Parallel bar device with vibratory stimulus controlled via Human Machine Interface (HMI) for Neuropathologies rehabilitation
DOI:
https://doi.org/10.33448/rsd-v11i7.29964Keywords:
Whole Body Vibrations; Neuropathologies; Gait and Balance Rehabilitation; Vibrating Platform; Retrofit.Abstract
Neurological rehabilitation is essential for maintaining and increasing the motor function of patients affected by neuropathologies. Some impairments are commonly related to loss of muscle strength, balance and walking ability. Recently, the use of mechanical vibrations associated with conventional treatment to enhance gains in motor rehabilitation has emerged. It is suggested that vibrations increase the motoneurons excitability, contributing to the gait performance, balance and proprioception, in addition to decreasing spasticity. This study aims to implement a retrofit of a parallel bar device with vibratory stimulus and to validate the new system. This improvement targeted at increasing robustness, better mass distribution and an HMI development. To validate the system, engineering tests were performed that included the frequency measurement, vibration intensity, oscillation amplitude and sound emission, besides the system usability measurement by health professionals with the SUS scale. The engineering tests revealed that the improved device allows several protocols execution, since the control variables remain stable regardless of the load application point and that the sound noise is in accordance with Brazilian safety regulations. The device was evaluated by health professionals as “Best Imaginable” on the SUS scale. Through the retrofit performed, the device became more efficient and safer, optimizing this tool for clinical practice.
References
Alashram, A. R, Padua, E, & Annino, G. (2019). Effects of whole-body vibration on motor impairments in patients with neurological disorders: a systematic review. Am J Phys Med Rehabil. 98(12), 1084–1098. https://doi.org/10.1097/PHM.0000000000001252
Bangor A, Kortum P, & Miller J. (2009). Determining what individual SUS scores mean: adding an adjective rating scale. J Usabil Stud. 4(3), 114-123.
Bautmans, I, Van Hees, H, Lemper, J. C, & Mets, T. (2005). The feasibility of whole body vibration in institutionalized elderly person and its influence on muscle performance, balance and mobility: a randomized controlled trial. BMC Geriatrics. 5-17. https://doi.org/10.1186/1471-2318-5-17
Bitkina, O. V., Kim, H. K, & Park, J. (2020). Usability and user experience of medical devices: An overview of the current state, analysis methodologies, and future challenges. International Journal of Industrial Ergonomics. 76. https://doi.org/10.1016/j.ergon.2020.102932
BROOKE, J. (1996). SUS: A "quick and dirty" usability scale. Usability Evaluation in Industry. London: Taylor and Francis.
Chan, K. S, Liu, C. W, Chen, T. W, Weng, M. C, Huang, M. H., & Chen, C. H. (2012). Effects of a single session of whole body vibration on ankle plantarflexion spasticity and gait performance in patients with chronic stroke: a randomized controlled trial. Clin Rehabil. 26. https://doi.org/10.1177/0269215512446314
Chang, C. M, Tsai, C. H, Lu, M. K, Tseng, H. C, Lu, G, Liu, B. L, & Lin, H. C. (2022). The neuromuscular responses in patients with Parkinson’s disease under different conditions during whole-body vibration training. BMC Complementary Medicine and Therapies. 22(2). https://doi.org/10.1186/s12906-021-03481-1
Cotoros, D, Şerban, I, Drugă, C, & Stanciu, A. (2021). Human Factor Balance Under the Influence of Variable Sound Frequency and Orientation. Springer Proceedings in Physics. 251.
Gloeckl, R, Schneeberger, T, Leitl, D, Reinold, T, Nell, C, Jarosch, I, Kenn, K, & Koczulla, A. (2021). Whole-body vibration training versus conventional balance training in patients with severe COPD—a randomized, controlled trial. Respiratory Research. 22(138), 1-10. https://doi.org/10.1186/s12931-021-01688-x
Guadarrama Molina, E, Barrón Gámez, C. E, Estrada Bellmann, I, Meléndez Flores, J. D, Ramírez Castañeda, P, Hernández Suárez, R. M. G, Menchaca Pérez, M, & Salas Fraire, O. (2021). Comparison of the effect of whole-body vibration therapy versus conventional therapy on functional balance of patients with Parkinson’s disease: adding a mixed group. Acta Neurologica Belgica. 121, 721-728. https://doi.org/10.1007/s13760-020-01439-7
Hidi, S. (1990). Interest and Its Contribution as a Mental Resource for Learning. Review of Educational Research. 60(4), 549–571. https://doi.org/10.3102/00346543060004549
Huang, M, & Pang, M. Y. C. (2019). Muscle activity and vibration transmissibility during whole-body vibration in chronic stroke. Scand J Med Sci Sports. 29, 816–825. https://doi.org/10.1111/sms.13408
Hussein, S, Schmidt, H, & Krüger, J. (2009). Adaptive control of an end-effector based electromechanical gait rehabilitation device. IEEE. 11th International Conference on Rehabilitation Robotics, 366 - 371. https://doi.org/10.1109/ICORR.2009.5209485
Jaspert, D, Eber, M, Eckhardt, A, & Poeppelbuss, J. (2021). Smart retrofitting in manufacturing: A systematic review. Journal of Cleaner Production. 312. https://doi.org/10.1016/j.jclepro.2021.127555
Kim, J. W, & Lee, J. H. (2021). Effect of whole-body vibration therapy on lower extremity function in subacute stroke patients. Journal of exercise rehabilitation. 17(3), 158–163. https://doi.org/10.12965/jer.2142246.123
Ministério do Trabalho e Previdência. (2022). NR 10 - SEGURANÇA EM INSTALAÇÕES E SERVIÇOS EM ELETRICIDADE. https://www.gov.br/trabalho-e-previdencia/pt-br/composicao/orgaos-especificos/secretaria-de-trabalho/inspecao/seguranca-e-saude-no-trabalho/normas-regula mentadoras/nr-10.pdf.
Ministério do Trabalho e Previdência. (2022). NR 15 – ATIVIDADES E OPERAÇÕES INSALUBRES. https://www.gov.br/ trabalho-e-previdencia/pt-br/composicao/orgaos-especificos/secretaria-de-trabalho/ inspecao/seguranca-e-saude-no-trabalho/normas-regulamentadoras/nr-15-anexo-01.pdf.
Miyara, K, Matsumoto, S,Uema, T, Hirokawa, T, Noma, T, Shimodozono, M, & Kawahira. (2014). Feasibility of using whole body vibration as a means for controlling spasticity in post-stroke patients: A pilot study. Complementary Therapies in Clinical Practice. 20, 70-73. https://doi.org/10.1016/j.ctcp.2013. 10.002
Moggio, L, Sire, A, Marotta, N, Demeco, A, & Ammendolia, A. (2021). Vibration therapy role in neurological diseases rehabilitation: an umbrella review of systematic reviews. Disability and Rehabilitation. 1-10. https://doi.org/10.1080/09638288.2021.1946175
Morais, A. V., Tomaz JR, G, Lazzareschi, L, Almeida, D. V, Santos, M. F, Boschi, S. R. M. S, Martini, S. C, Scardovelli, T. A, & Silva, A. P. (2019). Whole-body vibration on parallel bar device for gait and balance rehabilitation in stroke patients. Res. Biomed. Eng. 35, 123-129. https://doi.org/10.1007/s42600-019-00014-1
Morley, J, & Sikorski, D. (2018). Effect of whole body vibration on cervical (neck) proprioception in young, healthy individuals serving as their own control: a pilot study. J Can Chiropr Assoc. 62(1), 42-55.
Nielsen, J, & Landauer, T. K. (1993). A Mathematical Model of the Finding of Usability Problems. Proceedings of the INTERACT '93. 206-213. https://doi.org/10.1145/169059.169166
Orr, R. (2015). The effect of whole body vibration exposure on balance and functional mobility in older adults: a systematic review and meta-analysis. Maturitas. 80(4), 342-358. https://doi.org/10.1016/j.maturitas.2014.12.020
Park, Y. J, Park, S. W, & Lee, H. S. (2018). Comparison of the Effectiveness of Whole Body Vibration in Stroke Patients: A Meta-Analysis. BioMed Research International, 2018. https://doi.org/10.1155/2018/5083634
Pena, S. B, Guimarães, H. C. Q. C. P, Lopes, J. L, Guandalini, L. S, Taminato, M, Barbosa, D. A, & Barros, A. L. B. L. (2019). Medo de cair e o risco de queda: revisão sistemática e metanálise. Acta Paulista de Enfermagem. 32(4), 456-463. https://doi.org/10.1590/1982-0194201900062
RAO, S. (2008). Vibrações Mecânicas. 4.ed. São Paulo: Pearson Prentice Hall.
Rauch, F. (2009). Vibration Therapy. Mac Keith Press. Developmental Medicine e Child Neurology. 51, 166-168. https://doi.org/10.1111/j.1469-8749.2009.03418.x
Tenório, J. M, Cohrs, F. M, Sdepanian, V. L, Pisa, I. T, & Marin, H. F. (2011). Desenvolvimento e Avaliação de um Protocolo Eletrônico para Atendimento e Monitoramento do Paciente com Doença Celíaca. Revista de Informática Teórica e Aplicada, 17(2), 210–220. https://doi.org/10.22456/2175-2745.12119
Totten, G. E. (2006). Handbook of Lubrication and Tribology: Application and Maintenance. 2nd ed. CRC Press. v.1.
Wolfsegger, T, Assar, H, & Topakian, R. (2014). 3-week whole body vibration does not improve gait function in mildly affected multiple sclerosis patients – a randomized controlled trial. Journal of Neurological Sciences. 347, 119-123. https://doi.org/10.1016/j.jns.2014.09.030
Xie, L, Yi, S. X, Peng, Q. F, Liu, P, & Jiang, H. (2021). Retrospective study of effect of whole-body vibration training on balance and walking function in stroke patients. World journal of clinical cases. 9(22), 6268–6277. https://doi.org/10.12998/wjcc.v9.i22.6268
Yang, F, Wen, P. S, Bethoux, F, & Zhao, Y. (2021). Effects of Vibration Training on Cognition and Quality of Life in People with Multiple Sclerosis. Int J MS Care. https://doi.org/10.7224/1537-2073.2020-095
Zancan, M. D. (2011). Controladores programáveis. Santa Maria: Universidade Federal de Santa Maria.
Zhang, L. Q, Xu, D, Makhsous, M, & Lin, M. (2000). Stiffness and viscous damping of the human leg. The American Society of Biomechanics. 144-145.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Antonio Vinícius de Morais; Silvia Regina Matos da Silva Boschi; Luan de Almeida Moura; Yasmim Fernandes Moniz; Silvia Cristina Martini; Terigi Augusto Scardovelli; Alessandro Pereira da Silva
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.