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Collaborative tele-rehabilitation and robot-mediated therapy for stroke rehabilitation at home or clinic

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Abstract

Successful home-rehabilitation should reduce cost, facilitate virtual therapeutic visits, and motivate stroke survivors to engage in under-supervised therapeutic activity at levels necessary for motor learning and generalization to occur. We explored long-distance collaborative “play” using two 6DOF robot-mediated environments and examined the influence on the motivation of able-bodied persons to engage in therapy, sustain play, and relate during a shared task, tic-tac-toe. A clear positive trend existed in favor of the collaborative robot-mediated environment, which subjects found more valuable, interesting, and enjoyable, and was therefore willing to spend more time at the task. Kinematic metrics such as mean velocity of movement and movement smoothness were sensitive to the changes in the level of collaboration in the environment in that sub-movements from rest to the piece were slower and less directed than movements to place the piece at the target tic-tac-toe location. We discuss our experiment, results and its application to stroke rehabilitation and to the development of collaborative tele-rehabilitation at home.

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Author information

Authors and Affiliations

  1. Medical College of Wisconsin - Physical, Medicine & Rehabilitation, Milwaukee, WI, USA

    Michelle J. Johnson

  2. Biomedical Engineering, Olin Engineering Center, Marquette University, Milwaukee, WI, USA

    Michelle J. Johnson

  3. School of Systems Engineering, Cybernetics, The University of Reading, Whiteknights, Reading, RG6 6AY, UK

    Rui C. V. Loureiro & William S. Harwin

Authors
  1. Michelle J. Johnson
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  2. Rui C. V. Loureiro
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  3. William S. Harwin
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Correspondence to Michelle J. Johnson.

Additional information

Financial support from the FCT (Fundação para a Ciência e a Tecnologia) and the ESF (European Social Fund) in the scope of the III communitarian framework of support for the Gentle/S Project. In addition, NIH R24 Grant #2203792 through the Rehabilitation Institute of Chicago, the Medical College of Wisconsin Research Affairs Committee Grant # 3303017, and the Advancing a Healthier Wisconsin Grant # 5520015 for the ADLER project.

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Johnson, M.J., Loureiro, R.C.V. & Harwin, W.S. Collaborative tele-rehabilitation and robot-mediated therapy for stroke rehabilitation at home or clinic. Intel Serv Robotics 1, 109–121 (2008). https://doi.org/10.1007/s11370-007-0010-3

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  • DOI: https://doi.org/10.1007/s11370-007-0010-3

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