REaching and grasping Training based on Robotic hybrid AssIstance for Neurological patients: End users Real life evaluation

RETRAINER is an Innovation Action aimed at a wide clinical validation of effective hybrid robotics technologies for upper limb rehabilitation.


The aim of the RETRAINER project is to tune and validate advanced, robot-based technologies to facilitate recovery of arm and hand function in stroke survivors and to verify extensively the use of the system by end-users. RETRAINER allows the users to use their own arm and hand as much and as soon as possible after the trauma so to achieve the best outcomes in rehabilitation. A continuous iterative process between the technology development and the testing feedback is driving the whole project.

Overview




Technology Transfer


The RETRAINER project builts its prototypes on the results of the previous FP7 project MUNDUS aimed at supporting arm and hand of people with severe disabilities in performing daily activities



Prototype Development


Two prototypes, named S1 and S2, were developed within the first 18months of RETRAINER. S1 is devoted to support arm movement in reaching and pointing tasks; S2 is aimed at supporting wrist extension/flexion and grasping movements



Clinical Validation


The RETRASINER prototypes are undergoing wide clinical validation. More than 100 stroke survivors with arm and hand impairment have already been recruited to assess acceptance and efficacy of robot assisted rehabilitation of the upper limb



Optimal System Design


Early clinical results and suggestions on system usability by clinicians, therapists and patients have been taken into account and the final system design to better address market needs is under development





Publications



RETRAINER Project: Perspectives and Lesson Learnt on Clinical Trial in Rehabilitation Robotics to Foster Industrial Exploitation
Pedrocchi A., Bulgheroni M., ICNR2018, 2018

Smart Objects in Rehabilitation
Baccinelli, W. et al., ICNR2018, 2018

Development of a hand neuroprosthesis for grasp rehabilitation after stroke: state of art and perspectives
Crema, A. et al., ICNR2018, 2018

Hybrid Robotic System for Arm Training After Stroke: Preliminary Results of a Randomized Controlled Trial
Immick, N. et al., ICNR2018, 2018

A Wearable Hand Neuroprosthesis for Hand Rehabilitation After Stroke: Preliminary Results of the RETRAINER S2 Randomized Controlled Trial
Molteni, F. et al., ICNR2018, 2018

Hybrid robotic system combining passive exoskeleton and functional electrical stimulation for upper limb stroke rehabilitation: Preliminary results of the retrainer multi-center randomized controlled trial
Gasperini, G. et al., ISPRM, 2018

The combined action of a passive exoskeleton and an EMG-controlled neuroprosthesis for upper limb stroke rehabilitation: First results of the RETRAINER project
Ambrosini E. et al., IEEE Int Conf Rehabil Robot, 2017

A patient-controlled functional electrical stimulation system for arm weight relief
Klauer C. et al., Med Eng Phys, 2016

Control system for neuro-prostheses integrating induced and volitional effort
Ambrosini E. et al., IFAC-PapersOnLine, 2015

RehaMovePro: A versatile mobile stimulation system for transcutaneous FES applications
Valtin M. et al., European Journal of Translational Myology, vol. 26, no. 3, 2016

An upper limb myocontrolled neuroprosthesis to enhance rehabilitation outcomes of neurological patients
Ambrosini E. et al., 6th ForItaal, 2015

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This project has received funding from the European Union's Horizon 2020 research and innovation programme under grant agreement No 644721

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