by automatically adjusting the controller gains of FINGER. We also used FINGER to measure subjects’ effort and finger individuation while playing the game. Conclusions: Test results demonstrate the ability of FINGER to motivate subjects with an engaging game environment that challenges individuated control of the fingers, automatically control assistance levels, and quantify finger individuation after stroke.
Europe PubMed Centra... arrow_drop_down Europe PubMed CentralArticle . 2014Full-Text: http://europepmc.org/articles/PMC3928667Data sources: PubMed CentraleScholarship - University of CaliforniaArticle . 2014Data sources: eScholarship - University of CaliforniaJournal of NeuroEngineering and RehabilitationArticle . 2014 . Peer-reviewedeScholarship - University of CaliforniaArticle . 2014Data sources: eScholarship - University of Californiaadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://www.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1186/1743-0003-11-10&type=result"></script>'); --> </script>
For further information contact us at helpdesk@openaire.euAccess RoutesGreen gold 72 citations 72 popularity Top 10% influence Top 10% impulse Top 10% Powered by BIP!more_vert Europe PubMed Centra... arrow_drop_down Europe PubMed CentralArticle . 2014Full-Text: http://europepmc.org/articles/PMC3928667Data sources: PubMed CentraleScholarship - University of CaliforniaArticle . 2014Data sources: eScholarship - University of CaliforniaJournal of NeuroEngineering and RehabilitationArticle . 2014 . Peer-reviewedeScholarship - University of CaliforniaArticle . 2014Data sources: eScholarship - University of Californiaadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://www.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1186/1743-0003-11-10&type=result"></script>'); --> </script>
For further information contact us at helpdesk@openaire.eudescription Publicationkeyboard_double_arrow_right Article 2013 United StatesPublisher:Springer Science and Business Media LLC Funded by:NIH | EFFECTIVENESS OF ROBOT-AS...NIH| EFFECTIVENESS OF ROBOT-ASSISTED HAND MOVEMENT TRAINING AFTER STROKEAuthors: Zondervan, Daniel K; Palafox, Lorena; Hernandez, Jorge; Reinkensmeyer, David J;Zondervan, Daniel K; Palafox, Lorena; Hernandez, Jorge; Reinkensmeyer, David J;Abstract Background Robotic arm therapy devices that incorporate actuated assistance can enhance arm recovery, motivate patients to practice, and allow therapists to deliver semi-autonomous training. However, because such devices are often complex and actively apply forces, they have not achieved widespread use in rehabilitation clinics or at home. This paper describes the design and pilot testing of a simple, mechanically passive device that provides robot-like assistance for active arm training using the principle of mechanical resonance. Methods The Resonating Arm Exerciser (RAE) consists of a lever that attaches to the push rim of a wheelchair, a forearm support, and an elastic band that stores energy. Patients push and pull on the lever to roll the wheelchair back and forth by about 20 cm around a neutral position. We performed two separate pilot studies of the device. In the first, we tested whether the predicted resonant properties of RAE amplified a user’s arm mobility by comparing his or her active range of motion (AROM) in the device achieved during a single, sustained push and pull to the AROM achieved during rocking. In a second pilot study designed to test the therapeutic potential of the device, eight participants with chronic stroke (35 ± 24 months since injury) and a mean, stable, initial upper extremity Fugl-Meyer (FM) score of 17 ± 8 / 66 exercised with RAE for eight 45 minute sessions over three weeks. The primary outcome measure was the average AROM measured with a tilt sensor during a one minute test, and the secondary outcome measures were the FM score and the visual analog scale for arm pain. Results In the first pilot study, we found people with a severe motor impairment after stroke intuitively found the resonant frequency of the chair, and the mechanical resonance of RAE amplified their arm AROM by a factor of about 2. In the second pilot study, AROM increased by 66% ± 20% (p = 0.003). The mean FM score increase was 8.5 ± 4 pts (p = 0.009). Subjects did not report discomfort or an increase in arm pain with rocking. Improvements were sustained at three months. Conclusions These results demonstrate that a simple mechanical device that snaps onto a manual wheelchair can use resonance to assist arm training, and that such training shows potential for safely increasing arm movement ability for people with severe chronic hemiparetic stroke.
Europe PubMed Centra... arrow_drop_down Europe PubMed CentralArticle . 2013Full-Text: http://europepmc.org/articles/PMC3654939Data sources: PubMed CentralJournal of NeuroEngineering and RehabilitationArticle . 2013 . Peer-reviewedeScholarship - University of CaliforniaArticle . 2013Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2013Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2013Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2013Data sources: eScholarship - University of Californiaadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://www.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1186/1743-0003-10-39&type=result"></script>'); --> </script>
For further information contact us at helpdesk@openaire.euAccess RoutesGreen gold 23 citations 23 popularity Top 10% influence Top 10% impulse Top 10% Powered by BIP!more_vert Europe PubMed Centra... arrow_drop_down Europe PubMed CentralArticle . 2013Full-Text: http://europepmc.org/articles/PMC3654939Data sources: PubMed CentralJournal of NeuroEngineering and RehabilitationArticle . 2013 . Peer-reviewedeScholarship - University of CaliforniaArticle . 2013Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2013Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2013Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2013Data sources: eScholarship - University of Californiaadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://www.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1186/1743-0003-10-39&type=result"></script>'); --> </script>
For further information contact us at helpdesk@openaire.eudescription Publicationkeyboard_double_arrow_right Article 2011 United States, ItalyPublisher:Springer Science and Business Media LLC Funded by:NIH | EFFECTIVENESS OF ROBOT-AS...NIH| EFFECTIVENESS OF ROBOT-ASSISTED HAND MOVEMENT TRAINING AFTER STROKEAuthors: Secoli R; Milot MH; ROSATI, GIULIO; Reinkensmeyer DJ;Secoli R; Milot MH; ROSATI, GIULIO; Reinkensmeyer DJ;Abstract Background Practicing arm and gait movements with robotic assistance after neurologic injury can help patients improve their movement ability, but patients sometimes reduce their effort during training in response to the assistance. Reduced effort has been hypothesized to diminish clinical outcomes of robotic training. To better understand patient slacking, we studied the role of visual distraction and auditory feedback in modulating patient effort during a common robot-assisted tracking task. Methods Fourteen participants with chronic left hemiparesis from stroke, five control participants with chronic right hemiparesis and fourteen non-impaired healthy control participants, tracked a visual target with their arms while receiving adaptive assistance from a robotic arm exoskeleton. We compared four practice conditions: the baseline tracking task alone; tracking while also performing a visual distracter task; tracking with the visual distracter and sound feedback; and tracking with sound feedback. For the distracter task, symbols were randomly displayed in the corners of the computer screen, and the participants were instructed to click a mouse button when a target symbol appeared. The sound feedback consisted of a repeating beep, with the frequency of repetition made to increase with increasing tracking error. Results Participants with stroke halved their effort and doubled their tracking error when performing the visual distracter task with their left hemiparetic arm. With sound feedback, however, these participants increased their effort and decreased their tracking error close to their baseline levels, while also performing the distracter task successfully. These effects were significantly smaller for the participants who used their non-paretic arm and for the participants without stroke. Conclusions Visual distraction decreased participants effort during a standard robot-assisted movement training task. This effect was greater for the hemiparetic arm, suggesting that the increased demands associated with controlling an affected arm make the motor system more prone to slack when distracted. Providing an alternate sensory channel for feedback, i.e., auditory feedback of tracking error, enabled the participants to simultaneously perform the tracking task and distracter task effectively. Thus, incorporating real-time auditory feedback of performance errors might improve clinical outcomes of robotic therapy systems.
Europe PubMed Centra... arrow_drop_down Europe PubMed CentralArticle . 2011Full-Text: http://europepmc.org/articles/PMC3104373Data sources: PubMed CentraleScholarship - University of CaliforniaArticle . 2011Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2011Data sources: eScholarship - University of CaliforniaJournal of NeuroEngineering and RehabilitationArticle . 2011 . Peer-reviewedeScholarship - University of CaliforniaArticle . 2011Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2011Data sources: eScholarship - University of Californiaadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://www.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1186/1743-0003-8-21&type=result"></script>'); --> </script>
For further information contact us at helpdesk@openaire.euAccess RoutesGreen gold 90 citations 90 popularity Top 10% influence Top 10% impulse Top 10% Powered by BIP!more_vert Europe PubMed Centra... arrow_drop_down Europe PubMed CentralArticle . 2011Full-Text: http://europepmc.org/articles/PMC3104373Data sources: PubMed CentraleScholarship - University of CaliforniaArticle . 2011Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2011Data sources: eScholarship - University of CaliforniaJournal of NeuroEngineering and RehabilitationArticle . 2011 . Peer-reviewedeScholarship - University of CaliforniaArticle . 2011Data sources: eScholarship - University of CaliforniaeScholarship - University of CaliforniaArticle . 2011Data sources: eScholarship - University of Californiaadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://www.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1186/1743-0003-8-21&type=result"></script>'); --> </script>
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