Retraining of interjoint arm coordination after stroke using robot-assisted time-independent functional training

Brokaw, Elizabeth B; Murray, Theresa; Nef, Tobias; Lum, Peter S (2011). Retraining of interjoint arm coordination after stroke using robot-assisted time-independent functional training. Journal of rehabilitation research and development, 48(4), pp. 299-316. Washington, D.C.: U.S. Dept. of Veterans Affairs 10.1682/JRRD.2010.04.0064

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We have developed a haptic-based approach for retraining of interjoint coordination following stroke called time-independent functional training (TIFT) and implemented this mode in the ARMin III robotic exoskeleton. The ARMin III robot was developed by Drs. Robert Riener and Tobias Nef at the Swiss Federal Institute of Technology Zurich (Eidgenossische Technische Hochschule Zurich, or ETH Zurich), in Zurich, Switzerland. In the TIFT mode, the robot maintains arm movements within the proper kinematic trajectory via haptic walls at each joint. These arm movements focus training of interjoint coordination with highly intuitive real-time feedback of performance; arm movements advance within the trajectory only if their movement coordination is correct. In initial testing, 37 nondisabled subjects received a single session of learning of a complex pattern. Subjects were randomized to TIFT or visual demonstration or moved along with the robot as it moved though the pattern (time-dependent [TD] training). We examined visual demonstration to separate the effects of action observation on motor learning from the effects of the two haptic guidance methods. During these training trials, TIFT subjects reduced error and interaction forces between the robot and arm, while TD subject performance did not change. All groups showed significant learning of the trajectory during unassisted recall trials, but we observed no difference in learning between groups, possibly because this learning task is dominated by vision. Further testing in stroke populations is warranted.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology

UniBE Contributor:

Nef, Tobias

ISSN:

0748-7711

Publisher:

U.S. Dept. of Veterans Affairs

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:14

Last Modified:

17 Mar 2015 19:17

Publisher DOI:

10.1682/JRRD.2010.04.0064

PubMed ID:

21674385

Web of Science ID:

000291372200003

URI:

https://boris.unibe.ch/id/eprint/3377 (FactScience: 207049)

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