IEEE Robotics & Automation Magazine - March 2023 - 67

the therapist to adapt the training program to the user's
needs and recovery level. The telerehabilitation software
is a web-based platform that can be run under different
browsers, and a standalone version for Windows
has also been created for offline situations. In both
cases, the platform has been designed to be used with
touchscreens to avoid external peripherals and simplify
the user experience. Games use data transmitted from
the robotic system, which are transferred from the
robotic module via Bluetooth. The connection between
the two is made only just before initiating gameplay to
avoid the inadvertent capture of movement data generated
by the user/therapist during system setup.
TRAINING CONFIGURATION
The training for each person can be remotely configured
by the therapist. The health professionals can
assign a therapeutic plan of games and movements
needed by the user. The user receives a daily list of
the planned activities and executes the games consecutively
until the training for that day is completed.
The therapist has access to each user's training
information to monitor the evolution. For each game,
a graphical evolution of the scores and performance
indicators is provided. Health professionals also have
access to the schedule of upcoming assignments and
the tasks performed by the user to monitor rehabilitation
progress and make adjustments when needed.
AA ASSESSMENT GAMES
The AA Assessment (AAA) games provide an automatic
and quantitative evaluation of arm and hand function.
The AAA has been demonstrated to be statistically correlated
with each of the three most significant standard
clinical assessment tests: the Fugl-Meyer assessment,
the Action Research Arm Test, and the Wolf Motor
Function Test [17].
The AAA games must be performed by the user at
least once at the beginning to configure and adapt the
training games. However, periodic reassessment is recommended
to recalculate baseline values and properly
adjust them as the user progresses.
The results of the AAA games include the maximum
range of motion (ROM) and interaction force to
ensure that the training games are properly adapted to
the functional abilities of the user. The AAA games
include the following main assessments:
■ The active ROM assessment allows the user's planar
movement to set the ROM limits for all training
games. The starting point is highlighted, and
the user is asked to move along the indicated sector
as far as possible without torso compensation to
determine the maximum ROM in each direction
[Figure 5(a)].
■ The range of vertical force (ROF) assessment
measures the capacity of the user to perform an
MARCH 2023 IEEE ROBOTICS & AUTOMATION MAGAZINE
67
RJ 1
RJ 2
LJ 1
LJ 3
Locking
Screw
Pad for
Fingers
Elastic Band
Band With
Soft Foam
RJ 3
RJ 4
Locking
Assembly
(a)
Housing
for PCB
(b)
(c)
FIGURE 4. The right-hand module: structure and core components. (a) The view from the top of the hand. (b) The view from the palm. (c) Detached views of the four fingers and thumb
pads showing the location of the force-sensitive resistor (FSR) sensors. LJ: linear joint (red arrow); RJ: blue arrow; LJ1: thumb fore-aft position; LJ2: finger metacarpophalangeal-proximal
interphalangeal (MCP-PIP) distance; LJ3: thumb opposition angle.
Pad of Thumb
Module
Four Fingers Module
LJ 2
Thumb
Module
LJ 1
Pad of Four Fingers
Module
FSR Sensors

IEEE Robotics & Automation Magazine - March 2023

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