Automating activity-based interventions: The role of robotics

Hidler, Joseph

doi:10.1682/jrrd.2007.01.0020

Cited by 42 publications

(29 citation statements)

References 31 publications

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“…This is consistent with issues raised in the literature concerning the disadvantage of technologically advanced interventions lacking human touch and the ''same feel as therapists do'' [56]. Our results can inform thinking about the role that therapeutic relationship plays in the delivery of technology-based interventions within a child and family-centered care context.…”

Section: Discussionsupporting

confidence: 88%

What is it like to walk with the help of a robot? Children’s perspectives on robotic gait training technology

Phelan

Gibson

Wright

2015

Disability and Rehabilitation

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Rehabilitation professionals, researchers and parents are encouraged to reflect on why and how one might engage children in gait-related rehabilitation in ways that appeal to children's desires and expectations. This may shape how interventions are presented to children and how goals and outcomes are framed. Implications for Rehabilitation Children in this study did not consistently feel excited about, have a wish to use, or have a sustained interest in the use of a robotic technology, and at times experienced some anxiety in relation to their participation in the intervention. Contrary to assumptions that disabled children value walking "normally", children in this study did not express a desire to walk in typical (non-disabled) gait patterns, and equated so-called "normal" walking with their usual walking styles. Thus, we encourage clinicians, researchers and parents to reflect on why, when and how best to engage children in gait-related rehabilitation in ways that appeal to and align with children's desires and expectations.

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Section: Discussionsupporting

confidence: 88%

What is it like to walk with the help of a robot? Children’s perspectives on robotic gait training technology

Phelan

Gibson

Wright

2015

Disability and Rehabilitation

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“…Promising results with regard to cardiovascular effects of robot-assisted therapy have been reported in the population with SCI [22][23][24][25]. A recent cross-sectional study by Jack et al showed that, with vigorous active participation of patients, a substantial increase in heart rate (HR) and oxygen consumption (V O 2 ) can be achieved [24].…”

Section: Introductionmentioning

confidence: 99%

Effect of robotic gait training on cardiorespiratory system in incomplete spinal cord injury

et al. 2013

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Abstract-The objectives in this study were to investigate the effect of robot-assisted gait training on cardiorespiratory fitness in subjects with motor incomplete spinal cord injury and document the exercise intensity of robotic walking in comparison with the recommended guidelines. Ten patients followed a 24-session training program with a robotic gait orthosis in addition to physiotherapy sessions completed within 10 to 16 wk. Cardiorespiratory fitness was determined in a graded arm crank exercise test before and after the training program. To assess the intensity of robot-assisted walking, oxygen consumption (VO 2 ) and heart rate (HR) were measured during a training session early in and at the end of the training program, and exercise intensity measures (percentage of VO 2 reserve [%VO 2 R], percentage of HR reserve [%HRR], and metabolic equivalents [METs]) were calculated. Whereas no changes were found in peak VO 2 , the resting and submaximal HR at a constant work load were significantly lower after training. Most subjects exercised at low intensity (<30%VO 2 R, <30%HRR, <3.0 METs), and only two subjects exercised at moderate intensity (>3.0 METs). In spite of the low exercise intensity of the training program and no changes in peak VO 2 , robot-assisted gait training induced some improvement in cardiorespiratory fitness, as suggested by lower resting and submaximal HR values.Clinical Trial Registration: ISRCTN Register, ISRCTN67827069, "Recovery of Walking Ability Using a Robotic Device"; http://www. controlled-trials.com/ISRCTN67827069

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“…Gait training is operator dependent and requires highly trained therapists utilizing a standardized technique that suffers from significant inter-practitioner variance; FES is delivered by a robotic device, ensuring repetitive accuracy. Robotic gait training devices have been built: the Lokomat and Pediatric Lokomat (Hocoma AG, Switzerland), the Autoambulator (HealthSouth, Birmingham, AL), REOAmbulator (Motorika Ltd.) but in clinical practice they do not yet deliver the same results like therapist guided gait training [Edgerton and Roy, 2009;Hidler et al, 2008].…”

Section: The Role Of Task Specific Training (Quality) and Spinal Centmentioning

confidence: 99%

Activity‐based restorative therapies: Concepts and applications in spinal cord injury‐related neurorehabilitation

Sadowsky

McDonald

2009

Dev Disabil Res Revs

108

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Physical rehabilitation following spinal cord injury-related paralysis has traditionally focused on teaching compensatory techniques, thus enabling the individual to achieve day-to-day function despite significant neurological deficits. But the concept of an irreparable central nervous system (CNS) is slowly being replaced with evidence related to CNS plasticity, repair, and regeneration, all related to persistently maintaining appropriate levels of neurological activity both below and above the area where the damage occurred. It is now possible to envision functional repair of the nervous system by implementing rehabilitative interventions. Making the transition from "bench to bedside" requires careful analysis of existing basic science evidence, strategic focus of clinical research, and pragmatic implementation of new therapeutic tools. Activity, defined as both function specific motor task and exercise appears to be a necessity for optimization of functional, metabolic, and neurological status in chronic paralysis. Crafting a comprehensive rehabilitative intervention focused on functional improvement through neurological gains seems logical. The terms activity-based restorative therapies, activity-based therapies, and activity-based rehabilitation have been coined in the last 10 years to describe a new fundamental approach to deficits induced by neurological paralysis. The goal of this approach is to achieve activation of the neurological levels located both above and below the injury level using rehabilitation therapies. This article reviews basic and clinical science evidence pertaining to implementation of physical activity and exercise as a therapeutic tool in the management of chronic spinal cord-related neurological paralysis.

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Automating activity-based interventions: The role of robotics

Cited by 42 publications

References 31 publications

What is it like to walk with the help of a robot? Children’s perspectives on robotic gait training technology

What is it like to walk with the help of a robot? Children’s perspectives on robotic gait training technology

Effect of robotic gait training on cardiorespiratory system in incomplete spinal cord injury

Activity‐based restorative therapies: Concepts and applications in spinal cord injury‐related neurorehabilitation

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