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Erschienen in: Medical & Biological Engineering & Computing 9/2007

01.09.2007 | Original Article

ARMin: a robot for patient-cooperative arm therapy

verfasst von: Tobias Nef, Matjaz Mihelj, Robert Riener

Erschienen in: Medical & Biological Engineering & Computing | Ausgabe 9/2007

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Abstract

Task-oriented, repetitive and intensive arm training can enhance arm rehabilitation in patients with paralyzed upper extremities due to lesions of the central nervous system. There is evidence that the training duration is a key factor for the therapy progress. Robot-supported therapy can improve the rehabilitation allowing more intensive training. This paper presents the kinematics, the control and the therapy modes of the arm therapy robot ARMin. It is a haptic display with semi-exoskeleton kinematics with four active and two passive degrees of freedom. Equipped with position, force and torque sensors the device can deliver patient-cooperative arm therapy taking into account the activity of the patient and supporting him/her only as much as needed. The haptic display is combined with an audiovisual display that is used to present the movement and the movement task to the patient. It is assumed that the patient-cooperative therapy approach combined with a multimodal display can increase the patient’s motivation and activity and, therefore, the therapeutic progress.

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Literatur
1.
Zurück zum Zitat Aisen ML, Krebs HI, Hogan N, McDowell F, Volpe BT (1997) The effect of robot-assisted therapy and rehabilitive training on motor recovery following stroke. Arch Neurol 54:443–446 Aisen ML, Krebs HI, Hogan N, McDowell F, Volpe BT (1997) The effect of robot-assisted therapy and rehabilitive training on motor recovery following stroke. Arch Neurol 54:443–446
2.
Zurück zum Zitat Bayona NA, Bitensky J, Salter K, Teasell R (2005) The role of task-specific training in rehabilitation therapies. Top Stroke Rehabil 12:58–65 Bayona NA, Bitensky J, Salter K, Teasell R (2005) The role of task-specific training in rehabilitation therapies. Top Stroke Rehabil 12:58–65
3.
Zurück zum Zitat Ellis RE, Ismaeil OM, Lipsett M (1996) Design and evaluation of a high-performance haptic interface. Robotica 14:321–327 Ellis RE, Ismaeil OM, Lipsett M (1996) Design and evaluation of a high-performance haptic interface. Robotica 14:321–327
4.
Zurück zum Zitat Emken JL, Bobrow JE, Reinjkensmeyer DJ (2005) Robotic movement training as an optimization problem: designing a controller that can assist only as needed. In: Proceedings of ICORR 2005, 9th international conference rehabilitation robotics, pp 307–312 Emken JL, Bobrow JE, Reinjkensmeyer DJ (2005) Robotic movement training as an optimization problem: designing a controller that can assist only as needed. In: Proceedings of ICORR 2005, 9th international conference rehabilitation robotics, pp 307–312
5.
Zurück zum Zitat Finley MA, Fasoli SE, Dipietro L, Ohlhoff J, Macclellan L, Meister C et al (2005) Short-duration robotic therapy in stroke patients with severe upper-limb motor impairment. J Rehab Res Dev 42(5):683–691CrossRef Finley MA, Fasoli SE, Dipietro L, Ohlhoff J, Macclellan L, Meister C et al (2005) Short-duration robotic therapy in stroke patients with severe upper-limb motor impairment. J Rehab Res Dev 42(5):683–691CrossRef
6.
Zurück zum Zitat Flash T, Hogan N (1985) The coordination of arm movements: an experimentally confirmed mathematical model. J Neurosci 5(7):1688–1703 Flash T, Hogan N (1985) The coordination of arm movements: an experimentally confirmed mathematical model. J Neurosci 5(7):1688–1703
7.
Zurück zum Zitat Harwin W, Loureiro R, Amirabdollahian F, Taylor M, Johnson G, Stokes E, Coote S, Topping M, Collin C et al (2001) In: Marincek C et al (eds) The Gentle/s project: a new method for delivering neuro-rehabilitation, asistive technology-added value to the quality of life AAATE’01.ISO Press, Amsterdam, pp 36–41 Harwin W, Loureiro R, Amirabdollahian F, Taylor M, Johnson G, Stokes E, Coote S, Topping M, Collin C et al (2001) In: Marincek C et al (eds) The Gentle/s project: a new method for delivering neuro-rehabilitation, asistive technology-added value to the quality of life AAATE’01.ISO Press, Amsterdam, pp 36–41
8.
Zurück zum Zitat Herzog W, Nigg BM (1994) Biomechanics of the Muskulo-skeletal system. Wiley, Chichester Herzog W, Nigg BM (1994) Biomechanics of the Muskulo-skeletal system. Wiley, Chichester
9.
Zurück zum Zitat Hesse S, Werner C, Pohl M, Rueckriem S, Mehrholz J, Lingnau ML (2005) Computerized arm training improves the motor control of the severely affected arm after stroke: a single-blinded randomized trial in two centers. Stroke 36(9):1960–1966CrossRef Hesse S, Werner C, Pohl M, Rueckriem S, Mehrholz J, Lingnau ML (2005) Computerized arm training improves the motor control of the severely affected arm after stroke: a single-blinded randomized trial in two centers. Stroke 36(9):1960–1966CrossRef
10.
Zurück zum Zitat Hogan N (1985a) Impedance control: an approach to manipulation: Part I—theory. ASME J Dyn Syst Meas Control 107(11):1–7MATH Hogan N (1985a) Impedance control: an approach to manipulation: Part I—theory. ASME J Dyn Syst Meas Control 107(11):1–7MATH
11.
Zurück zum Zitat Hogan N (1985b) Impedance control: an approach to manipulation: Part II—implementation. ASME J Dyn Syst Meas Control 107(11):8–16MATH Hogan N (1985b) Impedance control: an approach to manipulation: Part II—implementation. ASME J Dyn Syst Meas Control 107(11):8–16MATH
12.
Zurück zum Zitat Hogan N (1985c) Impedance control: an approach to manipulation: Part III—applications. ASME J Dyn Syst Meas Control 107(11):17–24MATHCrossRef Hogan N (1985c) Impedance control: an approach to manipulation: Part III—applications. ASME J Dyn Syst Meas Control 107(11):17–24MATHCrossRef
13.
Zurück zum Zitat Hogan N, Krebs HI, Rohrer B, Palazzolo JJ, Dipietro L, Fasoli SE, Stein J, Hughes R, Frontera WR, Lynch D, Volpe BT (2006) Motions or muscles? Some behavioral factors underlying robotic assistance of motor recovery. J Rehab Res Dev 43(5):605–618CrossRef Hogan N, Krebs HI, Rohrer B, Palazzolo JJ, Dipietro L, Fasoli SE, Stein J, Hughes R, Frontera WR, Lynch D, Volpe BT (2006) Motions or muscles? Some behavioral factors underlying robotic assistance of motor recovery. J Rehab Res Dev 43(5):605–618CrossRef
14.
Zurück zum Zitat Jack D, Boian R, Merians AS, Tremaine M, Burdea GC, Adamovich SV, Recce M, Poizner H (2001) Virtual reality-enhanced stroke rehabilitation. IEEE Trans Neural Syst Rehab Eng 9(3):308–318CrossRef Jack D, Boian R, Merians AS, Tremaine M, Burdea GC, Adamovich SV, Recce M, Poizner H (2001) Virtual reality-enhanced stroke rehabilitation. IEEE Trans Neural Syst Rehab Eng 9(3):308–318CrossRef
15.
Zurück zum Zitat Jung-Hoon H, Ronald CA, Dong-Soo K (2003) Mobile robots at your fingertip: Bezier curve on-line trajectory generation for supervisory control. IEEE International conference of intelligent robots and systems Jung-Hoon H, Ronald CA, Dong-Soo K (2003) Mobile robots at your fingertip: Bezier curve on-line trajectory generation for supervisory control. IEEE International conference of intelligent robots and systems
16.
Zurück zum Zitat Krebs HI, Hogan N, Aisen ML, Volpe BT (1998) Robot-Aided Neurorehabilitation. IEEE Trans Rehab Eng 6:75–87CrossRef Krebs HI, Hogan N, Aisen ML, Volpe BT (1998) Robot-Aided Neurorehabilitation. IEEE Trans Rehab Eng 6:75–87CrossRef
17.
Zurück zum Zitat Kwakkel G, Wagenaar RC, Koelman TW, Lankhorst GJ, Koetsier JC (1997) Effects of intensity of rehabilitation after stroke. A research synthesis. Stroke 28:1550–1556 Kwakkel G, Wagenaar RC, Koelman TW, Lankhorst GJ, Koetsier JC (1997) Effects of intensity of rehabilitation after stroke. A research synthesis. Stroke 28:1550–1556
18.
Zurück zum Zitat Kwakkel G, Wagenaar RC, Twisk JWE, Langkhorst GJ, Koetsier JC (1999) Intersity of leg and arm training after primary middle-celebral artery stroke: a randomised trial. Lancet 35:191–196CrossRef Kwakkel G, Wagenaar RC, Twisk JWE, Langkhorst GJ, Koetsier JC (1999) Intersity of leg and arm training after primary middle-celebral artery stroke: a randomised trial. Lancet 35:191–196CrossRef
19.
Zurück zum Zitat Kwakkel G, Kollen BJ, Wagenaar RC (2002) Long therm effects of upper and lower limb training after stroke: a randomised trial. J Neurol Neurosurg Psychiat 72:473–479 Kwakkel G, Kollen BJ, Wagenaar RC (2002) Long therm effects of upper and lower limb training after stroke: a randomised trial. J Neurol Neurosurg Psychiat 72:473–479
20.
Zurück zum Zitat Luft AR, McCombe-Waller S, Whitall J, Forrester LW, Macko R, Sorkin JD, Schulz JB, Goldberg AP, Hanley DF (2004) Repetitive bilateral arm training and motor cortex activation in chronic stroke—a randomized controlled trial. JAMA 292:1853–1861CrossRef Luft AR, McCombe-Waller S, Whitall J, Forrester LW, Macko R, Sorkin JD, Schulz JB, Goldberg AP, Hanley DF (2004) Repetitive bilateral arm training and motor cortex activation in chronic stroke—a randomized controlled trial. JAMA 292:1853–1861CrossRef
21.
Zurück zum Zitat Lum PS, Burgar CG, Shor PC, Majmundar M, Van der Loos M (2002) Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after stroke. Arch Phys Med Rehab 83(7):952–959CrossRef Lum PS, Burgar CG, Shor PC, Majmundar M, Van der Loos M (2002) Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after stroke. Arch Phys Med Rehab 83(7):952–959CrossRef
22.
Zurück zum Zitat Langhammer B, Stanghelle JK (2000) Bobath or motor relearning programme? A comparison of two different approaches of physiotherapy in stroke rehabilitation: a randomised controlled study. Clin Rehabil 14:361–369CrossRef Langhammer B, Stanghelle JK (2000) Bobath or motor relearning programme? A comparison of two different approaches of physiotherapy in stroke rehabilitation: a randomised controlled study. Clin Rehabil 14:361–369CrossRef
23.
Zurück zum Zitat Mihelj M, Nef T, Riener R (2007) A novel paradigm for patient cooperative control of upper limb rehabilitation robots. Adv Robot 21(8):843–867CrossRef Mihelj M, Nef T, Riener R (2007) A novel paradigm for patient cooperative control of upper limb rehabilitation robots. Adv Robot 21(8):843–867CrossRef
24.
Zurück zum Zitat Nef T, Colombo G, Riener R (2005) ARMin—robot for movement therapy of the upper extremities. Automatisierungstechnik 53(12):597–606CrossRef Nef T, Colombo G, Riener R (2005) ARMin—robot for movement therapy of the upper extremities. Automatisierungstechnik 53(12):597–606CrossRef
25.
Zurück zum Zitat Platz T (2003) Evidenzbasierte Armrehabilitation: Eine systematische Literaturübersicht. Nervenarzt 74:841–849CrossRef Platz T (2003) Evidenzbasierte Armrehabilitation: Eine systematische Literaturübersicht. Nervenarzt 74:841–849CrossRef
26.
Zurück zum Zitat Prange GB, Jannink MJ, Groothuis-Oudshoorn CG, Hermens HJ, IJzerman MJ (2006) Systematic review of the effect of robot-aided therapy on recovery of the hemiparetic arm after stroke. J Rehabil Res Dev 43(2):171–184CrossRef Prange GB, Jannink MJ, Groothuis-Oudshoorn CG, Hermens HJ, IJzerman MJ (2006) Systematic review of the effect of robot-aided therapy on recovery of the hemiparetic arm after stroke. J Rehabil Res Dev 43(2):171–184CrossRef
27.
Zurück zum Zitat Riener R, Nef T, Colombo G (2005) Robot-aided neurorehabilitation for the upper extremities. Med Biol Eng Comput 43:2–10CrossRef Riener R, Nef T, Colombo G (2005) Robot-aided neurorehabilitation for the upper extremities. Med Biol Eng Comput 43:2–10CrossRef
28.
Zurück zum Zitat Riener R, Lünenburger L, Jezernik S, Anderschitz M, Colombo G, Dietz V (2005) Cooperative subject-centered strategies for robot-aided treadmill training: first experimental results. IEEE Trans Neural Syst Rehab Eng 13:380–393CrossRef Riener R, Lünenburger L, Jezernik S, Anderschitz M, Colombo G, Dietz V (2005) Cooperative subject-centered strategies for robot-aided treadmill training: first experimental results. IEEE Trans Neural Syst Rehab Eng 13:380–393CrossRef
29.
Zurück zum Zitat Sanchez RJ, Liu J, Rao S, Shah P, Smith R, Rahman T, Cramer SC, Bobrow JE, Reinkensmeyer DJ (2006) Automating arm movement training following severe stroke: functinal exercise with quantitative feedback in a gravity-reduced environment. IEEE Trans Neural Syst Rehabil Eng 14(3):378–389CrossRef Sanchez RJ, Liu J, Rao S, Shah P, Smith R, Rahman T, Cramer SC, Bobrow JE, Reinkensmeyer DJ (2006) Automating arm movement training following severe stroke: functinal exercise with quantitative feedback in a gravity-reduced environment. IEEE Trans Neural Syst Rehabil Eng 14(3):378–389CrossRef
30.
Zurück zum Zitat Schouten AC, de Vlugt E, van der Helm FCT, Brouwn GG (2004) Optimal posture control of a musculo-skeletal arm model. Biol Cybern 84(2):143–152CrossRef Schouten AC, de Vlugt E, van der Helm FCT, Brouwn GG (2004) Optimal posture control of a musculo-skeletal arm model. Biol Cybern 84(2):143–152CrossRef
31.
Zurück zum Zitat Siciliano B, Villani L (1999) Robot force control. Kluwer, BostonMATH Siciliano B, Villani L (1999) Robot force control. Kluwer, BostonMATH
32.
Zurück zum Zitat Stein J, Krebs HI, Frontera WR, Fasoli SE, Hughes R, Hogan N (2004) Comparison of two techniques of robot-aided upper limb exercise training after stroke. Am J Phys Med Rehabil 83(9):720–728CrossRef Stein J, Krebs HI, Frontera WR, Fasoli SE, Hughes R, Hogan N (2004) Comparison of two techniques of robot-aided upper limb exercise training after stroke. Am J Phys Med Rehabil 83(9):720–728CrossRef
33.
Zurück zum Zitat Sunderland A, Tinson DJ, Bradley EL, Fletcher D, Langton HR, Wade DT (1992) Enhanced physical therapy improves recovery of arm function after stroke. A randomised clinical trial. J Neurol Neursurg Psychiatry 55:530–535CrossRef Sunderland A, Tinson DJ, Bradley EL, Fletcher D, Langton HR, Wade DT (1992) Enhanced physical therapy improves recovery of arm function after stroke. A randomised clinical trial. J Neurol Neursurg Psychiatry 55:530–535CrossRef
34.
Zurück zum Zitat Winstein CJ, Rose DK, Tan SM, Lewthwaite R, Chui HC, Azen SP (2004) A randomized controlled comparison of upper-extremity rehabilitation strategies in acute stroke: a pilot study of immediate and long-term outcomes. Arch Phys Med Rehab 85(4):620–628CrossRef Winstein CJ, Rose DK, Tan SM, Lewthwaite R, Chui HC, Azen SP (2004) A randomized controlled comparison of upper-extremity rehabilitation strategies in acute stroke: a pilot study of immediate and long-term outcomes. Arch Phys Med Rehab 85(4):620–628CrossRef
35.
Zurück zum Zitat Winter D (1989) Biomechanics and motor control of human movement, 2 edn. Wiley, New York Winter D (1989) Biomechanics and motor control of human movement, 2 edn. Wiley, New York
Metadaten
Titel
ARMin: a robot for patient-cooperative arm therapy
verfasst von
Tobias Nef
Matjaz Mihelj
Robert Riener
Publikationsdatum
01.09.2007
Verlag
Springer-Verlag
Erschienen in
Medical & Biological Engineering & Computing / Ausgabe 9/2007
Print ISSN: 0140-0118
Elektronische ISSN: 1741-0444
DOI
https://doi.org/10.1007/s11517-007-0226-6

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