Developing Motivational Visual Feedback for a New Telerehabilitation System for Motor Relearning after Stroke

Motor relearning after stroke is a lengthy process which should be continued after patients get discharged from the clinic. This project aims at developing a system for telerehabilitation which enables stroke patients to exercise at home autonomously or under remote supervision of a therapist. The system includes haptic therapy devices which are more promising and beneficial for stroke rehabilitation than non-haptic approaches. In this paper, we present the results of two initial studies investigating specific design solutions for the task’s and feedback’s visualization. In the first study, we followed a participatory design approach to create a set of design solutions for a motivating instant visual feedback for exercising with the haptic devices. In the second study we evaluated the developed visualizations with stroke patients in clinical environment. The current project status and next steps are described.

Content

Author and article information

Contributors

Ekaterina Ivanova

Katharina Lorenz

Mareike Schrader

Michael Minge

Conference

Publication date: July 2017

Publication date (Print): July 2017

Pages: 1-6

Affiliations

[0001]Technische Universität Berlin

Industrial Automation Technology

[0002]Universität der Künste

Design Research Lab

[0003]Charité Universitätsmedizin Berlin

Center for Stroke Research Berlin

[0004]Technische Universität Berlin

Cognitive Psychology and Cognitive Ergonomics

Article

DOI: 10.14236/ewic/HCI2017.75

SO-VID: 46b042d6-0447-4a9e-980f-c02df0096184

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This work is licensed under a Creative Commons Attribution 4.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

Conference name: Proceedings of the 31st International BCS Human Computer Interaction Conference (HCI 2017)

Conference acronym: HCI

Conference number: 31

Conference location: Sunderland, UK

Conference date: 3 - 6 July 2017

Conference sponsor: Electronic Workshops in Computing (eWiC)

Conference theme: digital make-believe, with delegates considering our expansive

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1477-9358 BCS Learning & Development

Self URI (article page): https://www.scienceopen.com/hosted-document?doi=10.14236/ewic/HCI2017.75

Self URI (journal page): https://ewic.bcs.org/

reference

J.W. BurkeM.D.J. McNeillD.K. CharlesP.J. MorrowJ.H. CrosbieS.M. McDonough 2009 Serious games for upper limb rehabilitation following stroke Conference on Games & Virtual Worlds for Serious Applications - VSGAMES09, 103 110
A.J. ButlerC. BayD. WuK.M. RichardsS. Buchanan 2014 Expanding telerehabilitation of stroke through in-home robot-assisted therapy International Journal of Physical Medical Rehabilitation, 2 184 2
S. HesseG. Schulte-TiggesM. KonradK. BardelebenC. Werner 2003 Robot-assisted arm trainer for the passive and active practice of bilateral forearm and wrist movements in hemiparetic subjects Archives of physical medicine and rehabilitation, 84 6 915 920
S. HesseC. WernerM. PohlJ. MehrholzU. PuzichH.I. Krebs 2008 Mechanical arm trainer for the treatment of the severely affected arm after a stroke American Journal of Physical Medicine & Rehabilitation, 87 10 779 788
E. IvanovaJ. KrügerR. SteingräberS. SchmidS. SchmidtS. Hesse 2015 Design and concept of a haptic robotic telerehabilitation system for upper limb movement training after stroke International Conference on Rehabilitaton Robotics - ICORR, 666 671
E. IvanovaM. MingeH. SchmidtM. ThüringJ. Krüger 2017 User-centered design of a patient’s work station for haptic robot-based telerehabilitation after stroke Current Directions in Biomedical Engineering 3 39 43
T. JohanssonC. Wild 2011 Telerehabilitation in stroke care - a systematic review Journal of Telemedicine and Telecare 17 1 1 6
M.J. JohnsonH. Schmidt 2011 Robot assisted neurological rehabilitation at home: Motivational aspects and concepts for tele-rehabilitation Public Health Forum, 17 4 8 11
S.C. JohnstonS. MendisC.D. Mathers. 2009 Global variation in stroke burden and mortality: estimates from monitoring, surveillance, and modeling The Lancet Neurology, 8 4 345 354
G. KwakkelB.J. KollenH.I. Krebs 2008 Effects of robot-assisted therapy on upper limb recovery after stroke: a systematic review Journal of Neurorehabilitation and Neural Repair, 22 2 111 121
B. LanghammerJ.K. Stanghelle 2003 Bobath or motor relearning programme? A follow-up four years post stroke Clinical Rehabilitation, 17 7 731 734
P. LanghorneJ. BernhardtG. Kwakkel 2011 Stroke rehabilitation The Lancet, 377(9778) 1693 1702
K. LaverS. GeorgeS. ThomasJ.E. DeutschM. Crotty 2012 Cochrane review: virtual reality for stroke rehabilitation European Journal of physical and rehabilitation medicine, 48 3 523 530
C.J.L. MurrayA.D. Lopez 1997 Mortality by cause for eight regions of the world: Global Burden of Disease Study The Lancet, 349 9061 1269 1276
N. Norouzi-GheidariP.S. ArchambaultJ. Fung 2012 Effects of robot-assisted therapy on stroke rehabilitation in upper limbs: systematic review and meta-analysis Journal of Rehabilitation Research and Development 49 479 496
S.B. O'Sullivan,T. Schmitz., 2007 Physical rehabilitation (5th Ed.). Philadelphia F.A. Davis
E.B.N. SandersE. BrandtT. Binder 2011 A framework for organizing the tools and techniques of participatory design Proceedings of the 11th Participatory Design Conference. NY ACM Press 195 198
A. TheriaultM. NagurkaM.J. Johnson 2014 Therapeutic potential of haptic TheraDrive: An affordable robot/computer system for motivating stroke rehabilitation Proceedings of the5th International Conference on Biomedical Robotics and Biomechatronics, 415 420
P. WeissM. HeldmannA. GabrechtA. SchweikardT.M. MünteT.E. Maehle 2014 A low cost tele-rehabilitation device for training of wrist and finger functions after stroke Proceedings of the 8th International Conference on Pervasive Computer Technology for Healthcare, 422 425

Comments

Comment on this article

[1] J.W. BurkeM.D.J. McNeillD.K. CharlesP.J. MorrowJ.H. CrosbieS.M. McDonough 2009 Serious games for upper limb rehabilitation following stroke Conference on Games & Virtual Worlds for Serious Applications - VSGAMES09, 103 110

[2] A.J. ButlerC. BayD. WuK.M. RichardsS. Buchanan 2014 Expanding telerehabilitation of stroke through in-home robot-assisted therapy International Journal of Physical Medical Rehabilitation, 2 184 2

[3] S. HesseG. Schulte-TiggesM. KonradK. BardelebenC. Werner 2003 Robot-assisted arm trainer for the passive and active practice of bilateral forearm and wrist movements in hemiparetic subjects Archives of physical medicine and rehabilitation, 84 6 915 920

[4] S. HesseC. WernerM. PohlJ. MehrholzU. PuzichH.I. Krebs 2008 Mechanical arm trainer for the treatment of the severely affected arm after a stroke American Journal of Physical Medicine & Rehabilitation, 87 10 779 788

[5] E. IvanovaJ. KrügerR. SteingräberS. SchmidS. SchmidtS. Hesse 2015 Design and concept of a haptic robotic telerehabilitation system for upper limb movement training after stroke International Conference on Rehabilitaton Robotics - ICORR, 666 671

[6] E. IvanovaM. MingeH. SchmidtM. ThüringJ. Krüger 2017 User-centered design of a patient’s work station for haptic robot-based telerehabilitation after stroke Current Directions in Biomedical Engineering 3 39 43

[7] T. JohanssonC. Wild 2011 Telerehabilitation in stroke care - a systematic review Journal of Telemedicine and Telecare 17 1 1 6

[8] M.J. JohnsonH. Schmidt 2011 Robot assisted neurological rehabilitation at home: Motivational aspects and concepts for tele-rehabilitation Public Health Forum, 17 4 8 11

[9] S.C. JohnstonS. MendisC.D. Mathers. 2009 Global variation in stroke burden and mortality: estimates from monitoring, surveillance, and modeling The Lancet Neurology, 8 4 345 354

[10] G. KwakkelB.J. KollenH.I. Krebs 2008 Effects of robot-assisted therapy on upper limb recovery after stroke: a systematic review Journal of Neurorehabilitation and Neural Repair, 22 2 111 121

[11] B. LanghammerJ.K. Stanghelle 2003 Bobath or motor relearning programme? A follow-up four years post stroke Clinical Rehabilitation, 17 7 731 734

[12] P. LanghorneJ. BernhardtG. Kwakkel 2011 Stroke rehabilitation The Lancet, 377(9778) 1693 1702

[13] K. LaverS. GeorgeS. ThomasJ.E. DeutschM. Crotty 2012 Cochrane review: virtual reality for stroke rehabilitation European Journal of physical and rehabilitation medicine, 48 3 523 530

[14] C.J.L. MurrayA.D. Lopez 1997 Mortality by cause for eight regions of the world: Global Burden of Disease Study The Lancet, 349 9061 1269 1276

[15] N. Norouzi-GheidariP.S. ArchambaultJ. Fung 2012 Effects of robot-assisted therapy on stroke rehabilitation in upper limbs: systematic review and meta-analysis Journal of Rehabilitation Research and Development 49 479 496

[16] S.B. O'Sullivan,T. Schmitz., 2007 Physical rehabilitation (5th Ed.). Philadelphia F.A. Davis

[17] E.B.N. SandersE. BrandtT. Binder 2011 A framework for organizing the tools and techniques of participatory design Proceedings of the 11th Participatory Design Conference. NY ACM Press 195 198

[18] A. TheriaultM. NagurkaM.J. Johnson 2014 Therapeutic potential of haptic TheraDrive: An affordable robot/computer system for motivating stroke rehabilitation Proceedings of the5th International Conference on Biomedical Robotics and Biomechatronics, 415 420

[19] P. WeissM. HeldmannA. GabrechtA. SchweikardT.M. MünteT.E. Maehle 2014 A low cost tele-rehabilitation device for training of wrist and finger functions after stroke Proceedings of the 8th International Conference on Pervasive Computer Technology for Healthcare, 422 425

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