The device, built by biomedical engineer Jiping He, Ph.D., and colleagues at Arizona State University and Kinetic Muscles, Inc., a start up biotech company, can also assess the effectiveness of the physical therapy so adjustments can be made to the regimen if necessary.
Recent research suggests that stroke survivors can recover significant use of their arms by performing repetitive motor function exercises over a period of time. This labour intensive physical therapy is expensive, however, claiming up to four percent of the national health budget, according to the National Institutes of Health. Moreover, health insurers may limit or deny coverage before stroke survivors achieve best results, He said.
"This device is intended to provide cost-effective therapy to a wider population for a longer period of time for maximum recovery of motor function," He said of the device, dubbed RUPERT I, for Robotic Upper Extremity Repetitive Therapy.
RUPERT I is powered by four pneumatic muscles and is movable at the shoulder, elbow and wrist. The design was based on a kinematics model of the arm, which showed where to locate the pneumatic muscles and how much force was needed for normal reaching and feeding movements. The mechanical arm is adjustable to accommodate different arm lengths and body sizes.
The first prototype was fitted and tested on able-bodied individuals and stroke survivors at Banner Good Samaritan Regional Medical Center in Phoenix. Eight able-bodied individuals tried on RUPERT I to see how well it could be adjusted to fit each in each case. The testers ranged from 5-foot females to over-6-foot males. In addition, two stroke survivors completed a three-week course of therapy using the device.
RUPERT II, a second generation prototype, is under development using results of the fitting evaluations and therapy testing at the medical centre.
MEDICA.de; Source: Whitaker Foundation