Evaluation of Motor Performances of Hemiplegic Patients Using a Virtual Cycling Wheelchair : An Exploratory Trial
Cycling is known to be an effective rehabilitation exercise for hemiplegic patients who face difficulty during walking because of stroke or other brain disorders. A cycling wheelchair (CWC) is a useful tool to provide exercise for these patients and improve their quality of life. In previous studies...
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| Published in | Computational and Mathematical Methods in Medicine Vol. 2013; no. 2013; pp. 1 - 6 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Cairo, Egypt
Hindawi Puplishing Corporation
01.01.2013
Hindawi Publishing Corporation Hindawi Limited |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1748-670X 1748-6718 1748-6718 |
| DOI | 10.1155/2013/512965 |
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| Abstract | Cycling is known to be an effective rehabilitation exercise for hemiplegic patients who face difficulty during walking because of stroke or other brain disorders. A cycling wheelchair (CWC) is a useful tool to provide exercise for these patients and improve their quality of life. In previous studies, our group developed a system that allows patients to safely practice driving a CWC in a virtual environment. However, it has been difficult to check their motor performances and determine the effects of the exercise on a daily basis. This study is an exploratory trial for developing a method to evaluate the motor performances of users based on their CWC pedaling patterns. An experiment with some hemiplegic patients and healthy subjects was conducted and their pedaling patterns were analyzed. Results showed a significant difference between the hemiplegic patients and healthy subjects in an index that reflects pedaling balance between the feet. This result indicates a possible method of evaluating the motor performances of users based on their pedaling patterns. |
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| AbstractList | Cycling is known to be an effective rehabilitation exercise for hemiplegic patients who face difficulty during walking because of stroke or other brain disorders. A cycling wheelchair (CWC) is a useful tool to provide exercise for these patients and improve their quality of life. In previous studies, our group developed a system that allows patients to safely practice driving a CWC in a virtual environment. However, it has been difficult to check their motor performances and determine the effects of the exercise on a daily basis. This study is an exploratory trial for developing a method to evaluate the motor performances of users based on their CWC pedaling patterns. An experiment with some hemiplegic patients and healthy subjects was conducted and their pedaling patterns were analyzed. Results showed a significant difference between the hemiplegic patients and healthy subjects in an index that reflects pedaling balance between the feet. This result indicates a possible method of evaluating the motor performances of users based on their pedaling patterns.Cycling is known to be an effective rehabilitation exercise for hemiplegic patients who face difficulty during walking because of stroke or other brain disorders. A cycling wheelchair (CWC) is a useful tool to provide exercise for these patients and improve their quality of life. In previous studies, our group developed a system that allows patients to safely practice driving a CWC in a virtual environment. However, it has been difficult to check their motor performances and determine the effects of the exercise on a daily basis. This study is an exploratory trial for developing a method to evaluate the motor performances of users based on their CWC pedaling patterns. An experiment with some hemiplegic patients and healthy subjects was conducted and their pedaling patterns were analyzed. Results showed a significant difference between the hemiplegic patients and healthy subjects in an index that reflects pedaling balance between the feet. This result indicates a possible method of evaluating the motor performances of users based on their pedaling patterns. Cycling is known to be an effective rehabilitation exercise for hemiplegic patients who face difficulty during walking because of stroke or other brain disorders. A cycling wheelchair (CWC) is a useful tool to provide exercise for these patients and improve their quality of life. In previous studies, our group developed a system that allows patients to safely practice driving a CWC in a virtual environment. However, it has been difficult to check their motor performances and determine the effects of the exercise on a daily basis. This study is an exploratory trial for developing a method to evaluate the motor performances of users based on their CWC pedaling patterns. An experiment with some hemiplegic patients and healthy subjects was conducted and their pedaling patterns were analyzed. Results showed a significant difference between the hemiplegic patients and healthy subjects in an index that reflects pedaling balance between the feet. This result indicates a possible method of evaluating the motor performances of users based on their pedaling patterns. |
| Author | Seki, Kazunori Yoshizawa, Makoto Kojima, Yoshihisa Homma, Noriyasu Sugita, Norihiro Abe, Makoto Handa, Nobuyasu |
| AuthorAffiliation | 3 Graduate School of Medicine, Tohoku University, Sendai, Miyagi 980-8575, Japan 4 Sendai School of Health and Welfare, Sendai, Miyagi 981-3206, Japan 1 Graduate School of Engineering, Tohoku University, Sendai, Miyagi 980-8579, Japan 2 Cyberscience Center, Tohoku University, Sendai, Miyagi 980-8578, Japan |
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| Cites_doi | 10.1191/0269215505cr960oa 10.2340/1650197771331 10.1093/ptj/85.2.159 10.1161/01.STR.30.9.1862 10.1620/tjem.219.129 10.1097/00002060-200305000-00006 10.1682/JRRD.2005.02.0046 10.1016/j.apmr.2007.09.028 10.1177/1545968309347679 10.1186/1743-0003-3-11 10.2490/jjrm1963.40.617 10.1186/1743-0003-8-47 |
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| Contributor | Seki, Kazunori Yoshizawa, Makoto Kojima, Yoshihisa Homma, Noriyasu Sugita, Norihiro Abe, Makoto Handa, Nobuyasu |
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| Copyright | Copyright © 2013 Norihiro Sugita et al. Copyright © 2013 Norihiro Sugita et al. 2013 |
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| References | (7) 2005; 85 (15) 2004; 10 (16) 2006; 43 Seki K. Sato M. Fujii T. Ichie M. Handa Y. Activity of lower limb muscles during driving a cycling chair in hemiparetic stroke patients Proceedings of the 15th Congress of the International Society of Electrophysiology and Kinesiology 2004 Boston, Mass, USA 221 (5) 2009; 219 (9) 2008; 89 (11) 1975; 7 (6) 2003; 82 (10) 2010; 24 (17) 2006; 3 Seki K. Sato M. Fujii T. Handa Y. Driving a cycling chair without FES in the non-ambulatory hemiplegic patients Proceedings of the 9th Annual Conference of the International FES Society 2004 Bournemouth, UK 245 246 Suzuki S. Tanaka A. Takahashi T. Seki K. Handa Y. Yoshizawa M. Developement of VR-based rehabilitation system for patients with leg paralysis using the cycling chair Proceedings of the 9th Annual Conference Virtual Reality Society of Japan 2004 (Japanese) Kyoto, Japan 551 554 (18) 2011; 8 (8) 2006; 20 Sugita N. Kojima Y. Yoshizawa M. Tanaka A. Abe M. Homma N. Seki K. Handa N. Development of a virtual reality system to evaluate skills needed to drive a cycling wheel-chair Proceedings of the 34th Annual International Conference of the IEEE Engineering in Medicine and Biology Society 2012 San Diego, Calif, USA 6019 6022 (2) 2003; 40 Rushmer R. F. Cardiovascular Dynamics 1976 2nd W.B. Saunders (12) 1999; 30 17 18 5 (1) 1976 6 8 9 10 12704274 - Am J Phys Med Rehabil. 2003 May;82(5):357-63 17123208 - J Rehabil Res Dev. 2006 Aug-Sep;43(5):679-94 19776530 - Tohoku J Exp Med. 2009 Oct;219(2):129-38 19822721 - Neurorehabil Neural Repair. 2010 Mar-Apr;24(3):243-53 16790060 - J Neuroeng Rehabil. 2006 Jun 21;3:11 23367301 - Conf Proc IEEE Eng Med Biol Soc. 2012;2012:6019-22 10471437 - Stroke. 1999 Sep;30(9):1862-8 15679945 - J Neuroeng Rehabil. 2004 Dec 10;1(1):10 21861930 - J Neuroeng Rehabil. 2011;8:47 15679467 - Phys Ther. 2005 Feb;85(2):159-68 16774090 - Clin Rehabil. 2006 May;20(5):398-405 18295624 - Arch Phys Med Rehabil. 2008 Mar;89(3):463-9 1135616 - Scand J Rehabil Med. 1975;7(1):13-31 |
| References_xml | – volume: 85 start-page: 159 issue: 2 year: 2005 end-page: 168 ident: 7 article-title: Limb-loaded cycling program for locomotor intervention following stroke – volume: 20 start-page: 398 issue: 5 year: 2006 end-page: 405 ident: 8 article-title: The influence of early cycling training on balance in stroke patients at the subacute stage. 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Activity of lower limb muscles during driving a cycling chair in hemiparetic stroke patients Proceedings of the 15th Congress of the International Society of Electrophysiology and Kinesiology 2004 Boston, Mass, USA 221 – reference: Seki K. Sato M. Fujii T. Handa Y. Driving a cycling chair without FES in the non-ambulatory hemiplegic patients Proceedings of the 9th Annual Conference of the International FES Society 2004 Bournemouth, UK 245 246 – reference: Suzuki S. Tanaka A. Takahashi T. Seki K. Handa Y. Yoshizawa M. 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Development of a virtual reality system to evaluate skills needed to drive a cycling wheel-chair Proceedings of the 34th Annual International Conference of the IEEE Engineering in Medicine and Biology Society 2012 San Diego, Calif, USA 6019 6022 – volume: 30 start-page: 1862 issue: 9 year: 1999 end-page: 1868 ident: 12 article-title: Validation of a standardized assessment of postural control in stroke patients: the Postural Assessment Scale for Stroke patients (PASS) – volume: 219 start-page: 129 issue: 2 year: 2009 end-page: 138 ident: 5 article-title: Increase of muscle activities in hemiplegic lower extremity during driving a cycling wheelchair – volume: 8 issue: 1, article 47 year: 2011 ident: 18 article-title: A biofeedback cycling training to improve locomotion: a case series study based on gait pattern classification of 153 chronic stroke patients – ident: 8 doi: 10.1191/0269215505cr960oa – volume: 7 start-page: 13 issue: 1 year: 1975 ident: 11 publication-title: Scandinavian Journal of Rehabilitation Medicine doi: 10.2340/1650197771331 – volume: 85 start-page: 159 issue: 2 year: 2005 ident: 7 publication-title: Physical Therapy doi: 10.1093/ptj/85.2.159 – volume: 30 start-page: 1862 issue: 9 year: 1999 ident: 12 publication-title: Stroke doi: 10.1161/01.STR.30.9.1862 – ident: 5 doi: 10.1620/tjem.219.129 – ident: 6 doi: 10.1097/00002060-200305000-00006 – year: 1976 ident: 1 – volume: 43 start-page: 679 issue: 5 year: 2006 ident: 16 publication-title: Journal of Rehabilitation Research and Development doi: 10.1682/JRRD.2005.02.0046 – ident: 9 doi: 10.1016/j.apmr.2007.09.028 – ident: 10 doi: 10.1177/1545968309347679 – volume: 10 start-page: 10 year: 2004 ident: 15 publication-title: Journal of NeuroEngineering and Rehabilitation – ident: 17 doi: 10.1186/1743-0003-3-11 – volume: 40 start-page: 617 issue: 9 year: 2003 ident: 2 publication-title: The Japanese Journal of Rehabilitation Medicine doi: 10.2490/jjrm1963.40.617 – ident: 18 doi: 10.1186/1743-0003-8-47 – reference: 16774090 - Clin Rehabil. 2006 May;20(5):398-405 – reference: 16790060 - J Neuroeng Rehabil. 2006 Jun 21;3:11 – reference: 15679467 - Phys Ther. 2005 Feb;85(2):159-68 – reference: 19822721 - Neurorehabil Neural Repair. 2010 Mar-Apr;24(3):243-53 – reference: 10471437 - Stroke. 1999 Sep;30(9):1862-8 – reference: 12704274 - Am J Phys Med Rehabil. 2003 May;82(5):357-63 – reference: 18295624 - Arch Phys Med Rehabil. 2008 Mar;89(3):463-9 – reference: 17123208 - J Rehabil Res Dev. 2006 Aug-Sep;43(5):679-94 – reference: 23367301 - Conf Proc IEEE Eng Med Biol Soc. 2012;2012:6019-22 – reference: 1135616 - Scand J Rehabil Med. 1975;7(1):13-31 – reference: 21861930 - J Neuroeng Rehabil. 2011;8:47 – reference: 15679945 - J Neuroeng Rehabil. 2004 Dec 10;1(1):10 – reference: 19776530 - Tohoku J Exp Med. 2009 Oct;219(2):129-38 |
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| SubjectTerms | Aged Algorithms Automatic Data Processing Bicycling Disabled Persons Electronic Data Processing Equipment Design Exercise Exercise Therapy Exercise Therapy - methods Female Healthy Volunteers Hemiplegia Hemiplegia - rehabilitation Humans Male Middle Aged Motor Skills Reproducibility of Results Research Article Signal Processing, Computer-Assisted Stroke Stroke - physiopathology Wheelchairs |
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| Title | Evaluation of Motor Performances of Hemiplegic Patients Using a Virtual Cycling Wheelchair : An Exploratory Trial |
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