1,721,157 research outputs found
Cycling neuroprosthesis optimized for the evaluation of pedalling unbalance in the rehabilitation of stroke patients
No full textA Functional Electrical Stimulation and Motor-Assisted Trike for Sport Rehabilitation Therapy
No full textCycling is a widely used rehabilitation method because it is safe and can be adapted to the needs of different users, from elderly to severely disabled people. When practiced outdoors, cycling becomes a model of sport therapy, promoting social integration and psychological well-being. This study aimed to design a Functional Electrical Stimulation (FES) and motor-assisted trike for sport-therapy rehabilitation. A commercially available passive recumbent trike was equipped with a DC brushed motor, an 8-channel neuro-muscular electrical stimulator, an encoder to measure the crank angle and a pair of power meter pedals. For those with no sensation in the lower limbs, a dual branch controller was developed: the electric motor kept a desired target cadence, while FES intensity was modulated to keep a desired target power at the pedals. For those with some residual capability, FES was modulated with a feedforward controller at an intensity level tolerated by the subject, the motor kept a desired target cadence, and the user was asked to voluntarily provide a desired target power through visual feedback. A feasibility study was conducted with two people with Spinal Cord Injury and five subjects without disabilities. Both controllers worked correctly and the setup demonstrated to be flexible and safe. Future work will focus on optimizing the control in order to better combine the motor assistance with the voluntary and/or FES-induced leg movement, and to study the possibility to compensate for movement asymmetry between the two legs, which could be crucial for some users, such as stroke survivors
'Regent Suit' training improves recovery of motor and daily living activities in subjects with subacute stroke: A randomized controlled trial
No full textObjective: To evaluate the efficacy of an elastic element-based suit, called 'Regent Suit', in improving the recovery of motor and daily living activities in patients experiencing a subacute stroke. Design: Randomized controlled trial. Setting: Neurorehabilitation unit. Subjects: Sixty patients with subacute stroke who were capable of walking without direct assistance were randomized to an experimental and control group. Interventions: The experimental group attended 20 sessions of neuromotor exercises (e.g. sit-to-stand, balance, gait training) wearing the 'Regent Suit'; the control group performed the same exercises without the 'Regent Suit'. Outcome measures: 6-minute walking test, Berg Balance Scale, the Functional Independence Measure, and the Barthel Index. The participants were evaluated before and after training, and after a further six months. Results: There were no significant between-group differences at baseline. A repeated measure linear mixed model revealed a significant effect of time (p < 0.001), group (p = 0.019), and time-by-group interaction (p < 0.001) in the gait speed in favour of the experimental group. The Berg Balance Scale indicated a significant effect of time (p < 0.001) and time-by-group interaction (p < 0.001). The experimental group also showed greater improvement in Functional Independence Measure and Barthel Index. Discussion: The study findings showed that an intervention using the 'Regent Suit' is more effective than usual care in improving locomotion and daily living activities in patients with subacute stroke. Further studies might investigate the efficacy of this type of training in chronic stroke patients and the possibility of combining the suit with body weight-supported treadmill training
Retraction of: Multidisciplinary program based on early management of psychological factors reduces disability of patients with subacute low back pain: one-year results of a randomized controlled study
No full textFES-induced Cycling Improves Locomotion in Post-Acute Ischemic Stroke Patients: a Randomized Controlled Trial
No full textActive self-correction and task-oriented exercises reduce spinal deformity and improve quality of life in subjects with mild adolescent idiopathic scoliosis. Results of a randomised controlled trial.
Full text linkErgometer system with electrical stimulation for training of lower limb motor coordination in stroke patients
No full textMultidisciplinary program based on early management of psychological factors reduces disability of patients with subacute low back pain: one-year results of a randomized controlled study
No full textMultidisciplinary rehabilitation induces disability improvement, pain reduction and favours return-to-work in patients with subacute low back pain (LBP). Current research advises additional high-quality trials
- …
