Transactions on Neural Systems and Rehabilitation Engineering

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Experimental results using force-feedback cueing in robot-assisted stroke therapy
Abstract:Stroke is the leading cause of disability among adults in the United States. Behaviors such as learned nonuse hinder hemiplegic stroke survivors from the full use of both arms in activities of daily living. Active force-feedback cues, designed to restrain... Read more
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Robot-Based Assessment of HIV-Related Motor and Cognitive Impairment for Neurorehabilitation
There is a pressing need for strategies to slow or treat the progression of functional decline in people living with HIV. This paper explores a novel rehabilitation robotics approach to measuring cognitive and motor impairment in adults living with HIV,... Read more
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Quantifying Pathological Synergies in the Upper Extremity of Stroke Subjects With the Use of Inertial Measurement Units: A pilot Study
Abstract Background: Stroke is one of the main causes of disability in the world, causing loss of motor function on mainly one side of the body. A proper assessment of motor function is required to help to direct and evaluate... Read more
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Test-Retest Reliability of Kinematic Assessments for Upper Limb Robotic Rehabilitation
Robot-measured kinematic variables are increasingly used in neurorehabilitation to characterize motor recovery following stroke. However, few studies have evaluated the reliability of these kinematic variables. This study aimed at evaluating the test-retest reliability of typically-used robot-measured kinematic variables in healthy subjects (HS) and patients with stroke (SP)... Read more
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Implications of Physiology-Sensitive Gait Exercise on the Lower Limb Electromyographic Activity of Hemiplegic Post-Stroke Patients: A Feasibility Study in Low Resource Settings
Background: Stroke is one of the leading causes of disability with ~80% of post-stroke survivors suffering from gait-related deficits. Conventional gait rehabilitation settings are labor-intensive and need rigorous involvement of clinicians (who use their expertise to decide the dosage of... Read more
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A Novel Soft Robotic Supernumerary Hand for Severely Affected Stroke Patients
Upper limb functions are severely affected in 23% of the chronic stroke patients, compromising their life quality. To re-enable hand use, providing a degree of functionality and motivating against learned non-use, we propose a robotic supernumerary limb, the SoftHand X... Read more
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In-Vivo Study of Passive Musculotendon Mechanics in Chronic Hemispheric Stroke Survivors
We characterized the passive mechanical properties of the affected and contralateral musculotendon units in 9 chronic stroke survivors as well as in 6 neurologically-intact controls. Using a position-controlled motor, we precisely indented the distal tendon of the biceps brachii to... Read more
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Estimating Upper-Limb Impairment Level in Stroke Survivors Using Wearable Inertial Sensors and a Minimally-Burdensome Motor Task
Upper-limb paresis is the most common motor impairment post stroke. Current solutions to automate the assessment of upper-limb impairment impose a number of critical burdens on patients and their caregivers that preclude frequent assessment. In this work, we propose an... Read more
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Determining User Intent of Partly Dynamic Shoulder Tasks in Individuals with Chronic Stroke using Pattern Recognition
Stroke remains the leading cause of long-term disability in the US. Although therapy can achieve limited improvement of paretic arm use and performance, weakness and abnormal muscle synergies—which cause unintentional elbow, wrist, and finger flexion during shoulder abduction—contribute significantly to... Read more
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A Hybrid Robotic System for Arm Training of Stroke Survivors: Concept and First Evaluation
                      This work describes a hybrid robotic system for arm recovery after stroke, combining EMG-triggered Functional Electrical Stimulation (FES) with a passive exoskeleton for upper limb suspension. The system was developed within the European project RETRAINER and was used in a... Read more