Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, March 5, 2013

Comprehensive Control Strategies for a Seven Degree of Freedom Upper Limb Exoskeleton Targeting Stroke Rehabilitation

Ask your doctor how this can be used in your stroke protocol. You do have a stroke protocol? Don't you?
https://digital.lib.washington.edu/researchworks/handle/1773/22046
In this dissertation control algorithms are developed and tested for the EXO-UL7 towards a control strategy for stroke rehabilitation. EXO-UL7 is a seven degree of freedom (Dof) powered upper limb exoskeleton that was initially designed at the University of Washington and further refined at the University of California Santa Cruz. Admittance control, swivel angle prediction and neural control of the device have been implemented and subjects tested performance of the device and control strategy. After an initial summery of the state of the art and details of the existing system. Each control strategy and performance from testing is explored. Admittance control uses force sensors on EXO-UL7 to control the movement of the device by moving in the direction that that user pressed on the device. Because EXO-UL7 is a redundant manipulator and supports the entire configuration of the arm, a single force sensor on the device end effector is not enough to fully define the movement. Additional force sensors on the device that are located at each attachment point of the machine interface allows for the full configuration of the device to be specified. This turns the under defined problem into an over defined problem (to many force signals for the number of Dof). Two strategies are developed to project the signals onto a seven degree subspace. The first adds the force vectors in task space then uses the Inverse kinematic to develop joint trajectories. The second uses the Jacoban transpose to map the forces first to instantaneous joint torques then the torques are added in joint space and finally joint trajectories are developed from joint torques. Six subjects performed a peg in hole experiment and it was found that task based admittance control had about 11\% lower interaction energy required to do the task. It was also shown that with both admittance controlers the subjects did the tasks slower then with no Control at all. Kinematic and dynamic constraints requced the bandwith of the system. To improve the bandwith, Predictive algorithms are employed. Swivel angle prediction is the first predictive algorithm implements to improve the performance of the device. With this control strategy the configuration of the redundant space is related to the end effector position. by observing human behavior it was noted that one of the fundamental task preformed by the human arm was to bring food to the mouth. By maximizing the manipulability of the device in the direction of the mouth, a simple stable closed form prediction of the configuration of the device was achived. Comparing movement from motion capture to predicted motion showed a good correlation and testing of the algorithm on the exoskeleton device was conducted. 4 Subjects conducted a peg in hole task. An 11.22\% reduction of interaction energy was achieved when compared to Admittance control alone. This algorthm can be used for motion folowwing as in teh current set up, or to predict where what the arm configuration should be whne workingwith disabled populations. Although this method predicted motion very well, it only provided prodiction of the one Dof redundant space of the arm. To further extend the prediction capability and motion following of the device, neural control was implemented in which electro myography (EMG) is used to read the nerve impulsed to the muscle. Although this signal only relates muscle force to isometric muscle contraction, using other system parameters read from Exo-UL7 such as the joint, position and velocity, A Hill based muscle model predicts the muscle force and ultimately the muscle torque. Due to an inherent delay between when the nerve impulse can first be detected and when the muscle contracts (some where o the order of 50-100 ms) the motion can be predicted before the arm begins to move. The model has many variable that need to be predicted for each individual so before each subject test an parameter fitting is conducted. Four subjects preformed a peg in hole test. It was shown that the interaction power increased compared to admittance control, but the completion time decreased. With further examination in was noted that the interaction force and energy when using the neural control was the same as with the admittance control. This implies that with the same force we achieved a higher velocity, which means that the system had a higher overall gain. The performance gains were not uniform through out all the subjects. The parameter fit conducted for each subject did not guarantee convergence to even a local minimum and there is still opportunities to improve the system performance. Admittance control did a good job of motion following and neural and swivel prediction improved upon this control scheme. There is still further work to be done on the system. Currently using the systems that were build in this dissertation, a clinical trial for stroke rehabilitation is under way at the university of California San Fransisco.

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