Wearable biofeedback improves human-robot compliance during ankle-foot exoskeleton-assisted gait training: a pre-post controlled study in healthy participants

Detalhes bibliográficos
Autor(a) principal: Pinheiro, Cristiana
Data de Publicação: 2020
Outros Autores: Figueiredo, Joana, Magalhães, Nuno, Santos, Cristina
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/1822/67981
Resumo: Supplementary material available at: https://www.mdpi.com/1424-8220/20/20/5876/s1
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spelling Wearable biofeedback improves human-robot compliance during ankle-foot exoskeleton-assisted gait training: a pre-post controlled study in healthy participantsankle-foot exoskeletonbiofeedback control strategies;gait traininghuman-robot interactionuser-centered designwearable biofeedbackScience & TechnologySupplementary material available at: https://www.mdpi.com/1424-8220/20/20/5876/s1The adjunctive use of biofeedback systems with exoskeletons may accelerate post-stroke gait rehabilitation. Wearable patient-oriented human-robot interaction-based biofeedback is proposed to improve patient-exoskeleton compliance regarding the interaction torque’s direction (joint motion strategy) and magnitude (user participation strategy) through auditory and vibrotactile cues during assisted gait training, respectively. Parallel physiotherapist-oriented strategies are also proposed such that physiotherapists can follow in real-time a patient’s motor performance towards effective involvement during training. A preliminary pre-post controlled study was conducted with eight healthy participants to conclude about the biofeedback’s efficacy during gait training driven by an ankle-foot exoskeleton and guided by a technical person. For the study group, performance related to the interaction torque’s direction increased during (<i>p</i>-value = 0.07) and after (<i>p</i>-value = 0.07) joint motion training. Further, the performance regarding the interaction torque’s magnitude significantly increased during (<i>p</i>-value = 0.03) and after (<i>p</i>-value = 68.59 × 10<sup>−3</sup>) user participation training. The experimental group and a technical person reported promising usability of the biofeedback and highlighted the importance of the timely cues from physiotherapist-oriented strategies. Less significant improvements in patient–exoskeleton compliance were observed in the control group. The overall findings suggest that the proposed biofeedback was able to improve the participant-exoskeleton compliance by enhancing human-robot interaction; thus, it may be a powerful tool to accelerate post-stroke ankle-foot deformity recovery.INCT-EN -Instituto Nacional de Ciência e Tecnologia para Excitotoxicidade e Neuroproteção(UIDB/04436/2020)Multidisciplinary Digital Publishing InstituteUniversidade do MinhoPinheiro, CristianaFigueiredo, JoanaMagalhães, NunoSantos, Cristina20202020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/1822/67981engPinheiro, C.; Figueiredo, J.; Magalhães, N.; Santos, C.P. Wearable Biofeedback Improves Human-Robot Compliance during Ankle-Foot Exoskeleton-Assisted Gait Training: A Pre-Post Controlled Study in Healthy Participants. Sensors 2020, 20, 5876.1424-822010.3390/s2020587633080845https://www.mdpi.com/1424-8220/20/20/5876info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-21T12:46:36Zoai:repositorium.sdum.uminho.pt:1822/67981Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T19:44:37.489193Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Wearable biofeedback improves human-robot compliance during ankle-foot exoskeleton-assisted gait training: a pre-post controlled study in healthy participants
title Wearable biofeedback improves human-robot compliance during ankle-foot exoskeleton-assisted gait training: a pre-post controlled study in healthy participants
spellingShingle Wearable biofeedback improves human-robot compliance during ankle-foot exoskeleton-assisted gait training: a pre-post controlled study in healthy participants
Pinheiro, Cristiana
ankle-foot exoskeleton
biofeedback control strategies;
gait training
human-robot interaction
user-centered design
wearable biofeedback
Science & Technology
title_short Wearable biofeedback improves human-robot compliance during ankle-foot exoskeleton-assisted gait training: a pre-post controlled study in healthy participants
title_full Wearable biofeedback improves human-robot compliance during ankle-foot exoskeleton-assisted gait training: a pre-post controlled study in healthy participants
title_fullStr Wearable biofeedback improves human-robot compliance during ankle-foot exoskeleton-assisted gait training: a pre-post controlled study in healthy participants
title_full_unstemmed Wearable biofeedback improves human-robot compliance during ankle-foot exoskeleton-assisted gait training: a pre-post controlled study in healthy participants
title_sort Wearable biofeedback improves human-robot compliance during ankle-foot exoskeleton-assisted gait training: a pre-post controlled study in healthy participants
author Pinheiro, Cristiana
author_facet Pinheiro, Cristiana
Figueiredo, Joana
Magalhães, Nuno
Santos, Cristina
author_role author
author2 Figueiredo, Joana
Magalhães, Nuno
Santos, Cristina
author2_role author
author
author
dc.contributor.none.fl_str_mv Universidade do Minho
dc.contributor.author.fl_str_mv Pinheiro, Cristiana
Figueiredo, Joana
Magalhães, Nuno
Santos, Cristina
dc.subject.por.fl_str_mv ankle-foot exoskeleton
biofeedback control strategies;
gait training
human-robot interaction
user-centered design
wearable biofeedback
Science & Technology
topic ankle-foot exoskeleton
biofeedback control strategies;
gait training
human-robot interaction
user-centered design
wearable biofeedback
Science & Technology
description Supplementary material available at: https://www.mdpi.com/1424-8220/20/20/5876/s1
publishDate 2020
dc.date.none.fl_str_mv 2020
2020-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/1822/67981
url http://hdl.handle.net/1822/67981
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Pinheiro, C.; Figueiredo, J.; Magalhães, N.; Santos, C.P. Wearable Biofeedback Improves Human-Robot Compliance during Ankle-Foot Exoskeleton-Assisted Gait Training: A Pre-Post Controlled Study in Healthy Participants. Sensors 2020, 20, 5876.
1424-8220
10.3390/s20205876
33080845
https://www.mdpi.com/1424-8220/20/20/5876
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Multidisciplinary Digital Publishing Institute
publisher.none.fl_str_mv Multidisciplinary Digital Publishing Institute
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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