Testing robot-based assist-as-needed therapy for improving active participation of a patient during early neurorehabilitation: a case study.

Journal: IEEE ... International Conference on Rehabilitation Robotics : [proceedings]
PMID:

Abstract

In this study, a patient in the Intensive Care-Unit received robot-based mobilization therapy with an assist-as-needed (AAN) function over the course of three weeks. Therapists were able to adapt the hip range of motion $\beta$, the bed verticalization angle $\alpha$ and the leg load force F for each therapy, based on the current condition of the patient. To evaluate the patient active participation, surface electromyography (sEMG) of the M. rectus femoris (RF) and M. biceps femoris (BF) were measured and analyzed. It was observed that the patient active participation, measured through sEMG, increased along with increased hip range of motion $\beta$, bed verticalization angle $\alpha$ and leg load force F set by the therapists. The patient muscle activation pattern followed the pattern of healthy controls, in part. To the authors' best knowledge, this study is the first of its kind to be performed with an ICU patient.

Authors

  • Kim K Peper
  • Dinmukhamed Zardykhan
  • Marion Egger
  • Martina Steinbock
  • Friedemann Müller
    Schoen Klinik Bad Aibling, Bad Aibling, Germany.
  • Xavier Hildenbrand
  • Alexander Koenig
    Department of Physical Medicine and Rehabilitation, Harvard Medical School, 300 First Avenue, Charlestown, MA 02129, USA.
  • Elisabeth R Jensen
  • Sami Haddadin
    Chair of Robotics Science and Systems Intelligence and Munich School of Robotics and Machine Intelligence, Heßstraße 134, 80797 München, Germany.