Soft Robotics to Enhance Upper Limb Endurance in Individuals with Multiple Sclerosis

被引:7
作者
Lotti, Nicola [1 ]
Missiroli, Francesco [1 ]
Galofaro, Elisa [1 ]
Tricomi, Enrica [1 ]
Di Domenico, Dario [2 ,3 ]
Semprini, Marianna [2 ]
Casadio, Maura [4 ]
Brichetto, Giampaolo [5 ,6 ]
De Michieli, Lorenzo [2 ]
Tacchino, Andrea [5 ]
Masia, Lorenzo [1 ]
机构
[1] Heidelberg Univ, Inst Tech Informat ZITI, Fac Engn Sci, Med Tech Grp, Neuenheimer Feld 368, D-69120 Heidelberg, Germany
[2] Italian Inst Technol, Rehab Technol Lab, Via Morego 30, Genoa, Italy
[3] Politecn Torino, Dept Elect & Telecommun, Turin, Italy
[4] Univ Genoa, Dipartimento Informat Bioingn Robot & Ingn Sistemi, Genoa, Italy
[5] Italian Multiple Sclerosis Fdn, Sci Res Area, Genoa, Italy
[6] Italian Multiple Sclerosis Soc AISM, AISM Rehabil Serv Genoa, Genoa, Italy
关键词
multiple sclerosis; exosuits; wearable robotics; high-density electromyography; SURFACE EMG; EXOSUIT; TECHNOLOGY; IMPAIRMENT; FATIGUE;
D O I
10.1089/soro.2023.0024
中图分类号
TP24 [机器人技术];
学科分类号
080202 ; 1405 ;
摘要
Multiple sclerosis (MS) is a chronic autoimmune disorder that affects the central nervous system and can result in various symptoms, including muscle weakness, spasticity, and fatigue, ultimately leading to the deterioration of the musculoskeletal system. However, in recent years, exosuits have emerged as a game-changing solution to assist individuals with MS during their daily activities. These lightweight and affordable wearable robotic devices have gained immense popularity. In our study, we assessed the performance of an elbow exosuit on eight individuals with MS using high-density electromyography to measure biceps muscle activity. The results demonstrated that our prototype significantly reduced muscle effort during both dynamic and isometric tasks while increasing the elbow range of motion. In addition, the exosuit effectively delayed the onset of muscle fatigue, enhancing endurance for people with MS and enabling them to perform heavy duty tasks for a longer period.
引用
收藏
页码:338 / 346
页数:9
相关论文
共 40 条
[11]   Beyond therapists: Technology-aided physical MS rehabilitation delivery [J].
Feys, Peter ;
Straudi, Sofia .
MULTIPLE SCLEROSIS JOURNAL, 2019, 25 (10) :1387-1393
[12]   A textile exomuscle that assists the shoulder during functional movements for everyday life [J].
Georgarakis, Anna-Maria ;
Xiloyannis, Michele ;
Wolf, Peter ;
Riener, Robert .
NATURE MACHINE INTELLIGENCE, 2022, 4 (06) :574-582
[13]  
Ghasemi N, 2017, CELL J, V19, P1
[14]   The Armeo Spring as training tool to improve upper limb functionality in multiple sclerosis: a pilot study [J].
Gijbels, Domien ;
Lamers, Ilse ;
Kerkhofs, Lore ;
Alders, Geert ;
Knippenberg, Els ;
Feys, Peter .
JOURNAL OF NEUROENGINEERING AND REHABILITATION, 2011, 8
[15]  
Goverover Y., 2017, IMPACT MULTIPLE SCLE, P145
[16]   Robotic and Sensor Technology for Upper Limb Rehabilitation [J].
Jakob, Iris ;
Kollreider, Alexander ;
Germanotta, Marco ;
Benetti, Filippo ;
Cruciani, Arianna ;
Padua, Luca ;
Aprile, Irene .
PM&R, 2018, 10 (09) :S189-S197
[17]  
KURTZKE JF, 1983, NEUROLOGY, V33, P1444, DOI 10.1212/WNL.33.11.1444
[18]   Fatigue recognition in overhead assembly based on a soft robotic exosuit for worker assistance [J].
Kuschan, Jan ;
Krueger, Jorg .
CIRP ANNALS-MANUFACTURING TECHNOLOGY, 2021, 70 (01) :9-12
[19]   Upper Limb Assessment in Multiple Sclerosis: A Systematic Review of Outcome Measures and their Psychometric Properties [J].
Lamers, Ilse ;
Kelchtermans, Silke ;
Baert, Ilse ;
Feys, Peter .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2014, 95 (06) :1184-1200
[20]   Myoelectric or Force Control? A Comparative Study on a Soft Arm Exosuit [J].
Lotti, Nicola ;
Xiloyannis, Michele ;
Missiroli, Francesco ;
Bokranz, Casimir ;
Chiaradia, Domenico ;
Frisoli, Antonio ;
Riener, Robert ;
Masia, Lorenzo .
IEEE TRANSACTIONS ON ROBOTICS, 2022, 38 (03) :1363-1379