After Stroke Movement Impairments: A Review of Current Technologies for Rehabilitation

This chapter presents a review of the rehabilitation technologies for people who have suffered a stroke, comparing and analyzing the impact that these technologies have on their recovery in the short and long term. The problematic is presented, and motor impairments for upper and lower limbs are characterized. The goal of this chapter is to show novel trends and research for the assistance and treatment of motor impairment caused by strokes

Soft Gloves: A Review on Recent Developments in Actuation, Sensing, Control and Applications

Interest in soft gloves, both robotic and haptic, has enormously grown over the past decade, due to their inherent compliance, which makes them particularly suitable for direct interaction with the human hand. Robotic soft gloves have been developed for hand rehabilitation, for ADLs assistance, or sometimes for both. Haptic soft gloves may be applied in virtual reality (VR) applications or to give sensory feedback in combination with prostheses or to control robots. This paper presents an updated review of the state of the art of soft gloves, with a particular focus on actuation, sensing, and control, combined with a detailed analysis of the devices according to their application field. The review is organized on two levels: a prospective review allows the highlighting of the main trends in soft gloves development and applications, and an analytical review performs an in-depth analysis of the technical solutions developed and implemented in the revised scientific research. Additional minor evaluations integrate the analysis, such as a synthetic investigation of the main results in the clinical studies and trials referred in literature which involve soft gloves

Biosignal‐based human–machine interfaces for assistance and rehabilitation : a survey

As a definition, Human–Machine Interface (HMI) enables a person to interact with a device. Starting from elementary equipment, the recent development of novel techniques and unobtrusive devices for biosignals monitoring paved the way for a new class of HMIs, which take such biosignals as inputs to control various applications. The current survey aims to review the large literature of the last two decades regarding biosignal‐based HMIs for assistance and rehabilitation to outline state‐of‐the‐art and identify emerging technologies and potential future research trends. PubMed and other databases were surveyed by using specific keywords. The found studies were further screened in three levels (title, abstract, full‐text), and eventually, 144 journal papers and 37 conference papers were included. Four macrocategories were considered to classify the different biosignals used for HMI control: biopotential, muscle mechanical motion, body motion, and their combinations (hybrid systems). The HMIs were also classified according to their target application by considering six categories: prosthetic control, robotic control, virtual reality control, gesture recognition, communication, and smart environment control. An ever‐growing number of publications has been observed over the last years. Most of the studies (about 67%) pertain to the assistive field, while 20% relate to rehabilitation and 13% to assistance and rehabilitation. A moderate increase can be observed in studies focusing on robotic control, prosthetic control, and gesture recognition in the last decade. In contrast, studies on the other targets experienced only a small increase. Biopotentials are no longer the leading control signals, and the use of muscle mechanical motion signals has experienced a considerable rise, especially in prosthetic control. Hybrid technologies are promising, as they could lead to higher performances. However, they also increase HMIs’ complex-ity, so their usefulness should be carefully evaluated for the specific application

A new multisensor software architecture for movement detection: Preliminary study with people with cerebral palsy

A five-layered software architecture translating movements into mouse clicks has been developed and tested on an Arduino platform with two different sensors: accelerometer and flex sensor. The archi-tecture comprises low-pass and derivative filters, an unsupervised classifier that adapts continuously to the strength of the user's movements and a finite state machine which sets up a timer to prevent in-voluntary movements from triggering false positives. Four people without disabilities and four people with cerebral palsy (CP) took part in the experi-ments. People without disabilities obtained an average of 100% and 99.3% in precision and true positive rate (TPR) respectively and there were no statistically significant differences among type of sensors and placement. In the same experiment, people with disabilities obtained 97.9% and 100% in precision and TPR respectively. However, these results worsened when subjects used the system to access a commu-nication board, 89.6% and 94.8% respectively. With their usual method of access-an adapted switch- they obtained a precision and TPR of 86.7% and 97.8% respectively. For 3-outof- 4 participants with disabilities our system detected the movement faster than the switch. For subjects with CP, the accelerometer was the easiest to use because it is more sensitive to gross motor motion than the flex sensor which requires more complex movements. A final survey showed that 3-out-of-4 participants with disabilities would prefer to use this new technology instead of their tra-ditional method of access