On the role of visual feedback and physiotherapist-patient interaction in robot-assisted gait training: an eye-tracking and HD-EEG study.

Journal: Journal of neuroengineering and rehabilitation
PMID:

Abstract

BACKGROUND: Treadmill based Robotic-Assisted Gait Training (t-RAGT) provides for automated locomotor training to help the patient achieve a physiological gait pattern, reducing the physical effort required by therapist. By introducing the robot as a third agent to the traditional one-to-one physiotherapist-patient (Pht-Pt) relationship, the therapist might not be fully aware of the patient's motor performance. This gap has been bridged by the integration in rehabilitation robots of a visual FeedBack (FB) that informs about patient's performance. Despite the recognized importance of FB in t-RAGT, the optimal role of the therapist in the complex patient-robot interaction is still unclear. This study aimed to describe whether the type of FB combined with different modalities of Pht's interaction toward Pt would affect the patients' visual attention and emotional engagement during t-RAGT.

Authors

  • Francesca Patarini
    Department of Computer, Control and Management Engineering, Sapienza University of Rome, Via Ariosto, 25, 00185, Rome, Italy.
  • Federica Tamburella
  • Floriana Pichiorri
    Neuroelectrical Imaging and Brain Computer Interface Lab, IRCCS Fondazione Santa Lucia, Rome, Italy.
  • Shiva Mohebban
    Neuroelectrical Imaging and Brain Computer Interface Lab, IRCCS Fondazione Santa Lucia, Rome, Italy.
  • Alessandra Bigioni
    Laboratory of Robotic Neurorehabilitation, IRCCS Fondazione Santa Lucia, Rome, Italy.
  • Andrea Ranieri
    Department of Computer, Control and Management Engineering, Sapienza University of Rome, Via Ariosto, 25, 00185, Rome, Italy.
  • Francesco Di Tommaso
    Università Campus Bio-Medico di Roma, Rome, Italy.
  • Nevio Luigi Tagliamonte
    Laboratory of Robotic Neurorehabilitation and Laboratory of Spinal Rehabilitation, Fondazione Santa Lucia, IRCCS, Rome, Italy.
  • Giada Serratore
    Laboratory of Robotic Neurorehabilitation, IRCCS Fondazione Santa Lucia, Rome, Italy.
  • Matteo Lorusso
    I.R.C.C.S. Santa Lucia Foundation (FSL), Via Ardeatina, 306, 00179, Rome, Italy.
  • Angela Ciaramidaro
    Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Reggio Emilia, Italy.
  • Febo Cincotti
    Department of Computer, Control and Management Engineering, Sapienza University of Rome, Rome, Italy.
  • Giorgio Scivoletto
    I.R.C.C.S. Santa Lucia Foundation (FSL), Via Ardeatina, 306, 00179, Rome, Italy.
  • Donatella Mattia
  • Jlenia Toppi