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Volume 11
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Article

Tele-Rehabilitation Versus Local Rehabilitation Therapies Assisted by Robotic Devices: A Pilot Study with Patients

by
José M. Catalán
1,*,
José V. García-Pérez
1,
Andrea Blanco
1,
Santiago Ezquerro
1,
Alicia Garrote
2,
Teresa Costa
2,
Arturo Bertomeu-Motos
3,
Iñaki Díaz
4 and
Nicolás García-Aracil
1
1
Biomedical Neuroengineering Research Group of the Bioengineering Institute, Miguel Hernández University, 03202 Elche, Alicante, Spain
2
Hospital La Pedrera, Partida Plana d’Est, 4, 03700 Dénia, Alicante, Spain
3
Department of Software and Computing Systems, School of Information, University of Alicante, 03202 Alicante, Alicante, Spain
4
Smart Systems for Industry 4.0 Research Group, CEIT-Basque Research and Technology Alliance (BRTA), 20018 Donostia, San Sebastián, Spain
*
Author to whom correspondence should be addressed.
Appl. Sci. 2021, 11(14), 6259; https://doi.org/10.3390/app11146259
Submission received: 26 May 2021 / Revised: 24 June 2021 / Accepted: 1 July 2021 / Published: 6 July 2021
(This article belongs to the Special Issue Tele-Rehabilitation Robotics)
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Abstract

The present study aims to evaluate the advantages of a master-slave robotic rehabilitation therapy in which the patient is assisted in real-time by a therapist. We have also explored if this type of strategy is applicable in a tele-rehabilitation environment. A pilot study has been carried out involving 10 patients who have performed a point-to-point rehabilitation exercise supported by three assistance modalities: fixed assistance (without therapist interaction), local therapist assistance, and remote therapist assistance in a simulated tele-rehabiliation scenario. The rehabilitation exercise will be performed using an upper-limb rehabilitation robotic device that assists the patients through force fields. The results suggest that the assistance provided by the therapist is better adapted to patient needs than fixed assistance mode. Therefore, it maximizes the patient’s level of effort, which is an important aspect to improve the rehabilitation outcomes. We have also seen that in a tele-rehabilitation environment it is more difficult to assess when to assist the patient than locally. However, the assistance suits patients better than the fixed assistance mode.
Keywords: master-slave; neurologic rehabilitation; robotic rehabilitation; stroke; teleoperation; tele-rehabilitation master-slave; neurologic rehabilitation; robotic rehabilitation; stroke; teleoperation; tele-rehabilitation

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MDPI and ACS Style

Catalán, J.M.; García-Pérez, J.V.; Blanco, A.; Ezquerro, S.; Garrote, A.; Costa, T.; Bertomeu-Motos, A.; Díaz, I.; García-Aracil, N. Tele-Rehabilitation Versus Local Rehabilitation Therapies Assisted by Robotic Devices: A Pilot Study with Patients. Appl. Sci. 2021, 11, 6259. https://doi.org/10.3390/app11146259

AMA Style

Catalán JM, García-Pérez JV, Blanco A, Ezquerro S, Garrote A, Costa T, Bertomeu-Motos A, Díaz I, García-Aracil N. Tele-Rehabilitation Versus Local Rehabilitation Therapies Assisted by Robotic Devices: A Pilot Study with Patients. Applied Sciences. 2021; 11(14):6259. https://doi.org/10.3390/app11146259

Chicago/Turabian Style

Catalán, José M., José V. García-Pérez, Andrea Blanco, Santiago Ezquerro, Alicia Garrote, Teresa Costa, Arturo Bertomeu-Motos, Iñaki Díaz, and Nicolás García-Aracil. 2021. "Tele-Rehabilitation Versus Local Rehabilitation Therapies Assisted by Robotic Devices: A Pilot Study with Patients" Applied Sciences 11, no. 14: 6259. https://doi.org/10.3390/app11146259

APA Style

Catalán, J. M., García-Pérez, J. V., Blanco, A., Ezquerro, S., Garrote, A., Costa, T., Bertomeu-Motos, A., Díaz, I., & García-Aracil, N. (2021). Tele-Rehabilitation Versus Local Rehabilitation Therapies Assisted by Robotic Devices: A Pilot Study with Patients. Applied Sciences, 11(14), 6259. https://doi.org/10.3390/app11146259

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