System Integration of Finger Contracture Prevention System Device for Early Post Stroke Rehabilitation

  • Authors

    • Ahmad Ahmad
    • Mohd Nor Azmi Ab Patar
    • Anwar P.P. Abdul Majeed
    • Hokyoo Lee
    • Jamaluddin Mahmud
    2018-12-09
    https://doi.org/10.14419/ijet.v7i4.36.28151
  • Early Acute, Finger Contracture, Post Stroke Rehabilitation, Prevention System, Real-Time Quantitative Monitoring

  • Abstract

    Physical rehabilitation is the key for recovering motor control and function for patients with neurological disorders. Conventional therapy procedures tend to be labor intensive and non-standardized, especially in the area of hand and finger rehabilitation. Robotics technology offers a way to reduce the burden of the physiotherapists in a repeatable and measurable manner. This work describes a novel finger rehabilitation approach for hand motor functions recovery targeting early acute stroke survivors using an active exoskeleton robotic device. The device is designed based on anthropometric measurement data of hand ergonomics. The device is able to assist the subject in performing flexion and extension movements. The main specification of the device includes a differential system with a current sensing element and a lead screw mechanism which allows for the self-governing movement of each finger through the usage of small actuators. The device is safe, easy to deploy, integrated with sensing element and offers multiple training possibilities. Moreover, it has been observed that the device could offer an objective evaluation of the patients’ motor function activity, suggesting its potentiality for a customized home-based therapy program for patients.

     

     

  • References

    1. [1] Z. Taha, M. M. Alim, A. P.P. Abdul Majeed, M. A. Zakaria, M. A. Mohd Razman, M. A. H Shaharudin, and M. H. A. Hassan. "The Identification and Control of a Finger Exoskeleton for Grasping Rehabilitation." in Intelligent Manufacturing & Mechatronics: Proceedings of Symposium (2018), PP. 177-182.

      [2] M. N. A. A. Patar, T. Komeda, L. C. Yee, and J. Mahmud, “Model-based systems engineering of a hand rehabilitation device,â€Jurnal Teknologi, Vol. 76, No. 4, (2015), PP. 101–106.

      [3] O. Lambercy, Y. Kim, and R. Gassert, “Robot-assisted assessment of vibration perception and localization on the hand,†Disability and Rehabilitation: Assistive Technology, Vol. 8, No. 2, (2013), PP. 129–35.

      [4] Mohd Nor Azmi Ab Patar, T. Komeda, C. Y. Low, and J. Mahmud, “System Integration and Control of Finger Orthosis for Post Stroke Rehabilitation,†Procedia Technology, Vol. 15, (2014), PP. 756–765.

      [5] D. A. Nowak, “The impact of stroke on the performance of grasping: Usefulness of kinetic and kinematic motion analysis,†Neuroscience & Biobehavioral Reviews, Vol. 32, No. 8, (2008), PP. 1439–1450.

      [6] P. Agarwal, J. Fox, Y. Yun, M. K. O’Malley, and A. D. Deshpande, “An index finger exoskeleton with series elastic actuation for rehabilitation: Design, control and performance characterization,†International Journal of Robotics Research, (2015), PP. 1–26.

      [7] M. N. A. B. A. Patar, T. Komeda, J. Mahmud, and C. Y. Low, “Model Based Design of Finger Exoskeleton for Post Stroke Rehabilitation Using a Slotted Link Cam with Lead Screw Mechanism,†in Industrial Engineering, Management Science and Applications 2015, M. Gen, J. K. Kim, X. Huang, and Y. Hiroshi, Eds. Berlin, Heidelberg: Springer Berlin Heidelberg, (2015), PP. 95–103.

      [8] P. Page, “Current concepts in muscle stretching for exercise and rehabilitation.,†International Journal of Sports Physical Therapy, Vol. 7, No. 1, (2012), PP. 109–19.

      [9] M. N. A. bin Ab Patar, T. Komeda, C. Y. Low, and J. Mahmud, “Patient-Driven Hand Exoskeleton Based Robotic with Active Control System for Early Post Stroke Rehabilitation,†Applied Mechanics and Materials, Vol. 799–800, (2015), PP. 1063–1068.

      [10] P. Langhorne, J. Bernhardt, and G. Kwakkel, “Stroke rehabilitation,†Lancet, Vol. 377, No. 9778, (2011), PP. 1693–1702.

      [11] H. Tanaka, M. Yoshikawa, E. Oyama, Y. Wakita, and Y. Matsumoto, “Development of Assistive Robots Using International Classification of Functioning, Disability, and Health : Concept, Applications, and Issues,†Journal of Robotics, Vol. 2013, (2013).

      [12] M. N. A. A. Patar, T. Komeda, T. Mori, T. Seki, Y. Saito, J. Mahmud, and C. Y. Low, “Hand rehabilitation device system (HRDS) for therapeutic applications,†in 5th IEEE RAS/EMBS International Conference on Biomedical Robotics and Biomechatronics, (2014), PP. 381–386.

      [13] M. N. A. Bin Ab Patar, T. Komeda, and J. Mahmud, “Force assisted hand and finger device for rehabilitation,†in 1st International Symposium on Technology Management and Emerging Technologies (ISTMET), (2014), PP. 133–138.

      [14] A. Rahim, A. Hakim, A. P. Mohd Nor Azmi, A. T. M. Amin, and J. Mahmud, “The Development of Finger Rehabilitation Device for Stroke Patients,†Applied Mechanics and Materials, Vol. 393, (2013), PP. 604–610.

      [15] A. Hamid, M. N. A. A. Patar, and M. A. Ayub, “Force Sensor Detection and Performance Evaluation of New Active System Ankle Foot Orthosis,†Procedia Engineering, Vol. 41, (2012), PP. 510–515.

      [16] P. Maciejasz, J. Eschweiler, K. Gerlach-Hahn, A. Jansen-Troy, and S. Leonhardt, “A survey on robotic devices for upper limb rehabilitation.,†Journal of NeuroEngineering and Rehabilitation, Vol. 11, (2014), PP. 1–29.

      M. N. A. Bin Ab Patar, M. H. Mohd Ramli, J. Mahmud, and A. H. Yusof, “Efficacy and Safety Testing of a New Biologically Based Design Ankle Foot Orthosis in Healthy Volunteer,†Applied Mechanics and Materials, Vol. 110–116, No. 1–7, (2011), PP. 1953–1957.

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  • How to Cite

    Ahmad, A., Nor Azmi Ab Patar, M., P.P. Abdul Majeed, A., Lee, H., & Mahmud, J. (2018). System Integration of Finger Contracture Prevention System Device for Early Post Stroke Rehabilitation. International Journal of Engineering & Technology, 7(4.36), 398-403. https://doi.org/10.14419/ijet.v7i4.36.28151

    Received date: 2019-03-03

    Accepted date: 2019-03-03

    Published date: 2018-12-09