1. 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)

2. Principali interessi/attività di ricerca
Reinforced Feedback in Virtual Environment (RFVE)
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3. Principali interessi/attività di ricerca
Virtual reality based telerehabilitation (Linea 4)
SERVER
CLIENT
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4. Identifying muscle synergies using an algorithm
rectification
filtering,
integration
EMGs
of many
muscles
decomposition
algorithm

5. 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)
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6. Principali interessi/attività di ricerca
Robotic-based rehabiliation (haptic)
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7. Robotic-based rehabilitation (exoskeleton)7

8. 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
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9. Il team

10. 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 )
"Planar haptic device and virtual reality tools for hand and finger rehabilitation” (GRANT N°RF )
"Prediction and prevention of falls in subjects suffering from neurological diseases” (GRANT N°RF )
FP7-EU:
Myoelectric interfaces for sensory-motor control – MYOSENS (FP7 – EU Grant Agreement n°286208)
Italian Society for Physiotherapy:
Effect of a virtual teacher in the recovery of upper limb motor function after stroke (MAVASI)

11. Bibliography
Agostini M, Garzon M, Benavides-Varela S et al. Telerehabilitation in poststroke anomia. Biomed Res Int. 2014;2014:
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:
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:
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 Aug 1;10:85.
Gianola S, Gasparini M, Agostini M et al. Survey of the Reporting Characteristics of Systematic Reviews in Rehabilitation. Phys Ther 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 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 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 Nov 17; 106(46):
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):