Dispositivo robótico para reabilitação de membros superiores: construção e validação
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Data
2020-12-18
Autores
Moreira, Heber Rocha
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Editor
Universidade Estadual Paulista (Unesp)
Resumo
A tecnologia abriu caminhos para terapias inovativas, tal como a reabilitação robótica. Os dispositivos robóticos possibilitam a realização de tarefas específicas, repetidas vezes e de alta intensidade, permitindo contribuir na melhoria da capacidade motora de pacientes, como os acometidos por acidente vascular encefálico (AVE). Apesar do significante avanço na área, desafios como o alto custo e o acesso a um dispositivo, por exemplo, tornam o uso de dispositivos robóticos uma realidade distante nas clínicas de reabilitação. O presente trabalho tem como objetivos: (i) desenvolver um dispositivo robótico integrado (i.e., hardware e software) para reabilitação de membros superiores; (ii) validar as medidas do dispositivo robótico desenvolvido; (iii) testar a usabilidade do dispositivo robótico para reabilitação motora de membros superiores em pacientes acometidos pelo AVE; (iv) desenvolver o dispositivo robótico para treino bilateral de membros superiores. Um dispositivo robótico de deslizamento linear móvel com foco nas articulações de ombro e cotovelo foi desenvolvido. Os resultados dos testes de validação das medidas realizadas no dispositivo robótico foram satisfatórios. Os testes quanto à usabilidade do dispositivo robótico, tanto pelo profissional como pelo paciente, atingiram uma escala de nível excelente. Com base no dispositivo robótico para o membro superior afetado pelo AVE, um dispositivo robótico de reabilitação para o modo bilateral foi desenvolvido. A associação da robótica na reabilitação do movimento das articulações de ombro e cotovelo demonstrou grande potencial para auxiliar os profissionais de saúde na reabilitação de pacientes que apresentam sequelas motoras do AVE.
The technology has paved the way for innovative therapies, such as robotic rehabilitation. Robotic devices allow to perform specific tasks repeatedly and of high intensity, contributing to the improvement of patient’s motor capacity, such as those affected by stroke (cerebrovascular accident - CVA). Despite significant progress in the area, challenges such as high cost and access to a device, for example, make the use of robotic devices a distant reality in rehabilitation clinics. The present work aims to: (i) develop an integrated robotic device (i.e., hardware and software) for the rehabilitation of the upper limbs; (ii) validate the measurements of the developed robotic device; (iii) testing the usability of the robotic device for motor rehabilitation of the upper limbs in patients affected by stroke; (iv) develop the robotic device for bilateral training of upper limbs. A movable robotic linear sliding device focusing on the shoulder and elbow joints was developed. The results of the validation tests of the measurements performed on the robotic device were satisfactory. Tests on the usability of the robotic device by both the professional and the patient reached a scale at excellent level. Based on the robotic device for the upper limb affected by the stroke, a robotic rehabilitation device for bilateral mode was developed. The association of robotics with motor rehabilitation addressing shoulder and elbow joints showed great potential to assist professionals for rehabilitation of patients who still have motor sequelae of stroke.
The technology has paved the way for innovative therapies, such as robotic rehabilitation. Robotic devices allow to perform specific tasks repeatedly and of high intensity, contributing to the improvement of patient’s motor capacity, such as those affected by stroke (cerebrovascular accident - CVA). Despite significant progress in the area, challenges such as high cost and access to a device, for example, make the use of robotic devices a distant reality in rehabilitation clinics. The present work aims to: (i) develop an integrated robotic device (i.e., hardware and software) for the rehabilitation of the upper limbs; (ii) validate the measurements of the developed robotic device; (iii) testing the usability of the robotic device for motor rehabilitation of the upper limbs in patients affected by stroke; (iv) develop the robotic device for bilateral training of upper limbs. A movable robotic linear sliding device focusing on the shoulder and elbow joints was developed. The results of the validation tests of the measurements performed on the robotic device were satisfactory. Tests on the usability of the robotic device by both the professional and the patient reached a scale at excellent level. Based on the robotic device for the upper limb affected by the stroke, a robotic rehabilitation device for bilateral mode was developed. The association of robotics with motor rehabilitation addressing shoulder and elbow joints showed great potential to assist professionals for rehabilitation of patients who still have motor sequelae of stroke.
Descrição
Palavras-chave
Reabilitação de membro superior, Reabilitação robótica, Acidente vascular encefálico, Upper limb rehabilitation, Rehabilitation robotics, Stroke