Emulation of Spasticity Symptoms in Upper Limb Part-Task Trainer for Physiotherapist Education

The aim of this study is to develop an adequate part-task trainer occupied with varying levels of severity in spasticity symptoms focusing on the upper limb disorder for occupational therapists. Using the developed part-task trainer, the occupational therapists will have opportunities to repetitively engage in training without patient involvement. The part-task trainer is developed following the structure of human arm articulations with the ability to reproduce the spasticity stiffness. The structured interface programming is built providing three levels of spasticity: mild, moderate and severe. The programming was based on the clinical assessment of spasticity, measuring elbow joint angles and forces exerted by the patients. The recreated spasticity stiffness was evaluated by experienced occupational therapists. Therapists provided positive feedback regarding the mild and moderate level of spasticity leaving further improvement needed in order to reproduce the spasticity at the severe level.

[1]  Takashi Komeda,et al.  Design of Upper Limb Patient Simulator , 2012 .

[2]  Hyung-Soon Park,et al.  Development of a Haptic Elbow Spasticity Simulator (HESS) for Improving Accuracy and Reliability of Clinical Assessment of Spasticity , 2012, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[3]  F. Biering-Sørensen,et al.  Spasticity-assessment: a review , 2006, Spinal Cord.

[4]  W Z Rymer,et al.  System identification of tendon reflex dynamics. , 1999, IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society.

[5]  Allison M. Okamura,et al.  Haptic Simulation of Elbow Joint Spasticity , 2008, 2008 Symposium on Haptic Interfaces for Virtual Environment and Teleoperator Systems.

[6]  Richard W. Bohannon,et al.  Interrater reliability of a modified Ashworth scale of muscle spasticity. , 1987, Physical therapy.

[7]  H Rodgers,et al.  A review of the properties and limitations of the Ashworth and modified Ashworth Scales as measures of spasticity , 1999, Clinical rehabilitation.

[8]  B. Pentland,et al.  Inter‐rater reliability of the modified Ashworth Scale for spasticity in hemiplegic patients , 1992, International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation.