A Novel Trunk Rehabilitation Robot Based Evaluation of Seated Balance Under Varying Seat Surface and Visual Conditions

Physical therapy involving the use of varying types of seating surface and visual input is recommended for individuals suffering from trunk instability. Some robots have been developed to assist in such therapy protocols, but none of them fully constrains the user's lower extremities to move wi...

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Main Authors: Amre Eizad, Hosu Lee, Sanghun Pyo, Muhammad Raheel Afzal, Sung-Ki Lyu, Jungwon Yoon
Format: Article
Language:English
Published: IEEE 2020-01-01
Series:IEEE Access
Subjects:
Online Access:https://ieeexplore.ieee.org/document/9250478/
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author Amre Eizad
Hosu Lee
Sanghun Pyo
Muhammad Raheel Afzal
Sung-Ki Lyu
Jungwon Yoon
author_facet Amre Eizad
Hosu Lee
Sanghun Pyo
Muhammad Raheel Afzal
Sung-Ki Lyu
Jungwon Yoon
author_sort Amre Eizad
collection DOAJ
description Physical therapy involving the use of varying types of seating surface and visual input is recommended for individuals suffering from trunk instability. Some robots have been developed to assist in such therapy protocols, but none of them fully constrains the user's lower extremities to move with the seat, which is required to fully transfer the task of maintaining balance to the trunk. To fulfill this requirement, we have developed a robot that can provide a static, unstable or forced perturbation seating surface. The instability of seating surface is provided by having the robot follow movements in the user's center of pressure (COP) and forced perturbations are provided by moving the surface according to an operator's commands irrespective of the COP position. The system is also capable of providing visual feedback of the user's COP. This paper presents a study conducted using this novel robot aimed at evaluating the effect of the different seat modes on the balance of healthy subjects under different visual conditions (blindfold, eyes open and visual feedback). Various COP and trunk movement parameters were observed and the results indicate that the system can elicit similar responses in the unstable mode as the conventional devices, showing that it may be used as a controllable alternative to such devices for the training and objective evaluation of stroke survivors. The results under perturbation conditions showed deviations from the generally held notions about the use of visual feedback. Thus, revealing the need for further studies on the implications of using visual feedback under perturbation conditions. The observation of effects similar to conventional systems that may be beneficial for stroke survivors and the system's ability to help assess recovery progress show that the system holds promise for use as a trunk training and objective performance evaluation tool for stroke survivors.
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spelling doaj.art-9267fbf3c9e94e80b55020babf8ab6112022-12-21T19:58:17ZengIEEEIEEE Access2169-35362020-01-01820490220491310.1109/ACCESS.2020.30364359250478A Novel Trunk Rehabilitation Robot Based Evaluation of Seated Balance Under Varying Seat Surface and Visual ConditionsAmre Eizad0https://orcid.org/0000-0002-5916-7185Hosu Lee1Sanghun Pyo2Muhammad Raheel Afzal3https://orcid.org/0000-0003-3572-5709Sung-Ki Lyu4Jungwon Yoon5https://orcid.org/0000-0003-1350-5334School of Integrated Technology, Gwangju Institute of Science and Technology, Gwangju, South KoreaSchool of Integrated Technology, Gwangju Institute of Science and Technology, Gwangju, South KoreaSchool of Integrated Technology, Gwangju Institute of Science and Technology, Gwangju, South KoreaProductionS Core Lab, Flanders Make, 3000, BelgiumSchool of Mechanical and Aerospace Engineering, Gyeongsang National University, Jinju, South KoreaSchool of Integrated Technology, Gwangju Institute of Science and Technology, Gwangju, South KoreaPhysical therapy involving the use of varying types of seating surface and visual input is recommended for individuals suffering from trunk instability. Some robots have been developed to assist in such therapy protocols, but none of them fully constrains the user's lower extremities to move with the seat, which is required to fully transfer the task of maintaining balance to the trunk. To fulfill this requirement, we have developed a robot that can provide a static, unstable or forced perturbation seating surface. The instability of seating surface is provided by having the robot follow movements in the user's center of pressure (COP) and forced perturbations are provided by moving the surface according to an operator's commands irrespective of the COP position. The system is also capable of providing visual feedback of the user's COP. This paper presents a study conducted using this novel robot aimed at evaluating the effect of the different seat modes on the balance of healthy subjects under different visual conditions (blindfold, eyes open and visual feedback). Various COP and trunk movement parameters were observed and the results indicate that the system can elicit similar responses in the unstable mode as the conventional devices, showing that it may be used as a controllable alternative to such devices for the training and objective evaluation of stroke survivors. The results under perturbation conditions showed deviations from the generally held notions about the use of visual feedback. Thus, revealing the need for further studies on the implications of using visual feedback under perturbation conditions. The observation of effects similar to conventional systems that may be beneficial for stroke survivors and the system's ability to help assess recovery progress show that the system holds promise for use as a trunk training and objective performance evaluation tool for stroke survivors.https://ieeexplore.ieee.org/document/9250478/Center of pressure (COP)rehabilitation roboticsseated balancetrunk rehabilitationvisual feedback
spellingShingle Amre Eizad
Hosu Lee
Sanghun Pyo
Muhammad Raheel Afzal
Sung-Ki Lyu
Jungwon Yoon
A Novel Trunk Rehabilitation Robot Based Evaluation of Seated Balance Under Varying Seat Surface and Visual Conditions
IEEE Access
Center of pressure (COP)
rehabilitation robotics
seated balance
trunk rehabilitation
visual feedback
title A Novel Trunk Rehabilitation Robot Based Evaluation of Seated Balance Under Varying Seat Surface and Visual Conditions
title_full A Novel Trunk Rehabilitation Robot Based Evaluation of Seated Balance Under Varying Seat Surface and Visual Conditions
title_fullStr A Novel Trunk Rehabilitation Robot Based Evaluation of Seated Balance Under Varying Seat Surface and Visual Conditions
title_full_unstemmed A Novel Trunk Rehabilitation Robot Based Evaluation of Seated Balance Under Varying Seat Surface and Visual Conditions
title_short A Novel Trunk Rehabilitation Robot Based Evaluation of Seated Balance Under Varying Seat Surface and Visual Conditions
title_sort novel trunk rehabilitation robot based evaluation of seated balance under varying seat surface and visual conditions
topic Center of pressure (COP)
rehabilitation robotics
seated balance
trunk rehabilitation
visual feedback
url https://ieeexplore.ieee.org/document/9250478/
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