SITAR: a system for independent task-oriented assessment and rehabilitation

Abstract

Introduction Over recent years, task-oriented training has emerged as a dominant approach in neurorehabilitation. This article presents a novel, sensor-based system for independent task-oriented assessment and rehabilitation (SITAR) of the upper limb. Methods The SITAR is an ecosystem of interactive devices including a touch and force–sensitive tabletop and a set of intelligent objects enabling functional interaction. In contrast to most existing sensor-based systems, SITAR provides natural training of visuomotor coordination through collocated visual and haptic workspaces alongside multimodal feedback, facilitating learning and its transfer to real tasks. We illustrate the possibilities offered by the SITAR for sensorimotor assessment and therapy through pilot assessment and usability studies. Results The pilot data from the assessment study demonstrates how the system can be used to assess different aspects of upper limb reaching, pick-and-place and sensory tactile resolution tasks. The pilot usability study indicates that patients are able to train arm-reaching movements independently using the SITAR with minimal involvement of the therapist and that they were motivated to pursue the SITAR-based therapy. Conclusion SITAR is a versatile, non-robotic tool that can be used to implement a range of therapeutic exercises and assessments for different types of patients, which is particularly well-suited for task-oriented training.

Gamified In-Home Rehabilitation for Stroke Survivors: Analytical Review

“…Regarding the analyzed works with the most implemented features: the P4H project [25] and the work presented by Chen et al [26] implemented a total of 16 features (80%); followed by the work developed by Hussain et al [27] with 15 implemented features (75%); finally, Burke et al [28], Alankus et al [29], King et al [18], the REWIRE project [30,31], the Recovery Rapids project [32,33] and Bower et al [34] all of them implemented 14 features (70%).…”

“…These data are used to search for a correlation between kinematic performance and scores in standard clinical rating scales. If an increase in kinematic performance and better scores in the clinical rate scales are found, then the result of the evaluation states that the system helps in the rehabilitation process, as described in [19,26,27,32,33,38,[49][50][51]. In order to apply these standard clinical test, the presence of the therapist is required, this represents the disadvantage of these systems.…”

“…The research works concerned only by the gross movement of the patient's arms and hand's positioning, which mobility is basic for achieving the first steps of the patient's independence are: [19, 26, 28, 34, 38, 41-44, 47, 49, 52, 54, 55] (50% of total works). After achieving the gross movement of arms, the next priority is to achieve finer daily life task related exercises such as hand closing/opening [18, 29-31, 45, 50, 51] (14% of total works), pinching, grasping and moving objects [9,25,27,29,32,33,36,46,48,50,51,53] (36% of total works).…”

“…Most of the reviewed works implemented only one game (54% of total works) in order to prove the concept developed in their work. In some cases they have two games [27,30,31,54] (10% of total works), three games [19,25,26,28,46,53] (21% of total works), four games [34] (4% of total works), five games [50,51] (4% of total works), and even nine games [18,29] (7% of total works). Alankus et al [29], tested nine games to explore the space of games that can be used for stroke rehabilitation systems.…”

Sistema para treinamento e avaliação dos membros superiores para aplicação em terapias de reabilitação pós-avc: um estudo da coordenação bimanual cooperativa

“…Human Robotics Group, grupo de robótica do Imperial College of London, em parceria com o Laboratório de Análise Funcional e Ajudas Técnicas (LAFATec), o Grupo de Robótica da UFSCar e o Centro de Robótica da USP/São Carlos estão trabalhando na continuação de um projeto inovador proposto pelo Dr. Etienne Burdet para a recuperação dos movimentos de membros superiores do corpo. Nomeado System for Independent Task-oriented Assessment and Rehabilitation (SITAR)(HUSSAIN et al, 2017), esse sistema é composto por uma mesa touchscreen capaz de medir, através de sensores, as forças de interação e posicionamento integrada a objetos inteligentes, como pode ser observado na Figura 5. Ao invés de interagir exclusivamente com um ambiente virtual como a maioria das TARs, os pacientes atuam com objetos reais, simulando a execução de tarefas diárias através de jogos controlados…”