Robot assisted rehabilitation
Stroke is one of the leading causes of adult disability: two thirds of patients survive, but approximately 80% of stroke survivors lose some ability to use their arm and/or hand, which affects activities of daily living, such as eating, manipulating the oven knob, writing, etc.
Our goal is to induce long lasting improvement in such tasks by having patients perform systematic exercises adapted to their disability by performing motivating therapeutic video games. We have examined the main needs of chronic stroke patients, and developed simple rehabilitation tools to help them to gradually improve their hand function.
Clinical trials on chronic stroke patients showed a significant improvement of the motor function in both hand and arm (though only hand movements were trained), which maintained after the stroke. This project was initiated with the groups of Teo Chee Leong of NUS and Ted Milner of McGill.
We currently investigate training of reaching and manipulation for subacute stroke patients with collaborators at NHNN in London, and develop low-cost non-actuated sensor-based rehabilitation systems.
- L Dovat, O Lambercy, Y Ruffieux, D Chapuis, R Gassert, H Bleuler, CL Teo, E Burdet. A haptic knob for rehabilitation of stroke patients. In Proc. IEEE/RSJ Int Conf on Intelligent Robots and Systems (IROS), 977-82, 2006 (Best application paper award).
- O Lambercy, L Dovat, R Gassert, E Burdet, CL Teo, T Milner. A haptic knob for rehabilitation of hand function. IEEE Transaction on Neural Systems and Rehabilitation Engineering, 15(3): 356-66, 2007.
- L Dovat, O Lambercy, R Gassert, T Maeder, T Milner, CL Teo, E Burdet. HandCARE: a Cable-Actuated REhabilitation system to train hand function after stroke. IEEE Transaction on Neural Systems and Rehabilitation Engineering, 16(6): 582-91, 2008.
- L Dovat, O Lambercy, B Salman, V Johnson, TE Milner, R Gassert, E Burdet and TC Leo. A technique to train finger coordination and independence after stroke. Disability and Rehabilitation: Assistive Technology 5: 279-87, 2010.
- O Lambercy, L Dovat, H Yun, SK Wee, C Kuah, K Chua, R Gassert, TE Milner, CL Teo and E Burdet (2011), Robot-assisted rehabilitation of grasp and pronation/supination. Journal of NeuroEngineering and Rehabilitation 8: 63, doi:10.1186/1743-0003-8-63.
- O Lambercy, L Dovat, B Salman, R Gassert, TE Milner, E Burdet and CL Teo (2011), Robot-assisted Rehabilitation of Hand Function After Stroke with the HapticKnob and the HandCARE. Biomechatronics in Medicine and Health Care. L Li and KY Tong eds, Pan Stanford Publishing PteLtd. 43-56.
- S Balasubramaniam, J Klein and E Burdet. Robot-assisted rehabilitation of hand function. Current Opinion in Neurology (invited), doi: 10.1097/WCO.0b013e32833e99a4, 2010.
- O Lambercy, L Dovat, H Yun, SK Wee, C Kuah, K Chua, R Gassert,TE Milner, CL Teo and E Burdet. Robot-assisted rehabilitation of grasp and pronation/supination. Journal of NeuroEngineering and Rehabilitation 8:63, doi:10.1186/1743-0003-8-63, 2011.
- S Balasubramanian, A Melendez-Calderon and E Burdet (2012), A robust and sensitive metric for quantifying movement smoothness. IEEE Transactions on Biomedical Engineering 59(8): 2126-36.
- S Balasubramaniam, R Colombo, V Sanguinetti and E Burdet (2012), Robotic assessment of upper-limb motor function after stroke: a review. American Journal of Physical Medicine and Rehabilitation 91(11): 255-69 (invited).