Attività e idee progettuali San Camillo - Politecnico di Torino 07/07/2014 Laboratorio di Cinematica e Robotica Andrea Turolla (Tecnologie innovative e riabilitazione) Michela Agostini (Telemedicina e riabilitazione)
Principali interessi/attività di ricerca Reinforced Feedback in Virtual Environment (RFVE) 1/4 07/07/2014
Principali interessi/attività di ricerca Virtual reality based telerehabilitation (Linea 4) SERVER CLIENT 1/4 07/07/2014 3
Identifying muscle synergies using an algorithm rectification filtering, integration EMGs of many muscles decomposition algorithm
Principali interessi/attività di ricerca SENIAM guidelines: Triceps brachii (electrodes 1, 2) Biceps brachii (electrodes 3, 4) Deltoideus anterior (electrode 5) Deltoideus medius (electrode 6) Deltoideus posterior (electrode 7) Trapezius superior (electrode 8) Standard clinical procedures (Perotto and Delagi 2005): Rhomboid Major (electrode 9) Brachioradialis (electrode 10) Supinator (electrode 11) Brachialis (electrode 12) Pronator Teres (electrode 13) Pectoralis Major (electrode 14) Infraspinatus (electrode 15) Teres Major (electrode 16) Muscle synergy Non-negative matrix factorization algorithm applied to reconstruct at least 80% of the sEMG signal (R2≥0.80) (Lee and Seung 1999) 1/4 07/07/2014 5
Principali interessi/attività di ricerca Robotic-based rehabiliation (haptic) 1/4 07/07/2014 6
Robotic-based rehabilitation (exoskeleton) 7
Idee progettuali / richieste di sviluppo tecnologico Augmenting technique for motor rehabilitation Multiple applications (e.g. speech/cognitive disorders, telerehabilitation) Transferability to ADL Possibility to detect neurophysiological mechanisms involved in functional recovery More research funds 3/4 07/07/2014
Il team
Running projects Italian Ministry of Health: FP7-EU: “Modularity for sensory motor control: implications of muscles synergies in motor recovery after stroke.” (GRANT N°GR-2011-02348942) "Planar haptic device and virtual reality tools for hand and finger rehabilitation” (GRANT N°RF-2010-2303748) "Prediction and prevention of falls in subjects suffering from neurological diseases” (GRANT N°RF-2010-2318552) FP7-EU: Myoelectric interfaces for sensory-motor control – MYOSENS (FP7 – EU Grant Agreement n°286208) http://myosens.bccn.uni-goettingen.de/ Italian Society for Physiotherapy: Effect of a virtual teacher in the recovery of upper limb motor function after stroke (MAVASI)
Bibliography Agostini M, Garzon M, Benavides-Varela S et al. Telerehabilitation in poststroke anomia. Biomed Res Int. 2014;2014:706909. Kiper P, Agostini M, Luque-Moreno C, Tonin P, Turolla A. Reinforced feedback in virtual environment for rehabilitation of upper extremity dysfunction after stroke: preliminary data from a randomized controlled trial. Biomed Res Int. 2014;2014:752128. Turolla A, Daud Albasini OA, Oboe R et al. Haptic-based neurorehabilitation in poststroke patients: a feasibility prospective multicentre trial for robotics hand rehabilitation. Comput Math Methods Med. 2013;2013:895492. Turolla A, Dam M, Ventura L et al. Virtual reality for the rehabilitation of the upper limb motor function after stroke: a prospective controlled trial. J Neuroeng Rehabil. 2013 Aug 1;10:85. Gianola S, Gasparini M, Agostini M et al. Survey of the Reporting Characteristics of Systematic Reviews in Rehabilitation. Phys Ther. 2013 Jun 6. Cheung VC, Turolla A, Agostini M, et al. Muscle synergy patterns as physiological markers of motor cortical damage. Proc Natl Acad Sci U S A. 2012 Aug 20. Piron L, Turolla A, Agostini M et al. Motor learning principles for rehabilitation: a pilot randomized controlled study in poststroke patients. Neurorehabil Neural Repair. 2010 Jul-Aug;24(6):501-8. Cheung VC, Piron L, Agostini M et al. Stability of muscles synergies for voluntary actions after cortical stroke in humans. Proc Natl Acad Sci USA. 2009 Nov 17; 106(46):19563-8. Piron L, Turolla A, Agostini M et al. Exercises for paretic upper limb after stroke: a combined virtual-reality and telemedicine approach. J Rehabil Med 2009 Nov;41 (12):1016-1020.