McCall James V, Ludovice Miranda C, Blaylock Jared A, Kamper Derek G
IEEE Int Conf Rehabil Robot. 2019 Jun;2019:343-348. doi: 10.1109/ICORR.2019.8779537.
The brain injury that results in cerebral palsy CP may adversely affect fine motor control of the hand. The degradation of manual dexterity in the fingers profoundly impacts overall functionality of the upper limb, yet research efforts to facilitate rehabilitation of finger individuation in children with CP have been limited. This study describes the development of an integrated hardware and software platform for training and evaluating finger individuation. A pneumatically actuated glove provides extension assistance or flexion resistance independently to each digit in concert with playing a virtual reality keyboard. This setup enables intensive and efficient practice of fine motor control of either or both hands. Bimanual training options range from mirror movements to fully independent motions and rhythms in each hand, thereby enabling maintenance of the proper level of challenge. Additionally, an instrument was created to provide assessment of individuated fingertip force generation in order to evaluate effectiveness of the training. Preliminary data were obtained from children both with and without CP using this tool.
导致脑瘫（CP）的脑损伤可能会对手部精细运动控制产生不利影响。手指灵活性的下降会严重影响上肢的整体功能，然而，针对促进脑瘫儿童手指个体化康复的研究工作却很有限。本研究描述了一个用于训练和评估手指个体化的集成硬件和软件平台的开发。一个气动手套与虚拟现实键盘配合使用，可为每个手指独立提供伸展辅助或屈曲阻力。这种设置能够对单只手或双手的精细运动控制进行密集且高效的训练。双手训练选项包括从镜像运动到每只手完全独立的动作和节奏，从而能够维持适当的挑战水平。此外，还创建了一种仪器来评估个体化指尖力的产生，以评估训练效果。使用该工具从患有和未患有脑瘫的儿童身上获取了初步数据。
