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用于检查中风拇指运动控制的主动式外骨骼的设计与评估

Design and Evaluation of an Actuated Exoskeleton for Examining Motor Control in Stroke Thumb.

作者信息

Wang Furui, Jones Christopher L, Shastri Milind, Qian Kai, Kamper Derek G, Sarkar Nilanjan

机构信息

TRUMPF Photonics Inc, Cranbury, NJ, 08512, USA.

Department of Biomedical Engineering, Illinois Institute of Technology, Chicago, IL, USA 60616.

出版信息

Adv Robot. 2016;30(3):165-177. doi: 10.1080/01691864.2015.1105867. Epub 2016 Mar 7.

DOI:10.1080/01691864.2015.1105867
PMID:27672232
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5035118/
Abstract

Chronic hand impairment is common following stroke. This paper presents an actuated thumb exoskeleton (ATX) to facilitate research in examining motor control and hand rehabilitation. The ATX presented in this work aims to provide independent bi-directional actuation in each of the 5 degrees-of-freedom (DOF) of the thumb using a novel flexible shaft based mechanism that has 5 active DOF and 3 passive DOF. A prototype has been built and experiments have been conducted to measure the allowable workspace at the thumb and evaluate the kinematic and kinetic performance of the ATX. The experimental results show that the ATX is able to provide individual actuation at all 5 thumb joints with high joint velocity and torque capacities. Further improvement and future work are discussed.

摘要

中风后慢性手部功能障碍很常见。本文介绍了一种主动式拇指外骨骼(ATX),以促进在运动控制和手部康复研究方面的进展。本研究中提出的ATX旨在通过一种新颖的基于挠性轴的机构,在拇指的5个自由度(DOF)中每个自由度都提供独立的双向驱动,该机构具有5个主动自由度和3个被动自由度。已制作出一个原型,并进行了实验,以测量拇指的允许工作空间,并评估ATX的运动学和动力学性能。实验结果表明,ATX能够在所有5个拇指关节处提供单独驱动,具有较高的关节速度和扭矩能力。文中还讨论了进一步的改进和未来的工作。

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本文引用的文献

1
Design and Development of the Cable Actuated Finger Exoskeleton for Hand Rehabilitation Following Stroke.用于中风后手康复的缆线驱动手指外骨骼的设计与开发
IEEE ASME Trans Mechatron. 2014 Feb;19(1):131-140. doi: 10.1109/TMECH.2012.2224359. Epub 2012 Nov 16.
2
Isokinetic strength and power deficits in the hand following stroke.脑卒中后手的等速力量和功率不足。
Clin Neurophysiol. 2012 Jun;123(6):1200-6. doi: 10.1016/j.clinph.2011.10.004. Epub 2011 Nov 3.
3
Diminished capacity to modulate motor activation patterns according to task contributes to thumb deficits following stroke.根据任务调节运动激活模式的能力下降导致中风后拇指缺陷。
J Neurophysiol. 2011 Oct;106(4):1644-51. doi: 10.1152/jn.00936.2010. Epub 2011 Jul 13.
4
The Armeo Spring as training tool to improve upper limb functionality in multiple sclerosis: a pilot study.Armeo Spring 作为一种训练工具,可改善多发性硬化症患者的上肢功能:一项初步研究。
J Neuroeng Rehabil. 2011 Jan 24;8:5. doi: 10.1186/1743-0003-8-5.
5
Lack of hypertonia in thumb muscles after stroke.中风后患侧拇指肌肉张力低下。
J Neurophysiol. 2010 Oct;104(4):2139-46. doi: 10.1152/jn.00423.2009. Epub 2010 Jul 28.
6
Development and pilot testing of HEXORR: hand EXOskeleton rehabilitation robot.HEXORR:手部外骨骼康复机器人的研发与初步测试。
J Neuroeng Rehabil. 2010 Jul 28;7:36. doi: 10.1186/1743-0003-7-36.
7
Robotic assisted rehabilitation in Virtual Reality with the L-EXOS.使用L-EXOS在虚拟现实中进行机器人辅助康复。
Stud Health Technol Inform. 2009;145:40-54.
8
Recovery of thumb and finger extension and its relation to grasp performance after stroke.中风后拇指和手指伸展功能的恢复及其与抓握能力的关系。
J Neurophysiol. 2009 Jul;102(1):451-9. doi: 10.1152/jn.91310.2008. Epub 2009 May 20.
9
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Annu Int Conf IEEE Eng Med Biol Soc. 2008;2008:4282-5. doi: 10.1109/IEMBS.2008.4650156.
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HandCARE: a cable-actuated rehabilitation system to train hand function after stroke.手部康复护理系统(HandCARE):一种用于中风后训练手部功能的缆索驱动康复系统。
IEEE Trans Neural Syst Rehabil Eng. 2008 Dec;16(6):582-91. doi: 10.1109/TNSRE.2008.2010347.