Abstract：
BACKGROUND:Multiplayer video games promoting exercise-based rehabilitation may facilitate motor learning, by increasing motivation through social interaction. However, a major design challenge is to enable meaningful inter-subject interaction, whilst allowing for significant skill differences between players. We present a novel motor-training paradigm that allows real-time collaboration and performance enhancement, across a wide range of inter-subject skill mismatches, including disabled vs. able-bodied partnerships. METHODS:A virtual task consisting of a dynamic ball on a beam, is controlled at each end using independent digital force-sensing handgrips. Interaction is mediated through simulated physical coupling and locally-redundant control. Game performance was measured in 16 healthy-healthy and 16 patient-expert dyads, where patients were hemiparetic stroke survivors using their impaired arm. Dual-player was compared to single-player performance, in terms of score, target tracking, stability, effort and smoothness; and questionnaires probing user-experience and engagement. RESULTS:Performance of less-able subjects (as ranked from single-player ability) was enhanced by dual-player mode, by an amount proportionate to the partnership's mismatch. The more abled partners' performances decreased by a similar amount. Such zero-sum interactions were observed for both healthy-healthy and patient-expert interactions. Dual-player was preferred by the majority of players independent of baseline ability and subject group; healthy subjects also felt more challenged, and patients more skilled. CONCLUSION:This is the first demonstration of implicit skill balancing in a truly collaborative virtual training task leading to heightened engagement, across both healthy subjects and stroke patients.
journal_name
J Neuroeng Rehabiljournal_title
Journal of neuroengineering and rehabilitationauthors
Mace M,Kinany N,Rinne P,Rayner A,Bentley P,Burdet Edoi
10.1186/s12984-017-0319-xsubject
Has Abstractpub_date
2017-11-20 00:00:00pages
116issue
1issn
1743-0003pii
10.1186/s12984-017-0319-xjournal_volume
14pub_type
杂志文章abstract：BACKGROUND:Chronic upper limb motor impairment is a common outcome of stroke. Therapeutic training can reduce motor impairment. Recently, a growing interest in evaluating motor training provided by robotic assistive devices has emerged. Robot-assisted therapy is attractive because it provides a means of increasing prac...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章
doi：10.1186/s12984-017-0335-x
更新日期：2017-12-06 00:00:00
abstract：BACKGROUND:Virtual Reality provides new options for conducting motor assessment and training within computer-generated 3 dimensional environments. To date very little has been reported about normal performance in virtual environments. The objective of this study was to evaluate the test-retest reliability of a clinical...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章
doi：10.1186/1743-0003-4-13
更新日期：2007-05-09 00:00:00
abstract：:Therapies for motor recovery after stroke or traumatic brain injury are still not satisfactory. To date the best approach seems to be the intensive physical therapy. However the results are limited and functional gains are often minimal. The goal of motor training is to minimize functional disability and optimize func...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章,评审
doi：10.1186/1743-0003-6-8
更新日期：2009-03-17 00:00:00
abstract：BACKGROUND:Hand synergies have been extensively studied over the last few decades. Objectives of such research are numerous. In neuroscience, the aim is to improve the understanding of motor control and its ability to reduce the control dimensionality. In applied research fields like robotics the aim is to build biomim...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章
doi：10.1186/1743-0003-11-113
更新日期：2014-07-30 00:00:00
abstract：BACKGROUND:Support for rehabilitation research at the National Institutes of Health (NIH) is robust and evolving. Since the time of its Blue Ribbon Panel on Rehabilitation Research, NIH has participated in several initiatives to coordinate the science and advance the field. DISCUSSION:Collaborative teams must continue...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 信件
doi：10.1186/s12984-020-00696-0
更新日期：2020-05-29 00:00:00
abstract：BACKGROUND:There is a paucity of information regarding visuospatial (VS) and visuomotor (VM) task performance in patients with chronic right fronto-parietal lobe stroke, as the majority of knowledge to date in this realm has been gleaned from acute stroke patients. The goal of this paper is to determine how VS and VM p...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章
doi：10.1186/1743-0003-10-20
更新日期：2013-02-13 00:00:00
abstract：:The inattentive eye often will not notice it, but synchronization among human walking partners is quite common. In this first investigation of this phenomenon, we studied its frequency and the mechanisms that contribute to this form of "entrainment." Specifically, by modifying the available communication links between...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章
doi：10.1186/1743-0003-4-28
更新日期：2007-08-08 00:00:00
abstract：BACKGROUND:The importance to restore the hand function following an injury/disease of the nervous system led to the development of novel rehabilitation interventions. Surface electromyography can be used to create a user-driven control of a rehabilitation robot, in which the subject needs to engage actively, by using s...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章
doi：10.1186/s12984-016-0172-3
更新日期：2016-08-04 00:00:00
abstract：BACKGROUND:Uneven ground is a frequently encountered, yet little-studied challenge for individuals with amputation. The absence of control at the prosthetic ankle to facilitate correction for surface inconsistencies, and diminished sensory input from the extremity, add unpredictability to an already complex control pro...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章
doi：10.1186/s12984-019-0497-9
更新日期：2019-02-04 00:00:00
abstract：:Exoskeleton technology has made significant advances during the last decade, resulting in a considerable variety of solutions for gait assistance and rehabilitation. The mechanical design of these devices is a crucial aspect that affects the efficiency and effectiveness of their interaction with the user. Recent devel...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章,评审
doi：10.1186/s12984-019-0517-9
更新日期：2019-05-09 00:00:00
abstract：BACKGROUND:Functional electrical stimulation (FES) during repetitive practice of everyday tasks can facilitate recovery of upper limb function following stroke. Reduction in impairment is strongly associated with how closely FES assists performance, with advanced iterative learning control (ILC) technology providing pr...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1186/1743-0003-11-105
更新日期：2014-06-30 00:00:00
abstract：:Although all functional movement arises from the interplay between the neurological, skeletal, and muscular systems, it is the skeletal system that forms the basic framework for functional movement. Central to understanding human neuromuscular development, along with the genesis of musculoskeletal pathologies, is quan...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章,评审
doi：10.1186/s12984-018-0368-9
更新日期：2018-03-20 00:00:00
abstract：BACKGROUND:Neuromuscular electrical stimulation (NMES) is extensively used in stroke motor rehabilitation. How it promotes motor recovery remains only partially understood. NMES could change muscular properties, produce altered sensory inputs, and modulate fluctuations of cortical activities; but the potential contribu...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章
doi：10.1186/s12984-019-0614-9
更新日期：2019-11-19 00:00:00
abstract：BACKGROUND:Functional training is becoming the state-of-the-art therapy approach for rehabilitation of individuals after stroke and spinal cord injury. Robot-aided treadmill training reduces personnel effort, especially when treating severely affected patients. Improving rehabilitation robots towards more patient-coope...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1186/1743-0003-9-31
更新日期：2012-05-31 00:00:00
abstract：BACKGROUND:The purpose of this study was to investigate the biomechanics of the hip, knee and ankle during a progressive resistance cycling protocol in an effort to detect and measure the presence of muscle fatigue. It was hypothesized that knee power output can be used as an indicator of fatigue in order to assess the...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章
doi：10.1186/1743-0003-5-14
更新日期：2008-04-26 00:00:00
abstract：BACKGROUND:Novel stroke rehabilitation techniques that employ electrical stimulation (ES) and robotic technologies are effective in reducing upper limb impairments. ES is most effective when it is applied to support the patients' voluntary effort; however, current systems fail to fully exploit this connection. This stu...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章
doi：10.1186/1743-0003-9-32
更新日期：2012-06-07 00:00:00
abstract：BACKGROUND:Elastic ankle exoskeletons with intermediate stiffness springs in parallel with the human plantarflexors can reduce the metabolic cost of walking by ~ 7% at 1.25 m s- 1. In a move toward 'real-world' application, we examined whether the unpowered approach has metabolic benefit across a range of walking speed...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章
doi：10.1186/s12984-020-00703-4
更新日期：2020-06-15 00:00:00
abstract：:Unfortunately, the original version of this article [1] contained an error. Equation 6 was included incorrectly: in the original equation variable slinks3 was missing.The correct Equation 6 can be found below: ...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 已发布勘误
doi：10.1186/s12984-015-0106-5
更新日期：2015-12-04 00:00:00
abstract：BACKGROUND:Myoelectric control of upper extremity powered prostheses has been used clinically for many years, however this approach has not been fully developed for lower extremity prosthetic devices. With the advent of powered lower extremity prosthetic components, the potential role of myoelectric control systems is ...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章
doi：10.1186/1743-0003-9-29
更新日期：2012-05-28 00:00:00
abstract：BACKGROUND:Compensatory movements are commonly employed by stroke survivors during seated reaching and may have negative effects on their long-term recovery. Detecting compensation is useful for coaching the patient to reduce compensatory trunk movements and improving the motor function of the paretic arm. Sensor-based...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章
doi：10.1186/s12984-019-0609-6
更新日期：2019-11-04 00:00:00
abstract：BACKGROUND:The relationship between normal and tangential force components (grip force - GF and load force - LF, respectively) acting on the digits-object interface during object manipulation reveals neural mechanisms involved in movement control. Here, we examined whether the feedback type provided to the participants...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章
doi：10.1186/1743-0003-10-34
更新日期：2013-04-04 00:00:00
abstract：BACKGROUND:Robot-assisted gait therapy is increasingly being used in pediatric neurorehabilitation to complement conventional physical therapy. The robotic device applied in this study, the Lokomat (Hocoma AG, Switzerland), uses a position control mode (Guidance Force), where exact positions of the knee and hip joints ...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1186/s12984-017-0287-1
更新日期：2017-07-14 00:00:00
abstract：:The existing shortage of therapists and caregivers assisting physically disabled individuals at home is expected to increase and become serious problem in the near future. The patient population needing physical rehabilitation of the upper extremity is also constantly increasing. Robotic devices have the potential to ...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章,评审
doi：10.1186/1743-0003-11-3
更新日期：2014-01-09 00:00:00
abstract：BACKGROUND:Current guidelines for rehabilitation of arm and hand function after stroke recommend that motor training focus on realistic tasks that require reaching and manipulation and engage the patient intensively, actively, and adaptively. Here, we investigated the feasibility of a novel robotic task-practice system...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1186/1743-0003-8-42
更新日期：2011-08-03 00:00:00
abstract：:A 3×4 electrode array was placed over each of seven muscles and surface electromyography (sEMG) data were collected during isometric contractions. For each array, nine bipolar electrode pairs were formed off-line and sEMG parameters were calculated and evaluated based on repeatability across trials and comparison to a...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章
doi：10.1186/1743-0003-9-24
更新日期：2012-04-26 00:00:00
abstract：BACKGROUND:Despite advances in sophisticated robotic hands, intuitive control of and sensory feedback from these prostheses has been limited to only 3-degrees-of-freedom (DOF) with 2 sensory percepts in closed-loop control. A Utah Slanted Electrode Array (USEA) has been used in the past to provide up to 81 sensory perc...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1186/s12984-017-0320-4
更新日期：2017-11-25 00:00:00
abstract：:Recent studies of the mechanisms underlying plasticity and recovery following neurological injuries have originated innovative lines of research in neurorehabilitation. Additionally, the development of new technologies to facilitate the performance of evaluation and intervention procedures has stimulated research on n...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 社论
doi：10.1186/1743-0003-11-21
更新日期：2014-03-04 00:00:00
abstract：BACKGROUND:Many gait impairments are characterized by asymmetry and result in reduced mobility. Exoskeletons could be useful for restoring gait symmetry by assisting only one leg. However, we still have limited understanding of the effects of unilateral exoskeleton assistance. Our aim was to compare the effects of unil...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章
doi：10.1186/s12984-018-0381-z
更新日期：2018-08-09 00:00:00
abstract：BACKGROUND:Previous reports of the mechanics and energetics of post-stroke hemiparetic walking have either not combined estimates of mechanical and metabolic energy or computed external mechanical work based on the limited combined limbs method. Here we present a comparison of the mechanics and energetics of hemipareti...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章
doi：10.1186/s12984-015-0012-x
更新日期：2015-02-27 00:00:00
abstract：BACKGROUND:A contralateral pelvic drop, a transverse rotation and a lateral translation of the pelvis are essential features of normal human gait. These motions are often restricted in robot-assisted gait devices. The optional FreeD module of the driven gait orthosis Lokomat (Hocoma AG, Switzerland) incorporates guided...
journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章
doi：10.1186/s12984-019-0496-x
更新日期：2019-02-06 00:00:00
