Intelligent stretching of ankle joints with contracture/spasticity. Export

@article{citeulike:4982353, abstract = {An intelligent stretching device was developed to treat the spastic/contractured ankle of neurologically impaired patients. The device stretched the ankle safely throughout the range of motion (ROM) to extreme dorsiflexion and plantarflexion until a specified peak resistance torque was reached with the stretching velocity controlled based on the resistance torque. The ankle was held at the extreme position for a period of time to let stress relaxation occur before it was rotated back to the other extreme position. Stretching was slow at the joint extreme positions, making it possible to reach a larger ROM safely and it was fast in the middle ROM so the majority of the treatment was spent in stretching the problematic extreme ROM. Furthermore, the device evaluated treatment outcome quantitatively in multiple aspects, including active and passive ROM, joint stiffness and viscous damping and reflex excitability. The stretching resulted in considerable changes in joint passive ROM, stiffness, viscous damping and reflex gain. The intelligent control and yet simple design of the device suggest that with appropriate simplification, the device can be made portable and low cost, making it available to patients and therapists for frequent use in clinics/home and allowing more effective treatment and long-term improvement.}, author = {Zhang, L. Q. and Chung, S. G. and Bai, Z. and Xu, D. and van Rey, E. M. and Rogers, M. W. and Johnson, M. E. and Roth, E. J.}, citeulike-article-id = {4982353}, citeulike-linkout-0 = {http://dx.doi.org/10.1109/TNSRE.2002.802857}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/12503779}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=12503779}, doi = {10.1109/TNSRE.2002.802857}, issn = {1534-4320}, journal = {IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society}, keywords = {ankle, contracture, intelligent\_stretching, limited\_rom, neurological\_impairment, neurology\_phyiscal\_therapy, spasticity, stretching}, month = {September}, number = {3}, pages = {149--157}, posted-at = {2009-06-26 22:06:50}, priority = {2}, title = {Intelligent stretching of ankle joints with contracture/spasticity.}, url = {http://dx.doi.org/10.1109/TNSRE.2002.802857}, volume = {10}, year = {2002} }

TY - JOUR ID - citeulike:4982353 L3 - citeulike-article-id:4982353 N2 - An intelligent stretching device was developed to treat the spastic/contractured ankle of neurologically impaired patients. The device stretched the ankle safely throughout the range of motion (ROM) to extreme dorsiflexion and plantarflexion until a specified peak resistance torque was reached with the stretching velocity controlled based on the resistance torque. The ankle was held at the extreme position for a period of time to let stress relaxation occur before it was rotated back to the other extreme position. Stretching was slow at the joint extreme positions, making it possible to reach a larger ROM safely and it was fast in the middle ROM so the majority of the treatment was spent in stretching the problematic extreme ROM. Furthermore, the device evaluated treatment outcome quantitatively in multiple aspects, including active and passive ROM, joint stiffness and viscous damping and reflex excitability. The stretching resulted in considerable changes in joint passive ROM, stiffness, viscous damping and reflex gain. The intelligent control and yet simple design of the device suggest that with appropriate simplification, the device can be made portable and low cost, making it available to patients and therapists for frequent use in clinics/home and allowing more effective treatment and long-term improvement. IS - 3 JF - IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society SN - 1534-4320 EP - 157 TI - Intelligent stretching of ankle joints with contracture/spasticity. VL - 10 SP - 149 KW - ankle KW - contracture KW - intelligent_stretching KW - limited_rom KW - neurological_impairment KW - neurology_phyiscal_therapy KW - spasticity KW - stretching AU - Zhang, LQ AU - Chung, SG AU - Bai, Z AU - Xu, D AU - van Rey, EM AU - Rogers, MW AU - Johnson, ME AU - Roth, EJ PY - 2002/09// UR - http://dx.doi.org/10.1109/TNSRE.2002.802857 ER -