Center of mass movement estimation using an ambulatory measurement system

Human body movement analysis is done in so-called 'gait-laboratories' where several gait variables are estimated by measurement systems such as optical position measurement systems, EMG or force plates. The accuracy of the ambulatory system is verified by comparing it to an optical reference system based on the semental kinematics method

Adaptive control of dynamic balance in human walking

Walking is the most important means of transport for humans. Only when our walking ability decreases due to aging or injury, we come to realize how important the ability to walk is in our lives. To understand how we can increase walking performance after aging or injury, we studied an important aspect of walking: balance control; as without control of our balance, we would fall down before even making the first step. In this thesis, we studied balance control during walking on a split-belt treadmill, a treadmill with two parallel belts, on which people walk faster with one leg than the other. Although this is a challenging task, healthy humans flexibly controlled their dynamic balance to stay upright during split-belt walking. This can be compared with real-life walking flexibility, where to avoid pedestrians, walk up curbs or text while walking, we constantly change our steps to control our balance, without even thinking about it. Furthermore, we found that when balance is assisted during gait training, by holding handrails, you learn less from this training. This suggests that learning to control your balance is an important element of learning how to walk. Finally, we found that people post-stroke who increase their forward balance with their paretic leg after a slip or trip might lose their side-ward balance due to decreased control of the paretic leg. Further research is necessary to find out whether we can decrease this problem in post-stroke rehabilitation

Feasibility of a second iteration wrist and hand supported training system for self-administered training at home in chronic stroke

Telerehabilitation allows continued rehabilitation at home after discharge. The use of rehabilitation technology supporting wrist and hand movements within a motivational gaming environment could enable patients to train independently and ultimately serve as a way to increase the dosage of practice. This has been previously examined in the European SCRIPT project using a first prototype, showing potential feasibility, although several usability issues needed further attention. The current study examined feasibility and clinical changes of a second iteration training system, involving an updated wrist and hand supporting orthosis and larger variety of games with respect to the first iteration. Nine chronic stroke patients with impaired arm and hand function were recruited to use the training system at home for six weeks. Evaluation of feasibility and arm and hand function were assessed before and after training. Median weekly training duration was 113 minutes. Participants accepted the six weeks of training (median Intrinsic Motivation Inventory = 4.4 points and median System Usability Scale = 73%). After training, significant improvements were found for the Fugl Meyer assessment, Action Research Arm Test and self-perceived amount of arm and hand use in daily life. These findings indicate that technology-supported arm and hand training can be a promising tool for self-administered practice at home after stroke.Final Accepted Versio

Training modalities in robot-mediated upper limb rehabilitation in stroke : A framework for classification based on a systematic review

© 2014 Basteris et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The work described in this manuscript was partially funded by the European project ‘SCRIPT’ Grant agreement no: 288698 (http://scriptproject.eu). SN has been hosted at University of Hertfordshire in a short-term scientific mission funded by the COST Action TD1006 European Network on Robotics for NeuroRehabilitationRobot-mediated post-stroke therapy for the upper-extremity dates back to the 1990s. Since then, a number of robotic devices have become commercially available. There is clear evidence that robotic interventions improve upper limb motor scores and strength, but these improvements are often not transferred to performance of activities of daily living. We wish to better understand why. Our systematic review of 74 papers focuses on the targeted stage of recovery, the part of the limb trained, the different modalities used, and the effectiveness of each. The review shows that most of the studies so far focus on training of the proximal arm for chronic stroke patients. About the training modalities, studies typically refer to active, active-assisted and passive interaction. Robot-therapy in active assisted mode was associated with consistent improvements in arm function. More specifically, the use of HRI features stressing active contribution by the patient, such as EMG-modulated forces or a pushing force in combination with spring-damper guidance, may be beneficial.Our work also highlights that current literature frequently lacks information regarding the mechanism about the physical human-robot interaction (HRI). It is often unclear how the different modalities are implemented by different research groups (using different robots and platforms). In order to have a better and more reliable evidence of usefulness for these technologies, it is recommended that the HRI is better described and documented so that work of various teams can be considered in the same group and categories, allowing to infer for more suitable approaches. We propose a framework for categorisation of HRI modalities and features that will allow comparing their therapeutic benefits.Peer reviewedFinal Published versio

Sound Change Estimation in Netherlandic Regional Languages:Reducing Inter-Transcriber Variability in Dialect Corpora

Large phonetic corpora are frequently used to investigate language variation and change in dialects, but these corpora are often constructed by many researchers in a collaborative effort. This typically results in inter-transcriber issues that may impact the reliability of analyses using these data. This problem is exacerbated when multiple phonetic corpora are compared when investigating real time dialect change. In this study, we therefore propose a method to automatically and iteratively merge phonetic symbols used in the transcriptions to obtain a more coarse-grained, but better comparable, phonetic transcription. Our approach is evaluated using two large phonetic Netherlandic dialect corpora in an attempt to estimate sound change in the area in the 20th century. The results are discussed in the context of the available literature about dialect change in the Netherlandic area

The relationship between the anteroposterior and mediolateral margins of stability in able-bodied human walking

BACKGROUND: Control of dynamic balance in human walking is essential to remain stable and can be parameterized by the margins of stability. While frontal and sagittal plane margins of stability are often studied in parallel, they may covary, where increased stability in one plane could lead to decreased stability in the other. Hypothetically, this negative covariation may lead to critically low lateral stability during step lengthening. RESEARCH QUESTION: Is there a relationship between frontal and sagittal plane margins of stability in able-bodied humans, during normal walking and imposed step lengthening? METHODS: Fifteen able-bodied adults walked on an instrumented treadmill in a normal walking and a step lengthening condition. During step lengthening, stepping targets were projected onto the treadmill in front of the participant to impose longer step lengths. Covariation between frontal and sagittal plane margins of stability was assessed with linear mixed-effects models for normal walking and step lengthening separately. RESULTS: We found a negative covariation between frontal and sagittal plane margins of stability during normal walking, but not during step lengthening. SIGNIFICANCE: These results indicate that while a decrease in anterior instability may lead to a decrease in lateral stability during normal walking, able-bodied humans can prevent lateral instability due to this covariation in critical situations, such as step lengthening. These findings improve our understanding of adaptive dynamic balance control during walking in able-bodied humans and may be utilized in further research on gait stability in pathological and aging populations

Tool voor het ontwerp van STEAM onderwijs (onderwijs op het snijvlak van kunst wetenschap en technologie)

Deze Tool voor het ontwerp van STEAM onderwijs kan in verschillende onderwijscontexten worden gebruikt