The "Rutgers Ankle" Rehabilitation Interface

The "Rutgers Ankle" Rehabilitation Interface is a virtual reality haptic interface designed to allow ankle rehabilitation at home and remote monitoring of patients by therapists. It is a research project of the Center For Advanced Information Processing's (CAIP) Human-Machine Interface Laboratory of Rutgers University, Piscataway, New Jersey, USA, in association with Rutgers' Electrical and Computer Engineering Department.
Project Description:

The `Rutgers Ankle' Rehabilitation Interface
The `Rutgers Ankle' Haptic Interface
The "Rutgers Ankle"
Rehabilitation Interface
The "Rutgers Ankle"
Haptic Interface
(Click to see larger images)

The "Rutgers Ankle" Rehabilitation Interface is a robotic ankle rehabilitation device designed for at-home use and Internet-based remote monitoring by therapists. Its quantitative remote evaluation capabilities are designed to permit less-frequent visits to the therapist. As a virtual-reality haptic interface, it allows patients to interact with motivating virtual environments as they exercise.

The device allows movement in all 3 of the ankle's degrees of freedom through patients' full range of motion. It is capable of supplying both low and high forces in all directions, permitting a large variety of exercises. Because it interfaces with a computer as a virtual reality haptic interface, the system acts as an input/output device to/from virtual environments. For example, patients can steer a virtual airplane with their feet, feeling resistive forces increase with speed. While patients exercise, the system collects force and position data in all of the ankle's degrees of freedom. These data can be accessed remotely by therapists via the Internet.

VR plane simulation
Virtual reality plane simulation
View a movie of the simulation


Publications

  • Deutsch, J., J. Latonio, G. Burdea, and R. Boian, "Rehabilitation of Musculoskeletal Injuries Using the Rutgers Ankle Haptic Interface: Three Case Reports," Eurohaptics Conference, Birmingham UK, 6 pp. July 1-4, 2001 (in press).
    [ Download:
    PDF | PS]

  • Deutsch, J., J. Latonio, G. Burdea and R. Boian, "Post-Stroke Rehabilitation with the Rutgers Ankle System - A case study," Presence, Vol. 10(4), MIT Press, August 2001 (in press).
    [ Download: PDF | PS]

  • Girone M., Burdea, G., M. Bouzit, V. Popescu, and J. Deutsch, "A Stewart Platform-Based System for Ankle Telerehabilitation," invited article, Special Issue on Personal Robotics, Autonomous Robots, Vol. 10, pp. 203-212, Kluwer, March 2001
    [ Download: PDF ]

  • Girone, M., G. Burdea, M. Bouzit, and J. Deutsch, "Orthopedic Rehabilitation using the `Rutgers Ankle' Interface," Proceedings of Medicine Meets Virtual Reality 2000, IOS Press, pp. 89-95, January 2000.
    [ Download: PDF | PS ]

  • Girone, M., G. Burdea, M. Bouzit, "The `Rutgers Ankle' Orthopedic Rehabilitation Interface," Proceedings of the ASME Haptics Symposium, DSC-Vol. 67, pp. 305-312, November 1999.
    [ Download: PDF | PS ]


    Pilot Clinical Trails

    An ankle rehabilitation patient performs exercises on the 'Rutgers Ankle'
    An ankle rehabilitation patient performs
    exercises on the 'Rutgers Ankle' during
    proof-of-concept patient trails at UMDNJ
    (Click to see a larger image)
    Rehabilitation of Musculoskeletal Injuries
    The system underwent pilot clinical trials in an outpatient clinic during the summer of 2000. The goals of the pilot tests were to determine how well the current design of the interface worked in a clinical setting and to provide preliminary evidence of whether patients benefited from incorporating the "Rutgers Ankle" into their rehabilitation program. The three patients participating in the study showed improvements in range of motion, torque generation capacity, and ankle mechanical work over six rehabilitation sessions. See (Deutsch et al., 2001a) above for more information.

    Post-Stroke Rehabilitation
    In (Deutsch et al., 2001b), a case study is presented of a patient nine-months post-stroke using the "Rutgers Ankle." Results showed that over six rehabilitation sessions the patient improved on clinical measures of strength and endurance, which corresponded well with torque and power output increases measured by the Rutgers Ankle. There were also substantial improvements in task accuracy and coordination during the simulation and the patient’s walking and stair climbing ability.

    Proof-of-Concept Trials
    Proof-of-concept patient trials were conducted at the University of Medicine and Dentistry of New Jersey (UMDNJ) in 1999. We were able to successfully use the device with a diverse group of patients who responded favorably to the experience. We were also able to record performance data for displacement, force, and torque. See (Girone et al., 2000) for more information.



    Press Coverage

  • "Computer Physio". BBC Online - Tomorrow's World. July 2001.
  • "Prototype: Ankles Away". Technology Review. June 2001.
  • "The Rutgers Ankle: Physical Therapy, Robotics and Virtual Reality". www.rutgers.edu
  • "The head bone's connected to the Rutgers Ankle bone". The Star Ledger. September 3, 2000
  • "Human Computer Interface Research at Rutgers University". Information Technology for a New Millenium, Supplement to the President's FY 2000 Budget, National Science and Technology Council
  • "Research Roundup: The Rutgers Ankle" by Stacey B. Hersh. Rutgers Focus. January 29, 1999


    Background


  • View a movie of the virtual reality plane simulation developed for the "Rutges Ankle": Download .avi file 30 MB.
  • Click on a thumbnail for a full-sized image

    Please send questions and comments to Michael Girone: mgirone@caip.rutgers.edu


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    Updated: 5-23-01