Develop a wearable ankle robot for in-bed acute stroke rehabilitation

Movement training is important in motor recovery post stroke and early intervention is critical to stroke rehabilitation. However, acute stroke survivors are actively trained with activities helpful for recovery of mobility in only 13% of the time in the acute phase. Considering the first few months post stroke is critical in stroke recovery (neuroplasticity), there is a strong need for movement therapy and manipulate/mobilize the joints. There is a lack of in-bed robotic rehabilitation in acute stroke. This study seeks to meet the clinic need and deliver intensive passive and active movement therapy using a wearable robot to enhance motor function in acute stroke. Passively, the wearable robot stretches the joint to its extreme positions safely and forcefully. Actively, movement training is conducted and game playing is used to guide and motivate the patient in movement training.

[1]  Robert Teasell,et al.  Impact of early vs delayed admission to rehabilitation on functional outcomes in persons with stroke. , 2006, Journal of rehabilitation medicine.

[2]  A. Tennant,et al.  A randomised controlled trial to determine the effect of intensity of therapy upon length of stay in a neurological rehabilitation setting. , 2002, Journal of rehabilitation medicine.

[3]  Bruce H Dobkin,et al.  Training and exercise to drive poststroke recovery , 2008, Nature Clinical Practice Neurology.

[4]  Geoffrey Donnan,et al.  Inactive and Alone: Physical Activity Within the First 14 Days of Acute Stroke Unit Care , 2004, Stroke.

[5]  S. H. Hayes,et al.  Early intervention care in the acute stroke patient. , 1986, Archives of physical medicine and rehabilitation.

[6]  B Cooper,et al.  Efficiency, effectiveness, and duration of stroke rehabilitation. , 1990, Stroke.

[7]  D. Jette,et al.  The relation between therapy intensity and outcomes of rehabilitation in skilled nursing facilities. , 2005, Archives of physical medicine and rehabilitation.

[8]  J. Feigenson,et al.  Factors Influencing Outcome and Length of Stay in a Stroke Rehabilitation Unit: Part 2. Comparison of 318 Screened and 248 Unscreened Patients , 1977, Stroke.

[9]  T. Murphy,et al.  Plasticity during stroke recovery: from synapse to behaviour , 2009, Nature Reviews Neuroscience.

[10]  Ruud W Selles,et al.  Feedback-controlled and programmed stretching of the ankle plantarflexors and dorsiflexors in stroke: effects of a 4-week intervention program. , 2005, Archives of physical medicine and rehabilitation.

[11]  R. Wertz,et al.  Communication Deficits in Stroke Survivors: An Overview of Classification and Treatment , 1990, Stroke.

[12]  Yupeng Ren,et al.  Combined Passive Stretching and Active Movement Rehabilitation of Lower-Limb Impairments in Children With Cerebral Palsy Using a Portable Robot , 2011, Neurorehabilitation and neural repair.

[13]  Susan D Horn,et al.  Timing of initiation of rehabilitation after stroke. , 2005, Archives of physical medicine and rehabilitation.

[14]  Pamela W Duncan,et al.  Management of Adult Stroke Rehabilitation Care: a clinical practice guideline. , 2005, Stroke.