Evidence map›Paper›PMID 39135048›Full record

ArticleJournal of neuroengineering and rehabilitation2024

Feedback control of heart rate during robotics-assisted tilt table exercise in patients after stroke: a clinical feasibility study.

Lars Brockmann, Jittima Saengsuwan, Corina Schuster-Amft, Kenneth J Hunt

Abstract read
In one paragraph

Article in Journal of neuroengineering and rehabilitation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Lars BrockmannrehaLab-the Laboratory for Rehabilitation Engineering, Institute for Human Centred Engineering HuCE, School of Engineering and Computer Science, Bern University of Applied Sciences, 2501, Biel, Switzerland.
Jittima SaengsuwanrehaLab-the Laboratory for Rehabilitation Engineering, Institute for Human Centred Engineering HuCE, School of Engineering and Computer Science, Bern University of Applied Sciences, 2501, Biel, Switzerland.
Corina Schuster-AmftrehaLab-the Laboratory for Rehabilitation Engineering, Institute for Human Centred Engineering HuCE, School of Engineering and Computer Science, Bern University of Applied Sciences, 2501, Biel, Switzerland.
Kenneth J HuntrehaLab-the Laboratory for Rehabilitation Engineering, Institute for Human Centred Engineering HuCE, School of Engineering and Computer Science, Bern University of Applied Sciences, 2501, Biel, Switzerland. kenneth.hunt@bfh.ch.ORCID 0000-0002-6521-9455

Funding

Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 320030-185351
6 · The paper itself

Abstract

backgroundPatients with neurological disorders including stroke use rehabilitation to improve cognitive abilities, to regain motor function and to reduce the risk of further complications. Robotics-assisted tilt table technology has been developed to provide early mobilisation and to automate therapy involving the lower limbs. The aim of this study was to evaluate the feasibility of employing a feedback control system for heart rate (HR) during robotics-assisted tilt table exercise in patients after a stroke.

methodsThis feasibility study was designed as a case series with 12 patients (

resultsFeedback control tests were successfully conducted in all 12 patients. Dynamic models of heart rate response to imposed work rate were estimated with a mean root-mean-square (RMS) model error of 2.16 beats per minute (bpm), while highly accurate feedback control of heart rate was achieved with a mean RMS tracking error (RMSE) of 2.00 bpm. Control accuracy, i.e. RMSE, was found to be strongly correlated with the magnitude of heart rate variability (HRV): patients with a low magnitude of HRV had low RMSE, i.e. more accurate HR control performance, and vice versa.

conclusionsFeedback control of heart rate during robotics-assisted tilt table exercise was found to be feasible. Future work should investigate robustness aspects of the feedback control system. Modifications to the exercise modality, or alternative modalities, should be explored that allow higher levels of work rate and heart rate intensity to be achieved.

Indexed as

Exercise TherapyFeasibility StudiesHeart RateRoboticsStroke RehabilitationAdultAgedBiofeedback, PsychologyFemaleHumansMaleMiddle AgedStrokeFeedback controlHeart rate controlHeart rate dynamicsNeurorehabilitationRehabilitation roboticsStroke

Identifiers

PMID39135048
PMCPMC11318246

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.