An ergonomic modular foot platform for isometric force/torque measurements in poststroke functional assessment: a pilot study.

The main goal of this article is to present the design, technical development, and preliminary validation of an innovative mechatronic device for force/torque measurements taken from the human foot using pilot data. The device, formed by a mobile platform equipped with two six-axis force/torque sensors, was used to perform accurate quantitative measurements during isometric exercises, aimed at performing functional assessment tests in poststroke patients undergoing a rehabilitation treatment. Results from pilot data provide a validation of the device. A large clinical trial has been planned to test whether the platform can be used in the clinical practice. We suggest that measurements of ground reaction forces taken from the foot of poststroke patients during the initiation of activities of daily living tasks can provide information about their motor recovery and enlighten possible areas of application, ranging from isometric motor exercise in neurorehabilitation to foot-based human-machine interface.

[1]  Orit Shechtman,et al.  The effect of foot placement on sit to stand in healthy young subjects and patients with hemiplegia. , 2002, Archives of physical medicine and rehabilitation.

[2]  B. Norris,et al.  Adultdata The handbook of adult anthropometric and strength measurements: data for design safety , 1998 .

[3]  Tadej Bajd,et al.  Multi-Fingered Grasping and Manipulation in Virtual Environments Using an Isometric Finger Device , 2007, PRESENCE: Teleoperators and Virtual Environments.

[4]  R. Cardini,et al.  Trunk control in unstable sitting posture during functional activities in healthy subjects and patients with multiple sclerosis. , 2004, Archives of physical medicine and rehabilitation.

[5]  Plantar flexor muscle action while sitting, standing and prone in patients with upper motor neuron lesion due to stroke , 2003 .

[6]  H. Jacob,et al.  Pressure and force distribution characteristics under the normal foot during the push-off phase in gait , 1999 .

[7]  Nikolaos G. Tsagarakis,et al.  A High-performance Redundantly Actuated Parallel Mechanism for Ankle Rehabilitation , 2009, Int. J. Robotics Res..

[8]  A. Patla,et al.  Effect of stroke on step characteristics of obstacle crossing. , 2001, Archives of physical medicine and rehabilitation.

[9]  M W Keith,et al.  Measurement of isometric elbow and shoulder moments: position-dependent strength of posterior deltoid-to-triceps muscle tendon transfer in tetraplegia. , 1996, IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society.

[10]  A. Nene,et al.  Simultaneous multiple operations for spastic diplegia. Outcome and functional assessment of walking in 18 patients. , 1993, The Journal of bone and joint surgery. British volume.

[11]  Judith E. Deutsch,et al.  Post-Stroke Rehabilitation with the Rutgers Ankle System: A Case Study , 2001, Presence: Teleoperators & Virtual Environments.

[12]  G. Robain,et al.  Claw toes in hemiplegic patients after stroke. , 2010, Annals of physical and rehabilitation medicine.

[13]  M.C. Carrozza,et al.  A Wearable Biomechatronic Interface for Controlling Robots with Voluntary Foot Movements , 2007, IEEE/ASME Transactions on Mechatronics.

[14]  Kok Soon Soon,et al.  New Foot Pressure Activated Sensory Compensation System for Posture-Control Enhancement in Amputees , 2007, IEEE/ASME Transactions on Mechatronics.

[15]  Marko Munih,et al.  Assessment of recovery at stroke patients by whole-body isometric force-torque measurements of functional tasks I: mechanical design of the device , 2005 .

[16]  J. Błaszczyk,et al.  Assessment of postural control in patients with Parkinson's disease: sway ratio analysis. , 2011, Human movement science.

[17]  R. Rosenfeld Patients , 2012, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[18]  J. Dewald,et al.  Abnormal joint torque patterns in the paretic upper limb of subjects with hemiparesis , 2001, Muscle & nerve.

[19]  Jörg Krüger,et al.  HapticWalker---a novel haptic foot device , 2005, TAP.

[20]  A. Geurts,et al.  Posturographic assessment of sitting balance recovery in the subacute phase of stroke. , 2008, Gait & posture.

[21]  E. Roth,et al.  Aging-related neuromuscular changes characterized by tendon reflex system properties. , 2005, Archives of physical medicine and rehabilitation.

[22]  Michael L Boninger,et al.  Outcome Measures for Gait and Ambulation in the Spinal Cord Injury Population , 2008, The journal of spinal cord medicine.

[23]  P. Dario,et al.  Whole-body isometric force/torque measurements for functional assessment in neuro-rehabilitation: platform design, development and verification , 2009, Journal of NeuroEngineering and Rehabilitation.

[24]  Henning Bliddal,et al.  Posturographic description of the regaining of postural stability following stroke , 2005, Clinical physiology and functional imaging.

[25]  D. Teyhen,et al.  Static foot posture associated with dynamic plantar pressure parameters. , 2011, The Journal of orthopaedic and sports physical therapy.

[26]  S. Mazzoleni,et al.  An Ergonomic Dynamometric Foot Platform for Functional Assessment in Rehabilitation , 2006, The First IEEE/RAS-EMBS International Conference on Biomedical Robotics and Biomechatronics, 2006. BioRob 2006..

[27]  R. Stein,et al.  A comparison of models of force production during stimulated isometric ankle dorsiflexion in humans , 2005, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[28]  D. Pérennou,et al.  Contribution of Each Lower Limb to Upright Standing in Stroke Patients , 2008, Stroke.