Devices for Rehabilitation Applications

Article Preview

Abstract:

Recent research is showing that Shape Memory Alloys (SMA) can be advantageously employed for a number of applications in Rehabilitation Medicine and the related field of Neuroscience. This innovative use of SMA was investigated with the specific aim of improving the treatment approach to neurological patients with sequelae from stroke, traumatic brain injury, cerebral palsy, etc. Several examples of devices built for this purpose will be presented together with an outline of the reasons why the shape-memory and pseudoelastic effects can be regarded as interesting resources on account of scientific, technical and clinical reasons. In particular the design and functioning of an SMA-based ankle exerciser and pseudoelastic repositioning splints for the upper and lower limbs will be discussed in relation with results of neurophysiologic and clinical tests. The main observations so far suggest that this type of devices is able to support patients’ physical rehabilitation by adapting to changing conditions and needs during functional recovery. Furthermore, due to their improved tolerability relative to traditional treatments SMA devices can be used for longer times and tend to produce interesting effects in the control of spastic syndromes.

You might also be interested in these eBooks

Info:

Periodical:

Pages:

103-112

Citation:

Online since:

September 2012

Export:

Price:

Permissions CCC:

Permissions PLS:

Сopyright:

© 2013 Trans Tech Publications Ltd. All Rights Reserved

Share:

Citation:

[1] S. Pittaccio, S. Viscuso, Shape Memory Actuators for Medical Rehabilitation and Neuroscience, in: G. Berselli, R. Vertechy, G. Vassura (Eds. ), Smart actuation and sensing systems - Recent advances and future challenges, InTech., Rijeka, 2012, in print.

DOI: 10.5772/50201

Google Scholar

[2] K. Otsuka K, X. Ren, Physical metallurgy of Ti–Ni-based shape memory alloys, Progr. in Mater. Science. 50 (2005) 511-678.

DOI: 10.1016/j.pmatsci.2004.10.001

Google Scholar

[3] S. Pittaccio, S. Viscuso, M. Rossini, L. Magoni, S. Pirovano, E. Villa, S. Besseghini, F. Molteni, SHADE: A shape-memory-activated device promoting ankle dorsiflexion. J Mater Eng Perform 18 (2009) 824–830.

DOI: 10.1007/s11665-009-9405-y

Google Scholar

[4] S. Pittaccio, S. Viscuso, An EMG-Controlled SMA Device for the Rehabilitation of the Ankle Joint in Post-Acute Stroke. J Mater Eng Perform 20 (2011) 666-670.

DOI: 10.1007/s11665-010-9826-7

Google Scholar

[5] S. Pittaccio, S. Viscuso, S. Besseghini, International Patent WO/2011/141183. (2011).

Google Scholar

[6] S. Pittaccio, F. Zappasodi, S. Viscuso, F. Mastrolilli, M. Ercolani, F. Passarelli, F. Molteni, S. Besseghini, P.M. Rossini, F. Tecchio, Primary sensory and motor cortex activities during voluntary and passive ankle mobilization by the SHADE orthosis. Hum Brain Mapp 32 (2011).

DOI: 10.1002/hbm.20998

Google Scholar

[7] J.M. Hidler, B.D. Schmit, Evidence for force-feedback inhibition in chronic stroke, IEEE Trans Neural Syst Rehabil Eng. 12 (2004) 166-76.

DOI: 10.1109/tnsre.2004.828428

Google Scholar

[8] S. Viscuso, S. Pittaccio, M. Caimmi, G. Gasperini, S. Pirovano, E. Villa, S. Besseghini, F. Molteni, Pseudoelastic Nitinol-Based Device for Relaxation of Spastic Elbow in Stroke Patients. J Mater Eng Perform 18 (2009) 805–813.

DOI: 10.1007/s11665-009-9418-6

Google Scholar

[9] S. Pittaccio, S. Viscuso, S. Besseghini, International Patent WO/2011/137999. (2011).

Google Scholar

[10] S. Pittaccio, S. Viscuso, E. Beretta, A.C. Turconi, S. Strazzer, Pilot studies suggesting new applications of NiTi in dynamic orthoses for the ankle joint. Prosthet Orthot Int 34 (2010) 305-318.

DOI: 10.3109/03093641003702253

Google Scholar