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Updated: Jul 15, 2026

Isokinetic Robotic Device to Improve Test-Retest and Inter-Rater Reliability for Stretch Reflex Measurements in Stroke Patients with Spasticity
Published on: June 12, 2019
Stochastic estimation of arm mechanical impedance during robotic stroke rehabilitation
Jerome J Palazzolo1, Mark Ferraro, Hermano Igo Krebs
1Massachusetts Institute of Technology, Department of Mechanical Engineering, Newman Laboratory for Biomechanics and Human Rehabilitation, Cambridge, MA 02139, USA. jjpalazz@alum.mit.edu
Abstract:
This paper presents a stochastic method to estimate the multijoint mechanical impedance of the human arm suitable for use in a clinical setting, e.g., with persons with stroke undergoing robotic rehabilitation for a paralyzed arm. In this context, special circumstances such as hypertonicity and tissue atrophy due to disuse of the hemiplegic limb must be considered. A low-impedance robot was used to bring the upper limb of a stroke patient to a test location, generate force perturbations, and measure the resulting motion. Methods were developed to compensate for input signal coupling at low frequencies apparently due to human-machine interaction dynamics. Data was analyzed by spectral procedures that make no assumption about model structure. The method was validated by measuring simple mechanical hardware and results from a patient's hemiplegic arm are presented.
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