TY - GEN
T1 - Exergaming with a pediatric exoskeleton
T2 - 2017 International Conference on Rehabilitation Robotics, ICORR 2017
AU - Bulea, Thomas C.
AU - Lerner, Zachary F.
AU - Gravunder, Andrew J.
AU - Damiano, Diane L.
N1 - Publisher Copyright:
© 2017 IEEE.
PY - 2017/8/11
Y1 - 2017/8/11
N2 - Effective rehabilitation of children with cerebral palsy (CP) requires intensive task-specific exercise but many in this population lack the motor capabilities to complete the desired training tasks. Providing robotic assistance is a potential solution yet the effects of this assistance are unclear. We combined a novel exoskeleton and exercise video game (exergame) to create a new rehabilitation paradigm for children with CP. We incorporated high density electroencephalography (EEG) to assess cortical activity. Movement to targets in the game was controlled by knee extension while standing. The distance between targets was the same with and without the exoskeleton to isolate the effect of robotic assistance. Our results show that children with CP maintain or increase knee extensor muscle activity during knee extension in the presence of synergistic robotic assistance. Our EEG findings also demonstrate that participants remained engaged in the exercise with robotic assistance. Interestingly we observed a developmental trajectory of sensorimotor mu rhythm in children with CP similar, though delayed, to those reported in typically developing children. While not the goal here, the exoskeleton significantly increased knee extension in 3/6 participants during use. Future work will focus on utilizing the exoskeleton to enhance volitional knee extension capability and in combination with EMG and EEG to study sensorimotor cortex response to progressive exercise in children with CP.
AB - Effective rehabilitation of children with cerebral palsy (CP) requires intensive task-specific exercise but many in this population lack the motor capabilities to complete the desired training tasks. Providing robotic assistance is a potential solution yet the effects of this assistance are unclear. We combined a novel exoskeleton and exercise video game (exergame) to create a new rehabilitation paradigm for children with CP. We incorporated high density electroencephalography (EEG) to assess cortical activity. Movement to targets in the game was controlled by knee extension while standing. The distance between targets was the same with and without the exoskeleton to isolate the effect of robotic assistance. Our results show that children with CP maintain or increase knee extensor muscle activity during knee extension in the presence of synergistic robotic assistance. Our EEG findings also demonstrate that participants remained engaged in the exercise with robotic assistance. Interestingly we observed a developmental trajectory of sensorimotor mu rhythm in children with CP similar, though delayed, to those reported in typically developing children. While not the goal here, the exoskeleton significantly increased knee extension in 3/6 participants during use. Future work will focus on utilizing the exoskeleton to enhance volitional knee extension capability and in combination with EMG and EEG to study sensorimotor cortex response to progressive exercise in children with CP.
UR - http://www.scopus.com/inward/record.url?scp=85034839610&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85034839610&partnerID=8YFLogxK
U2 - 10.1109/ICORR.2017.8009394
DO - 10.1109/ICORR.2017.8009394
M3 - Conference contribution
C2 - 28813966
AN - SCOPUS:85034839610
T3 - IEEE International Conference on Rehabilitation Robotics
SP - 1087
EP - 1093
BT - 2017 International Conference on Rehabilitation Robotics, ICORR 2017
A2 - Amirabdollahian, Farshid
A2 - Burdet, Etienne
A2 - Lorenzo, Masia
A2 - Ajoudani, Arash
A2 - Artemiadis, Panagiotis
A2 - Balasubramanian, Sivakumar
A2 - Basteris, Angelo
A2 - Beckerle, Philipp
A2 - Bianchi, Matteo
A2 - Braun, David
A2 - Caimmi, Marco
A2 - Campolo, Domenico
A2 - Cappello, Leonardo
A2 - Carloni, Raffaella
A2 - Carlson, Tom
A2 - Casadio, Maura
A2 - Castellini, Claudio
A2 - Catalano, Manuel Giuseppe
A2 - Caurin, Glauco Augusto de Paula
A2 - Coscia, Martina
A2 - De Santis, Dalia
A2 - Deshpande, Ashish
A2 - Di Pino, Giovanni
A2 - Dubey, Venketesh
A2 - Formica, Domenico
A2 - Forner-Cordero, Arturo
A2 - Godfrey, Sasha Blue
A2 - Grioli, Giorgio
A2 - Guo, Zhao
A2 - Howard, Matthew
A2 - Hughes, Charmayne
A2 - Hussain, Asif
A2 - Iida, Fumiya
A2 - Karavas, Nikolaos
A2 - Koike, Yasuharu
A2 - Lambercy, Olivier
A2 - Lee, Hyunglae
A2 - Lenzi, Tommaso
A2 - Marchal-Crespo, Laura
A2 - Mastrogiovanni, Fulvio
A2 - Mazzoleni, Stefano
A2 - McDaid, Andrew
A2 - Menon, Carlo
A2 - Mombaur, Katja
A2 - Novak, Domen
A2 - Park, Hyung-Soon
A2 - Piovesan, Davide
A2 - Raspopovic, Stanisa
A2 - Rastgaar, Mo
A2 - Rauter, Georg
A2 - Reed, Kyle B.
A2 - Remy, C. David
A2 - Rodriguez Guerrero, Carlos
A2 - Ronsse, Renaud
A2 - Rossi, Stefano
A2 - Ruffaldi, Emanuele
A2 - Saint-Bauzel, Ludovic
A2 - Salvietti, Gionata
A2 - Sanguineti, Vittorio
A2 - Sergi, Fabrizio
A2 - Siqueira, Adriano
A2 - Soh, Gim Song
A2 - Sup, Frank
A2 - Tagliamonte, Nevio Luigi
A2 - Tsagarakis, Nikos
A2 - Unal, Ramazan
A2 - van Asseldonk, Edwin
A2 - Vanderborght, Bram
A2 - Veneman, Jan
A2 - Venkadesan, Madhusudhan
A2 - Zenzeri, Jacopo
A2 - Zhang, Wenlong
PB - IEEE Computer Society
Y2 - 17 July 2017 through 20 July 2017
ER -