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

Beached birds on the Flemish beaches

The history of collecting beached birds along the Flemish coast goes back to 1962. The study aims to determine the oil-rate (the proportion of oiled birds) of the beach washed birds, which is a good tool to determine trends in the chronic pollution of our coastal waters with oil. Since 1992, the Research Institute for Nature and Forest (INBO) is responsible for the Beached Bird Surveys (BBS) and organises systematic counts once a month during October - March.The numbers of beached birds fluctuated a lot over the previous decades, depending on the number of birds wintering along our coast, oil spills and weather conditions. During the winter 2006/2007, 447 beached birds were counted along the Flemish coast, being 0.99 birds km-1, close to the average number of 1.06 birds km-1 since the winter 1991/1992 (numbers of beached birds due to the Tricolor oil spill during the winter 2002/2003 are ignored in this analysis). The highest densities were encountered during February, a general tendency. Auks and gulls were the most numerous last winter, and that was always the case since the winter 1991/1992. A of Uria aalge and Razorbills) last winter will be remembered as the winter with the highest proportion of auks since the winter 1992.Guillemots and Razorbills are especially vulnerable for oil pollution because they spend most of their life swimming at beach were auks. During the first half of the winter, the oil-rate was relatively low, but the second half was characterised by a relatively high score. Recently, OSPAR (the commission for the Protection of Marine Environment of the North-East Atlantic) has recognised the oil-rate among Guillemots as EcoQ, an indicator to evaluate trends in chronic oil pollution of the marine environment. The EcoQ-objective is to force back the oil rate of Guillemots to 10% or less. When examining the changes in the oil-rate of Guillemots that washed ashore our beaches since 1962, three periods are noticeable. Between 1962 and 1990, the oil rate of beached Guillemots was very high (> 95% of all beached Guillemots were fouled). Since 1990, there was a remarkable decline with an average oil-rate of about 60%. Since 2004 the decline continued with an all time lowest score of an oil-rate of ‘only’ 17% last winter. On the other hand, there is no decline in the density of Guillemots found death along the Flemish coast, so possibly a problem in food viability is responsible for the death of many auks since 1990. Diet studies on collected auks will hopefully tell us something why auks wash ashore without any visible reason

Seabirds in Belgian marine waters: implications for policy and management (poster)

In 1992, the Institute of Nature Conservation (INC) started ship-based surveys on the Belgian Continental Shelf (BCS) to study the spatial and temporal distribution of seabirds. Among other things, the study showed that the Belgian marine waters hold internationally important numbers (> 1% of the biogeographical populations) of several coastal and marine bird species. Also the area proved to be of major importance for several species of migratory birds. Out of the 121 bird species encountered at sea during the period 1992-98, 23 were selected as being true marine species that occur in relatively high densities within the Belgian waters. Of these 23 species six were so-called ‘focal species’, being seabirds which are included in the highest priority lists of international conservation instruments (EC-Birds Directive, Bern Convention or Bonn Convention) and which attain at least 1% of the flyway population in Belgian marine waters in a particular season. Based on the distribution patterns, conservation value, and sensitivity for disturbance or oil pollution of the six focal seabirds several areas of high ornithological importance as well as areas sensitive for disturbance or pollution could be distinguished at the BCS. The avian hotspots at the Westkustbanken and Vlaamse Banken turned out to be the most sensitive areas for disturbance and oil pollution throughout the year, while the sensitivity of other areas varies with the seasons

Monitoring van kustbroedvogels in de SBZ-V ‘Kustbroedvogels te Zeebrugge-Heist’ en de westelijke voorhaven van Zeebrugge tijdens het broedseizoen 2013

This report describes the fluctuations in the number of breeding pairs in the Special Protected Area under the Bird Directive ‘Kustbroedvogels te Zeebrugge-Heist’ and in the western port of Zeebrugge. These are by far the most important breeding sites for coastal breeders in Belgium. The quality of the breeding sites and the foraging areas is discussed and advice is given for a better management of the colonies.The populations of terns (Sandwich, Common and Little Tern) and Black-headed Gulls have decreased strongly since 2008 and the breeding success was insufficient for a stable population size. In Zeebrugge all 3 tern species used to exceed the threshold of 1% of their respective biogeographic population considerably. In 2013 only the Common Tern reached this threshold. The decrease is due to persistent problems with land predators. Food availability seemed to play no role in this.Also some scarce species strongly declined in Zeebrugge. Crested Lark and Yellow-legged Gull have totally left the area and the number of Northern Wheatears was reduced to 1 pair in 2013. Also Mediterranean Gull and Kentish Plovers strongly declined during the past decade. Oystercatchers and Common Gull seemed to have stabilised at a level much lower than before. Only the population of Common Ringed Plover is rather stable at about 8 pairs.The populations of Herring and Lesser Black-backed Gulls also strongly declined in 2013. Where Lesser Black-backed gull still exceeds the 1% level (1.8% in 2013), the number of Herring Gulls dropped to 0.8% of the total biogeographic population. This decline is due to disturbance by foxes and a decreased availability of suitable nesting areas