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Design and Evaluation of a Soft Robo...

Yurkewich, Aaron.

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Design and Evaluation of a Soft Robotic Hand Orthosis with People with Severe Hand Impairment after Stroke.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Design and Evaluation of a Soft Robotic Hand Orthosis with People with Severe Hand Impairment after Stroke./
Author:	Yurkewich, Aaron.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2020,
Description:	139 p.
Notes:	Source: Dissertations Abstracts International, Volume: 82-01, Section: B.
Contained By:	Dissertations Abstracts International82-01B.
Subject:	Biomedical engineering. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=27736493
ISBN:	9798662391093

Design and Evaluation of a Soft Robotic Hand Orthosis with People with Severe Hand Impairment after Stroke.
Yurkewich, Aaron.

Design and Evaluation of a Soft Robotic Hand Orthosis with People with Severe Hand Impairment after Stroke. - Ann Arbor : ProQuest Dissertations & Theses, 2020 - 139 p.

Source: Dissertations Abstracts International, Volume: 82-01, Section: B.

Thesis (Ph.D.)--University of Toronto (Canada), 2020.

This item must not be sold to any third party vendors.

Fifteen million individuals worldwide experience a stroke each year with 50,000 of these cases occurring in Canada. Approximately one-third never fully recover the hand function required to perform activities of daily living independently. The goal of this thesis was to design a usable and accessible robot that provides the necessary assistive forces to move the affected hand after stroke into functional extension and grasp postures. The robot was iteratively designed with occupational therapists and people after stroke to create and update the design specifications and mechanical, electrical and software design choices. Successive design and evaluation cycles of the Hand Extension Robot Orthosis (HERO) are discussed. The successive design iterations were evaluated by a total of 30 participants with severe hand impairment after stroke. The iterations were increasingly effective in assisting flaccid and clenched finger extension, range of motion and grip force. With the final iteration, My-HERO, established criteria for clinically meaningful important difference thresholds were surpassed by all participants for the Fugl-Meyer Assessment-Hand and the majority of participants for the Chedoke Arm and Hand Activity Inventory-13. The majority of participants were satisfied with My-HERO and desired to use it in the clinic and at home for rehabilitation and assistance during their therapy and daily routines. This work presents novel robotic hand orthoses and novel methods for controlling them. This work shows how well robotic hand orthoses extend flaccid and clenched fingers, increase range of motion and grip strength, and enhance hand function and performance on daily living tasks. Therapists and people after stroke should use this information when planning how to incorporate these devices into therapy and daily routines. This work shows it is feasible to use a user-centred design process to develop usable adaptive and rehabilitation technology.

ISBN: 9798662391093Subjects--Topical Terms:

535387
Biomedical engineering.
Subjects--Index Terms:

Assistive technology

Design and Evaluation of a Soft Robotic Hand Orthosis with People with Severe Hand Impairment after Stroke.
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300 $a 139 p.
500 $a Source: Dissertations Abstracts International, Volume: 82-01, Section: B.
500 $a Advisor: Mihailidis, Alex.
502 $a Thesis (Ph.D.)--University of Toronto (Canada), 2020.
506 $a This item must not be sold to any third party vendors.
520 $a Fifteen million individuals worldwide experience a stroke each year with 50,000 of these cases occurring in Canada. Approximately one-third never fully recover the hand function required to perform activities of daily living independently. The goal of this thesis was to design a usable and accessible robot that provides the necessary assistive forces to move the affected hand after stroke into functional extension and grasp postures. The robot was iteratively designed with occupational therapists and people after stroke to create and update the design specifications and mechanical, electrical and software design choices. Successive design and evaluation cycles of the Hand Extension Robot Orthosis (HERO) are discussed. The successive design iterations were evaluated by a total of 30 participants with severe hand impairment after stroke. The iterations were increasingly effective in assisting flaccid and clenched finger extension, range of motion and grip force. With the final iteration, My-HERO, established criteria for clinically meaningful important difference thresholds were surpassed by all participants for the Fugl-Meyer Assessment-Hand and the majority of participants for the Chedoke Arm and Hand Activity Inventory-13. The majority of participants were satisfied with My-HERO and desired to use it in the clinic and at home for rehabilitation and assistance during their therapy and daily routines. This work presents novel robotic hand orthoses and novel methods for controlling them. This work shows how well robotic hand orthoses extend flaccid and clenched fingers, increase range of motion and grip strength, and enhance hand function and performance on daily living tasks. Therapists and people after stroke should use this information when planning how to incorporate these devices into therapy and daily routines. This work shows it is feasible to use a user-centred design process to develop usable adaptive and rehabilitation technology.
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650 4 $a Occupational therapy. $3 617818
650 4 $a Robotics. $3 519753
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653 $a Rehabilitation
653 $a Stroke
653 $a Wearable robotics
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