Development of an implicit method for directing weight shifting to the affected side in patients with stroke: a proof of concept study

Kazuhiro Yasuda, Kenta Saichi, Yu Kitaji, Hiroaki Harashima, Hiroyasu Iwata

研究成果: Article

3 引用 (Scopus)

抄録

Weight-shift training during stroke rehabilitation requires patient effort, potentially causing leg spasticity and anxiety, which disturb motor learning. The purpose of this study was (1) to devise an implicit guidance method for weight bearing that uses vibratory cues (and is therefore low exertion) and (2) to determine if the implicit guidance method is feasible. The first experiment included 12 healthy subjects. We conducted an experiment to produce a Weber’s fraction capable of calculating a just-noticeable difference during a weight-shifting task. We then applied this Weber’s fraction to a weight-shifting task in a patient with stroke. Using the implicit guidance method, the patient did not perceive an increase in weight bearing while weight shifting. Furthermore, the implicit guidance method appeared to reduce anxiety during training. This implicit guidance system warrants further investigation.

元の言語English
記事番号26
ジャーナルROBOMECH Journal
4
発行部数1
DOI
出版物ステータスPublished - 2017 12 1

Fingerprint

Bearings (structural)
Implicit Method
strokes
Stroke
Guidance
anxiety
Patient rehabilitation
Anxiety
Experiments
education
physical work
Rehabilitation
cues
learning
Experiment
Concepts
shift

ASJC Scopus subject areas

  • Artificial Intelligence
  • Mechanical Engineering
  • Control and Optimization
  • Modelling and Simulation
  • Instrumentation

これを引用

@article{709ec00c1bc443318616fc4154241ced,
title = "Development of an implicit method for directing weight shifting to the affected side in patients with stroke: a proof of concept study",
abstract = "Weight-shift training during stroke rehabilitation requires patient effort, potentially causing leg spasticity and anxiety, which disturb motor learning. The purpose of this study was (1) to devise an implicit guidance method for weight bearing that uses vibratory cues (and is therefore low exertion) and (2) to determine if the implicit guidance method is feasible. The first experiment included 12 healthy subjects. We conducted an experiment to produce a Weber’s fraction capable of calculating a just-noticeable difference during a weight-shifting task. We then applied this Weber’s fraction to a weight-shifting task in a patient with stroke. Using the implicit guidance method, the patient did not perceive an increase in weight bearing while weight shifting. Furthermore, the implicit guidance method appeared to reduce anxiety during training. This implicit guidance system warrants further investigation.",
keywords = "Fear of falling, Human–machine interaction, Just-noticeable difference, Perception, Postural control, Rehabilitation, Stroke, Wearable device, Weight shift",
author = "Kazuhiro Yasuda and Kenta Saichi and Yu Kitaji and Hiroaki Harashima and Hiroyasu Iwata",
year = "2017",
month = "12",
day = "1",
doi = "10.1186/s40648-017-0094-2",
language = "English",
volume = "4",
journal = "ROBOMECH Journal",
issn = "2197-4225",
publisher = "Springer International Publishing AG",
number = "1",

}

TY - JOUR

T1 - Development of an implicit method for directing weight shifting to the affected side in patients with stroke

T2 - a proof of concept study

AU - Yasuda, Kazuhiro

AU - Saichi, Kenta

AU - Kitaji, Yu

AU - Harashima, Hiroaki

AU - Iwata, Hiroyasu

PY - 2017/12/1

Y1 - 2017/12/1

N2 - Weight-shift training during stroke rehabilitation requires patient effort, potentially causing leg spasticity and anxiety, which disturb motor learning. The purpose of this study was (1) to devise an implicit guidance method for weight bearing that uses vibratory cues (and is therefore low exertion) and (2) to determine if the implicit guidance method is feasible. The first experiment included 12 healthy subjects. We conducted an experiment to produce a Weber’s fraction capable of calculating a just-noticeable difference during a weight-shifting task. We then applied this Weber’s fraction to a weight-shifting task in a patient with stroke. Using the implicit guidance method, the patient did not perceive an increase in weight bearing while weight shifting. Furthermore, the implicit guidance method appeared to reduce anxiety during training. This implicit guidance system warrants further investigation.

AB - Weight-shift training during stroke rehabilitation requires patient effort, potentially causing leg spasticity and anxiety, which disturb motor learning. The purpose of this study was (1) to devise an implicit guidance method for weight bearing that uses vibratory cues (and is therefore low exertion) and (2) to determine if the implicit guidance method is feasible. The first experiment included 12 healthy subjects. We conducted an experiment to produce a Weber’s fraction capable of calculating a just-noticeable difference during a weight-shifting task. We then applied this Weber’s fraction to a weight-shifting task in a patient with stroke. Using the implicit guidance method, the patient did not perceive an increase in weight bearing while weight shifting. Furthermore, the implicit guidance method appeared to reduce anxiety during training. This implicit guidance system warrants further investigation.

KW - Fear of falling

KW - Human–machine interaction

KW - Just-noticeable difference

KW - Perception

KW - Postural control

KW - Rehabilitation

KW - Stroke

KW - Wearable device

KW - Weight shift

UR - http://www.scopus.com/inward/record.url?scp=85042792495&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85042792495&partnerID=8YFLogxK

U2 - 10.1186/s40648-017-0094-2

DO - 10.1186/s40648-017-0094-2

M3 - Article

AN - SCOPUS:85042792495

VL - 4

JO - ROBOMECH Journal

JF - ROBOMECH Journal

SN - 2197-4225

IS - 1

M1 - 26

ER -