Wrist and fingers rehabilitation device
Jaroslav Sobota, Jan Kutlwašer
Wrist and finger home rehabilitation device
Smart mechatronic device complementing or
replacing existing mechanical aids
•
Rehabilitation of wrist and fingers after surgical treatment of flexor/extensor
tendons
•
Rehabilitation of neurological pacients – stroke, brain and spinal cord injury,
Parkinson disease, multiple sclerosis
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MRH device requirements
User:
• Intuitive graphical interface, ideally making the excersises fun
• Ergonomic design
M.D. / Physiotherapist:
• Remote monitoring of rehabilitation activities (frequency, efectiveness)
• Remote adjustment of the excersises
Manufacturer / Service provider:
• Remote functionality diagnostics and service (firmware upgrade)
Legislative and regulatory:
• Safety, data security
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Project team
Department of Cybernetics
• R&D in embedded and distributed control systems
and algorithms for process control, robotics and
mechatronics
Department of Machine Design
• Prototype development
• New study programme „Construction of medical
equipment“
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Brief description of the device
• Exoskeleton architecture
• Real-time measurement and
control
• Graphical user interface
• Data archiving, remote
access
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Control algorithm
• Graphical programming in the REX control system
•
Bottom-up development
•
Individual control of each phalanx in continuous passive motion (CPM) mode
•
Defined velocity, acceleration and maximum angle
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Definition of exercises
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Sequential state machine programmed in SFC
Editor
•
Chain of conditioned actions
•
Each state triggers movements of individual
phalanxes
•
Once the transition condition is fulfilled (angle
is reached), next state is activated
•
Once all the actions are performed, the cycle
returns to initial state and can be repeated
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User interface
•
Java-based visualization framework
•
Real-time visualization of the
exercise
- animated 3D models (based on
measured data)
- running 2D plots (based on
measured data)
- exercise parameters
•
Can be used locally or for remote
supervision
•
Straightforward design from CAD
drawing
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Simulation of exercises
•
•
•
Verification and/or visualization of the exercise
Avoiding movements beyond ROM
Preparing patient for the exercise
•
Minor changes for guiding
the patient through
active exercises, the
requested movement or
target position is displayed
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Highlights of our approach
•
REX control system is compatible with Matlab/Simulink
•
Control algorithm can be easily verified before deployment
•
No coding required, transfer to target platform is straightforward
•
Visualization and user interface framework is available
•
All parameters of the exercises can be changed over the internet
•
Records of exercises are stored and can be used to evaluate the progress of
rehabilitation treatment
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Philosophy of hand rehabilitation device
• Whole device is modular assembly
• there are two basis (one for left hand and one for right hand)
• “fingers” of mechanism are in different sizes for each phalanx
• thumb’s holder is in more than one size
• servos, screws, are the same
• Fingerholders are cleanable or changeable
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Philosophy of hand rehabilitation device
Hand rehabilitation device cycle
exercise program setup
by therapist
patient use it
at home
patient returns
the device
device is assembled
for specific patient
therapist checks the
exercise and changes
exercise program values
the device is
disassembled
parts are stored
for new usage
some parts are
renewed
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Simplified design – the 1st design
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Simplified design – the new one
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Simplified design – pros and cons
•
Advantages of the new design:
• less number of parts
• easiest assembly
• measuring system in the servos could be used
•
Disadvantages of the new design:
• rods of mechanism are slightly moved from center of axis
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1st physical prototype
•Prototype for software tests and modularity tests
•Designed in “Design for Cost” philosophy
Summary
•
Insight into research and development at UWB within the MRH project
•
The software and hardware part of the hand rehabilitation device
•
The development continues …
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Summary
•
Insight into research and development at UWB within the MRH project
•
The software and hardware part of the hand rehabilitation device
•
The development continues …
Thank you for your attention
Contact:
Jaroslav Sobota (jsobota@kky.zcu.cz)
Jan Kutlwašer (kutlis@kks.zcu.cz)
Josef Formánek (formanek@kks.zcu.cz)
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