Improving Upper Extremity Function and Quality of Life with a Tongue Driven Exoskeleton: A Pilot Study Quantifying Stroke Rehabilitation
Joint Authors
Butler, Andrew J.
Belagaje, S. R.
Housley, Stephen N.
Wu, David
Richards, Kimberly
Ghovanloo, Maysam
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-13, 13 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-12-18
Country of Publication
Egypt
No. of Pages
13
Main Subjects
Abstract EN
Stroke is a leading cause of long-term disability around the world.
Many survivors experience upper extremity (UE) impairment with few rehabilitation opportunities, secondary to a lack of voluntary muscle control.
We developed a novel rehabilitation paradigm (TDS-HM) that uses a Tongue Drive System (TDS) to control a UE robotic device (Hand Mentor: HM) while engaging with an interactive user interface.
In this study, six stroke survivors with moderate to severe UE impairment completed 15 two-hour sessions of TDS-HM training over five weeks.
Participants were instructed to move their paretic arm, with synchronized tongue commands to track a target waveform while using visual feedback to make accurate movements.
Following TDS-HM training, significant improvements in tracking performance translated into improvements in the UE portion of the Fugl-Meyer Motor Assessment, range of motion, and all subscores for the Stroke Impact Scale.
Regression modeling found daily training time to be a significant predictor of decreases in tracking error, indicating the presence of a potential dose-response relationship.
The results of this pilot study indicate that the TDS-HM system can elicit significant improvements in moderate to severely impaired stroke survivors.
This pilot study gives preliminary insight into the volume of treatment time required to improve outcomes.
American Psychological Association (APA)
Housley, Stephen N.& Wu, David& Richards, Kimberly& Belagaje, S. R.& Ghovanloo, Maysam& Butler, Andrew J.. 2017. Improving Upper Extremity Function and Quality of Life with a Tongue Driven Exoskeleton: A Pilot Study Quantifying Stroke Rehabilitation. Stroke Research and Treatment،Vol. 2017, no. 2017, pp.1-13.
https://search.emarefa.net/detail/BIM-1203531
Modern Language Association (MLA)
Housley, Stephen N.…[et al.]. Improving Upper Extremity Function and Quality of Life with a Tongue Driven Exoskeleton: A Pilot Study Quantifying Stroke Rehabilitation. Stroke Research and Treatment No. 2017 (2017), pp.1-13.
https://search.emarefa.net/detail/BIM-1203531
American Medical Association (AMA)
Housley, Stephen N.& Wu, David& Richards, Kimberly& Belagaje, S. R.& Ghovanloo, Maysam& Butler, Andrew J.. Improving Upper Extremity Function and Quality of Life with a Tongue Driven Exoskeleton: A Pilot Study Quantifying Stroke Rehabilitation. Stroke Research and Treatment. 2017. Vol. 2017, no. 2017, pp.1-13.
https://search.emarefa.net/detail/BIM-1203531
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1203531