WiGlove : A Passive Dynamic Orthosis for Home-based Post-stroke Rehabilitation of Hand and Wrist

Stroke survivors often experience varying levels of motor function deficits in their hands affecting their ability to perform activities of daily life. Recovering their hand functions through neurorehabilitation is a significant step in their recovery towards independent living. Home-based rehabilitation using robotic devices allows stroke survivors to train at their convenience independent of factors such as the availability of therapists’ appointments and the need for frequent travel to outpatient clinics. While many robotic solutions have been proposed to address the above concerns, most focus on training only the wrist or the fingers, neglecting the synergy between the two. To address this, the WiGlove was co-designed to allow hemiparetic stroke survivors to train both the wrist and fingers in the comfort of their homes. The central hypothesis of this work is to investigate if a device designed using user-centred methods featuring aspects of usability such as easy donning and doffing and wireless operation, can act as a feasible tool for home-based rehabilitation of the hand and wrist following stroke. In order to aid this investigation, we tackled this task in three stages of usability and feasibility evaluations. Firstly, healthy participants tried the current state of the art, the SCRIPT Passive Orthosis, as well as the WiGlove, in a counterbalanced, within-subject experiment and attested to WiGlove’s improvement in several aspects of usability such as ease of don/doffing, suitability for ADL, unblocked natural degrees of freedom, safety and aesthetic appeal. Subsequently, a heuristic evaluation with six stroke therapists validated these improvements and helped identify issues they perceived to potentially affect the device’s acceptance. Integrating this feedback, the updated WiGlove was subjected to a six-week summative feasibility evaluation with two stroke survivors, with varying levels of impairment, in their homes without supervision from the therapists. Results from this study were overwhelmingly positive on the usability and acceptance of the WiGlove. Furthermore, in the case of the first participant who trained with it for a total of 39 hours, notable improvements were observed in the participant’s hand functions. It showed that even without a prescribed training protocol, both participants were willing to train regularly with the WiGlove and its games, sometimes several times a day. These results demonstrate that WiGlove can be a promising tool for home-based rehabilitation for stroke survivors and serve as evidence for a larger user study with more participants with varying levels of motor impairments due to stroke. The findings of this study also offer preliminary evidence supporting the effectiveness of training with the WiGlove, particularly in the case of the first participant, who exhibited a significant reduction of tone in the hand as a result of increased training intensity. Owing to the participant’s satisfaction with the device, it was requested by him to extend his involvement in the study by using the WiGlove for a longer duration which was facilitated

Rehabilitation Engineering

Population ageing has major consequences and implications in all areas of our daily life as well as other important aspects, such as economic growth, savings, investment and consumption, labour markets, pensions, property and care from one generation to another. Additionally, health and related care, family composition and life-style, housing and migration are also affected. Given the rapid increase in the aging of the population and the further increase that is expected in the coming years, an important problem that has to be faced is the corresponding increase in chronic illness, disabilities, and loss of functional independence endemic to the elderly (WHO 2008). For this reason, novel methods of rehabilitation and care management are urgently needed. This book covers many rehabilitation support systems and robots developed for upper limbs, lower limbs as well as visually impaired condition. Other than upper limbs, the lower limb research works are also discussed like motorized foot rest for electric powered wheelchair and standing assistance device

Business Ethics

Business Ethics is designed to meet the scope and sequence requirements of the single-semester business ethics course. This title includes innovative features designed to enhance student learning, including case studies, application scenarios, and links to video interviews with executives, all of which help instill in students a sense of ethical awareness and responsibility.https://commons.erau.edu/oer-textbook/1006/thumbnail.jp

LifeLogging: personal big data

We have recently observed a convergence of technologies to foster the emergence of lifelogging as a mainstream activity. Computer storage has become significantly cheaper, and advancements in sensing technology allows for the efficient sensing of personal activities, locations and the environment. This is best seen in the growing popularity of the quantified self movement, in which life activities are tracked using wearable sensors in the hope of better understanding human performance in a variety of tasks. This review aims to provide a comprehensive summary of lifelogging, to cover its research history, current technologies, and applications. Thus far, most of the lifelogging research has focused predominantly on visual lifelogging in order to capture life details of life activities, hence we maintain this focus in this review. However, we also reflect on the challenges lifelogging poses to an information retrieval scientist. This review is a suitable reference for those seeking a information retrieval scientist’s perspective on lifelogging and the quantified self

Investigation and Quantification of FES Exercise – Isometric Electromechanics and Perceptions of Its Usage as an Exercise Modality for Various Populations

Functional Electrical Stimulation (FES) is the triggering of muscle contraction by use of an electrical current. It can be used to give paralyzed individuals several health benefits, through allowing artificial movement and exercise. Although many FES devices exist, many aspects require innovation to increase usability and home translation. In addition, the effect of changing electrical parameters on limb biomechanics is not entirely understood; in particular with regards to stimulation duty cycle. This thesis has two distinct components. In the first (public health component), interview studies were conducted to understand several issues related to FES technology enhancement, implementation and home translation. In the second (computational biomechanics component), novel signal processing algorithms were designed that can be used to measure mechanical responses of muscles subjected to electrical stimulation. These experiments were performed by changing duty cycle and measuring its effect on quadriceps-generated knee torque. The studies of this thesis have presented several ideas, toolkits and results which have the potential to guide future FES biomechanics studies and the translatability of systems into regular usage for patients. The public health studies have provided conceptual frameworks upon which FES may be used in the home by patients. In addition, they have elucidated a range of issues that need to be addressed should FES technology reach its true potential as a therapy. The computational biomechanics studies have put forward novel data analysis techniques which may be used for understanding how muscle responds to electrical stimulation, as measured via torque. Furthermore, the effect of changing the electrical stimulation duty cycle on torque was successfully described, adding to an understanding of how electrical stimulation parameter modulation can influence joint biomechanics

Cenários comunicacionais baseados em IOT para a promoção do bem-estar físico, psicológico e social dos séniores

The main objective of this research is to design and validate IoT based social hybrid scenario model that has the potential to promote psychological and physical wellbeing among older adults. The main reason to design and validate the model is age growth, older adults face psychological, physical and social well-being problems that increase mild cognitive impairment and frailty among older adults. Thus, to overcome older adults' problems, the study proposes and validates an IoT-based social hybrid scenario model. The model's features contain passive communication in which Drs, caregivers, and family members can monitor older adults' physical data from long distances. The model's features also contained intentional communication in which Older adults can interact online by text, audio, video calls, sharing images, and online activities such as painting, exercises and cooking. Moreover, older adults can do outdoor activities by inviting peers, friends or family members; the activities can be location-based IoT games, city tours, groups gardening and dinners. The outcomes of model validation will indicate how IoT characteristics can promote physical, psychological and social well-being and provide an opportunity for older adults to spend their life independently. The research that embodies this thesis includes 411 senior Portuguese Universities which are located mainland and on the island of Portugal. Using descriptive research methodology, where quantitative results are analysed, the results indicated a holistic scenario of passive and intentional communication in the context of well-being promotion among olderadults. from here, the social hybrid scenario is outlined, a hybrid model that offers passive and intentional communication between olderadults, family and medical doctors in the context of well-being promotion. The design and characteristics of the model are based on the existing knowledg, and needs of older adults, family members and also medical doctors. Such as model is a compound of passive and intentional characteristics that helps to reduce problem-related mental and physical health. The Passive and intentional communication characteristics are capable to create an environment for older adultsto take care of their psychological and physical health without any intervention and also increase their social physical and online activities, these activities help to promote the well-being of olderadults andd improve the daily lifestyle.O principal objetivo desta pesquisa é projetar e validar um modelo de cenário híbrido social baseado em IoT que tenha o potencial de promover o bem-estar psicológico e físico entre os idosos. A principal razão para projetar e validar o modelo é o crescimento da idade, os idosos enfrentam problemas psicológicos, físicos e de bem-estar social que aumentam o comprometimento cognitivo leve e a fragilidade entre os idosos. Assim, para superar os problemas dos idosos, o estudo propõe e valida um modelo de cenário híbrido social baseado em IoT. Os recursos do modelo contêm comunicação passiva na qual médicos, cuidadores e familiares podem monitorar os dados físicos dos idosos a longas distâncias. As características do modelo também contemplam comunicação intencional em que os idosos podem interagir online por meio de texto, áudio, videochamadas, compartilhamento de imagens e atividades online como pintura, exercícios e culinária. Além disso, os idosos podem fazer atividades ao ar livre convidando colegas, amigos ou familiares; as atividades podem ser jogos de IoT baseados em localização, passeios pela cidade, jardinagem em grupo e jantares. Os resultados da validação do modelo indicam como as características da IoT podem promover o bem-estar físico, psicológico e social e fornecer uma oportunidade para os idosos passarem sua vida de forma independente. A investigação que dá corpo a esta tese inclui 411 universidades portuguesas seniores localizadas no continente e na ilha de Portugal. Utilizando metodologia de pesquisa descritiva, onde são analisados resultados quantitativos, os resultados indicaram um cenário holístico de comunicação passiva e intencional no contexto da promoção do bem-estar entre idosos. a partir daqui, delineia-se o cenário social híbrido, um modelo híbrido que oferece comunicação passiva e intencional entre idosos, médicos de família e médicos no contexto da promoção do bem-estar. O desenho e as características do modelo baseiam-se no conhecimento existente e nas necessidades dos idosos, familiares e também médicos. Tal modelo é um composto de características passivas e intencionais que ajuda a reduzir os problemas relacionados com a saúde mental e física. As características de comunicação passiva e intencional são capazes de criar um ambiente para que os idosos cuidem de sua saúde psicológica e física e também aumentem suas atividades sociais físicas e online, essas atividades ajudam a promover o bem-estar dos idosos e melhorar o estilo de vida diário.Programa Doutoral em Informação e Comunicação em Plataformas Digitai

Unmet goals of tracking: within-track heterogeneity of students' expectations for

Educational systems are often characterized by some form(s) of ability grouping, like tracking. Although substantial variation in the implementation of these practices exists, it is always the aim to improve teaching efficiency by creating homogeneous groups of students in terms of capabilities and performances as well as expected pathways. If students’ expected pathways (university, graduate school, or working) are in line with the goals of tracking, one might presume that these expectations are rather homogeneous within tracks and heterogeneous between tracks. In Flanders (the northern region of Belgium), the educational system consists of four tracks. Many students start out in the most prestigious, academic track. If they fail to gain the necessary credentials, they move to the less esteemed technical and vocational tracks. Therefore, the educational system has been called a 'cascade system'. We presume that this cascade system creates homogeneous expectations in the academic track, though heterogeneous expectations in the technical and vocational tracks. We use data from the International Study of City Youth (ISCY), gathered during the 2013-2014 school year from 2354 pupils of the tenth grade across 30 secondary schools in the city of Ghent, Flanders. Preliminary results suggest that the technical and vocational tracks show more heterogeneity in student’s expectations than the academic track. If tracking does not fulfill the desired goals in some tracks, tracking practices should be questioned as tracking occurs along social and ethnic lines, causing social inequality