Virtual System Using Haptic Device for Real-Time Tele-Rehabilitation of Upper Limbs

This paper proposes a tool to support the rehabilitation of upper limbs assisted remotely, which makes it possible for the physiotherapist to be able to assist and supervise the therapy to patients who can not go to rehabilitation centers. This virtual system for real-time tele-rehabilitation is non-invasive and focuses on involving the patient with mild or moderate mobility alterations within a dynamic therapy based on virtual games; Haptics Devices are used to reeducate and stimulate the movement of the upper extremities, at the same time that both motor skills and Visual-Motor Integration skills are developed. The system contains a virtual interface that emulates real-world environments and activities. The functionality of the Novint Falcon device is exploited to send a feedback response that corrects and stimulates the patient to perform the therapy session correctly. In addition, the therapy session can vary in intensity through the levels presented by the application, and the amount of time, successes and mistakes made by the patient are registered in a database. The first results show the acceptance of the virtual system designed for real-time tele-rehabilitation.

[1]  Patrice L Tamar Weiss,et al.  Role of Virtual Reality for Cerebral Palsy Management , 2014, Journal of child neurology.

[2]  Heidi M. Feldman Developmental-Behavioral Pediatrics, Third Edition , 2000 .

[3]  P. Helders,et al.  Effects of a functional therapy program on motor abilities of children with cerebral palsy. , 2001, Physical therapy.

[4]  C. Burgar,et al.  Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after stroke. , 2002, Archives of physical medicine and rehabilitation.

[5]  Sergio Albiol-Perez,et al.  3D Virtual System Using a Haptic Device for Fine Motor Rehabilitation , 2017, WorldCIST.

[6]  William B. Carey,et al.  Developmental-Behavioral Pediatrics , 1983 .

[7]  Jenny Ziviani,et al.  The effect of virtual reality interventions on physical activity in children and adolescents with early brain injuries including cerebral palsy , 2012, Developmental medicine and child neurology.

[8]  Edward Taub,et al.  Efficacy of constraint-induced movement therapy for children with cerebral palsy with asymmetric motor impairment. , 2004, Pediatrics.

[9]  Jenny Ziviani,et al.  Efficacy of Upper Limb Therapies for Unilateral Cerebral Palsy: A Meta-analysis , 2014, Pediatrics.

[10]  Jean Aicardi,et al.  Diseases of the Nervous System in Childhood , 1993 .

[11]  S. Carmel,et al.  Compliance with home rehabilitation therapy by parents of children with disabilities in Jews and Bedouin in Israel , 2001, Developmental medicine and child neurology.

[12]  Antonio Frisoli,et al.  Serious Game and Wearable Haptic Devices for Neuro Motor Rehabilitation of Children with Cerebral Palsy , 2017 .

[13]  Ana Carolina de Campos,et al.  Measuring changes in functional mobility in children with mild cerebral palsy , 2011, Developmental neurorehabilitation.

[14]  Laura A Prosser,et al.  Trunk and hip muscle activity in early walkers with and without cerebral palsy--a frequency analysis. , 2010, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[15]  Tien-Yow Chuang,et al.  Use of Virtual Reality to Improve Upper-Extremity Control in Children With Cerebral Palsy: A Single-Subject Design , 2007, Physical Therapy.

[16]  Marcia K. O'Malley,et al.  Design of a Haptic Arm Exoskeleton for Training and Rehabilitation , 2004 .

[17]  FIONA STANLEY,et al.  The Epidemiology of the Cerebral Palsies , 2010 .

[18]  Gui-bin Song,et al.  Effects of conventional neurological treatment and a virtual reality training program on eye-hand coordination in children with cerebral palsy , 2015, Journal of physical therapy science.

[19]  Ayanna M. Howard,et al.  Effect of Virtual Reality on Upper Extremity Function in Children With Cerebral Palsy: A Meta-analysis , 2014, Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association.

[20]  S. Leonhardt,et al.  A survey on robotic devices for upper limb rehabilitation , 2014, Journal of NeuroEngineering and Rehabilitation.

[21]  Antonio Frisoli,et al.  Integration of serious games and wearable haptic interfaces for Neuro Rehabilitation of children with movement disorders: A feasibility study , 2017, 2017 International Conference on Rehabilitation Robotics (ICORR).

[22]  K. X. Khor,et al.  Development of CR2-Haptic: A compact and portable rehabilitation robot for wrist and forearm training , 2014, 2014 IEEE Conference on Biomedical Engineering and Sciences (IECBES).

[23]  A. Saykin,et al.  In-home virtual reality videogame telerehabilitation in adolescents with hemiplegic cerebral palsy. , 2010, Archives of physical medicine and rehabilitation.

[24]  A. Majnemer,et al.  Virtual reality as a therapeutic modality for children with cerebral palsy , 2010, Developmental neurorehabilitation.

[25]  Dmitry Bulakh,et al.  Programmable gesture manipulator for hand injuries rehabilitation , 2017, 2017 Internet Technologies and Applications (ITA).

[26]  E. Morgan,et al.  Cerebral palsy: introduction and diagnosis (part I). , 2007, Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners.