The Experts below are selected from a list of 324 Experts worldwide ranked by ideXlab platform
Robert W. Hamill - One of the best experts on this subject based on the ideXlab platform.
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glasgow coma scale and the Neurologic Examination
2016Co-Authors: Curtis G. Benesch, Keith D. Mcdaniel, Christopher Cox, Robert W. HamillAbstract:Results: When compared with patients in the Clinical Dementia Rating stages 3 and 4, patients with a stage 5 scored significantly lower on the Glasgow Coma Scale, with the discriminating subscales being verbal and motor responses. Primitive reflexes, myoclonus, and dyskinesia were increasingly prevalent in the more terminal stages. Cognitive screening assessments did not discriminate between groups. Conclusions: Rudimentary Neurologic functions can be readily assessed and, when viewed together with the Glasgow Coma Scale, may circumvent the "floor effect" frequently encountered when using the currently available cognitive and functional scales and, thereby, better define patients with end-stage Alzheimer's disease.
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End-Stage Alzheimer's Disease: Glasgow Coma Scale and the Neurologic Examination
JAMA Neurology, 1995Co-Authors: Curtis G. Benesch, Keith D. Mcdaniel, Robert W. HamillAbstract:Objective: To characterize the cognitive and Neurologic features of patients with end-stage Alzheimer's disease using a standard Neurologic Examination and the Glasgow Coma Scale. Design: Case series. Setting: Local community nursing homes. Patients: Forty patients with Alzheimer's disease were drawn from previously enrolled subjects in the Rochester Alzheimer's Disease Project with Clinical Dementia Rating scores of 3, 4, or 5. Main Outcome Measures: Scores on the Glasgow Coma Scale and cognitive screening Examinations and the prevalence of Neurologic manifestations such as primitive reflexes and extrapyramidal signs were compared across the Clinical Dementia Rating groups. Results: When compared with patients in the Clinical Dementia Rating stages 3 and 4, patients with a stage 5 scored significantly lower on the Glasgow Coma Scale, with the discriminating subscales being verbal and motor responses. Primitive reflexes, myoclonus, and dyskinesia were increasingly prevalent in the more terminal stages. Cognitive screening assessments did not discriminate between groups. Conclusions: Rudimentary Neurologic functions can be readily assessed and, when viewed together with the Glasgow Coma Scale, may circumvent the "floor effect" frequently encountered when using the currently available cognitive and functional scales and, thereby, better define patients with end-stage Alzheimer's disease.
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End-stage Alzheimer's disease. Glasgow Coma Scale and the Neurologic Examination.
Archives of neurology, 1993Co-Authors: Curtis G. Benesch, Keith D. Mcdaniel, Robert W. HamillAbstract:To characterize the cognitive and Neurologic features of patients with end-stage Alzheimer's disease using a standard Neurologic Examination and the Glasgow Coma Scale. Case series. Local community nursing homes. Forty patients with Alzheimer's disease were drawn from previously enrolled subjects in the Rochester Alzheimer's Disease Project with Clinical Dementia Rating scores of 3, 4, or 5. Scores on the Glasgow Coma Scale and cognitive screening Examinations and the prevalence of Neurologic manifestations such as primitive reflexes and extrapyramidal signs were compared across the Clinical Dementia Rating groups. When compared with patients in the Clinical Dementia Rating stages 3 and 4, patients with a stage 5 scored significantly lower on the Glasgow Coma Scale, with the discriminating subscales being verbal and motor responses. Primitive reflexes, myoclonus, and dyskinesia were increasingly prevalent in the more terminal stages. Cognitive screening assessments did not discriminate between groups. Rudimentary Neurologic functions can be readily assessed and, when viewed together with the Glasgow Coma Scale, may circumvent the "floor effect" frequently encountered when using the currently available cognitive and functional scales and, thereby, better define patients with end-stage Alzheimer's disease.
Kazuyuki Hatake - One of the best experts on this subject based on the ideXlab platform.
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development of a human like Neurologic model to simulate the influences of diseases for Neurologic Examination training
International Conference on Robotics and Automation, 2013Co-Authors: Chunbao Wang, Yohan Noh, Chihara Terunaga, Mitsuhiro Tokumoto, Matsuoka Yusuke, Hiroyuki Ishii, Atsuo Takanishi, Salvatore Sessa, Massimiliano Zecca, Kazuyuki HatakeAbstract:Neurologic Examination procedures require not only abundant knowledge but also prominent skills. During medical education and training, several methods will be put to use such as watching video, reading books, making use of the simulated patient (SP), and so on. These can help medical staffs, especially novices, to master the skills and accumulate experiences. To make up for the drawbacks of the above methods, such as lack of active interactions, limitation of multi-symptom reproductions, etc, the medical training simulators have been developed to improve training effectiveness. However, most of these simulators only mimic the symptoms. They have no the abilities to show the pathology of diseases. This limits the training effectiveness. In this paper, we propose an elbow robot named WKE-1(Waseda Kyotokagaku Elbow Robot No.1) for Neurologic Examination training as one part of the whole body patient robot named WKP (Waseda Kyotokagaku Patient). In this robot, we simulate various symptoms occurring during the Examination of elbow force, biceps tendon reflex, involuntary action, and also make a physiological Neurological model to simulate the pathology of the nervous system. Taking advantage of this robot, the trainee can get a systematic training on both the skills and knowledge. Finally, we take a set of experiments to verify our proposed mechanism and system. The experimental results lead to the consideration that the approach is worth following in further research.
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ICRA - Development of a human-like Neurologic model to simulate the influences of diseases for Neurologic Examination training
2013 IEEE International Conference on Robotics and Automation, 2013Co-Authors: Chunbao Wang, Yohan Noh, Chihara Terunaga, Mitsuhiro Tokumoto, Matsuoka Yusuke, Hiroyuki Ishii, Atsuo Takanishi, Salvatore Sessa, Massimiliano Zecca, Kazuyuki HatakeAbstract:Neurologic Examination procedures require not only abundant knowledge but also prominent skills. During medical education and training, several methods will be put to use such as watching video, reading books, making use of the simulated patient (SP), and so on. These can help medical staffs, especially novices, to master the skills and accumulate experiences. To make up for the drawbacks of the above methods, such as lack of active interactions, limitation of multi-symptom reproductions, etc, the medical training simulators have been developed to improve training effectiveness. However, most of these simulators only mimic the symptoms. They have no the abilities to show the pathology of diseases. This limits the training effectiveness. In this paper, we propose an elbow robot named WKE-1(Waseda Kyotokagaku Elbow Robot No.1) for Neurologic Examination training as one part of the whole body patient robot named WKP (Waseda Kyotokagaku Patient). In this robot, we simulate various symptoms occurring during the Examination of elbow force, biceps tendon reflex, involuntary action, and also make a physiological Neurological model to simulate the pathology of the nervous system. Taking advantage of this robot, the trainee can get a systematic training on both the skills and knowledge. Finally, we take a set of experiments to verify our proposed mechanism and system. The experimental results lead to the consideration that the approach is worth following in further research.
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development of an arm robot for Neurologic Examination training
Intelligent Robots and Systems, 2012Co-Authors: Chunbao Wang, Yohan Noh, Kazuki Ebihara, Chihara Terunaga, Mitsuhiro Tokumoto, Isamu Okuyama, Matsuoka Yusuke, Hiroyuki Ishii, Atsuo Takanishi, Kazuyuki HatakeAbstract:Neurologic Examination takes an important role in diagnosis of the nerve system diseases. Neurologic medical staffs, especially the novices, need to be trained on this skill. There are many methodologies which can help to accumulate experiences, such as watching video, reading books, making use of the simulated patient (SP), and so on. However, the best way is to practice on the real patient. All the above methods have their own drawbacks such as lack of active interactions, limitation of multi-symptoms' reproducing, etc. To improve the training effectiveness, an arm robot is proposed in this paper for Neurologic Examination training as one part of the whole body patient robot named Waseda Kyotokagaku Patient (WKP). In this robot, various symptoms of the elbow force, biceps tendon reflex, involuntary action, and so on, are simulated and shown to the trainee. Finally, a set of experiments was carried out to verify our proposed mechanism and control system. Three neurologists with over 30 years' experience were invited to show their opinions on the reproductions of patients' symptoms, and to discuss the results. The effectiveness of this system was confirmed. The experimental results lead to the consideration that the approach is worth following in further research.
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IROS - Development of an arm robot for Neurologic Examination training
2012 IEEE RSJ International Conference on Intelligent Robots and Systems, 2012Co-Authors: Chunbao Wang, Yohan Noh, Kazuki Ebihara, Chihara Terunaga, Mitsuhiro Tokumoto, Isamu Okuyama, Matsuoka Yusuke, Hiroyuki Ishii, Atsuo Takanishi, Kazuyuki HatakeAbstract:Neurologic Examination takes an important role in diagnosis of the nerve system diseases. Neurologic medical staffs, especially the novices, need to be trained on this skill. There are many methodologies which can help to accumulate experiences, such as watching video, reading books, making use of the simulated patient (SP), and so on. However, the best way is to practice on the real patient. All the above methods have their own drawbacks such as lack of active interactions, limitation of multi-symptoms' reproducing, etc. To improve the training effectiveness, an arm robot is proposed in this paper for Neurologic Examination training as one part of the whole body patient robot named Waseda Kyotokagaku Patient (WKP). In this robot, various symptoms of the elbow force, biceps tendon reflex, involuntary action, and so on, are simulated and shown to the trainee. Finally, a set of experiments was carried out to verify our proposed mechanism and control system. Three neurologists with over 30 years' experience were invited to show their opinions on the reproductions of patients' symptoms, and to discuss the results. The effectiveness of this system was confirmed. The experimental results lead to the consideration that the approach is worth following in further research.
Matcheri S. Keshavan - One of the best experts on this subject based on the ideXlab platform.
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are Neurologic Examination abnormalities heritable a preliminary study
Schizophrenia Research, 2006Co-Authors: Richard D Sanders, Matcheri S. Keshavan, Y H Joo, Laura Almasy, Joel Wood, Michael F Poguegeile, R C Gur, R E Gur, Vishwajit L NimgaonkarAbstract:Abstract Background Neurologic Examination abnormalities (NEA) are more prevalent among patients with schizophrenia as well as their unaffected relatives when compared with healthy controls, suggesting that NEA may be endophenotypes for schizophrenia. We estimated the heritability of NEA in moderately sized pedigrees. We also evaluated correlations between NEA and cognitive performance in order to examine their construct validity. Methods Members of eight extended families, each consisting of two first degree relatives with schizophrenia/schizoaffective disorders, as well as available first- to fifth-degree relatives were examined ( n = 96 participants). A modification of the Neurological Evaluation Scale (NES) was employed, augmented with localizing signs. Where feasible, we used untransformed data such as error counts and completion time, rather than ordinal measures. Heritability was estimated using the variance component method, implemented in SOLAR. Results Statistically significant heritability ( h 2 ) estimates were obtained for several measures ( p h 2 ± standard error: rapid alternating movements, right-sided completion time, 0.99 ± 0.19; alternating fist–palm test, completion time, 0.77 ± 0.19 s, errors, 0.70 ± 0.32; fist–ring test, right-sided completion time, 0.53 ± 0.23 s, left-sided completion time, 0.70 ± 0.21 s; go–no go task, correct responses, 0.93 ± 0.33; audio–visual integration, correct responses, 0.79 ± 0.54). For most items, heritability analysis was hampered by insufficient data variability (infrequent errors). Correlational analyses show some degree of divergence among types of NEA, repetitive motor tasks being associated with most domains of cognitive functioning other than executive functioning, and cognitive–perceptual tasks being associated with memory and executive functioning. Conclusions Significant familial influences on certain aspects of Neurologic performance were detected. These heritable measures were also correlated with heritable neurocognitive measures.
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the effects of antipsychotic medication on factor and cluster structure of Neurologic Examination abnormalities in schizophrenia
Schizophrenia Research, 2005Co-Authors: Gerald Goldstein, Richard D Sanders, Steven D. Forman, Daniel P. Van Kammen, Thaddeus Tarpey, John A Gurklis, Matcheri S. KeshavanAbstract:This study extends a previous study of the factor structure of the Neurologic Examination in unmedicated schizophrenia, utilizing cluster analysis and adding a medicated condition. We administered a modified version of the Neurologic Evaluation Scale (NES) on two occasions to 80 patients with schizophrenia or schizoaffective disorder, once while on antipsychotic medications and once while off medication. Data were distilled by combining right- and left-side scores, and by excluding rarely abnormal and unreliable items from the analysis. Principal components analysis yielded an intuitive four-factor solution in the unmedicated condition, but an inscrutable five-factor solution during medication. Cluster analysis revealed three groups: normal, cognitively impaired, and diffusely impaired. These results were also less interpretable with data from the medicated condition. Neurologic performance was better in the medicated than in the unmedicated condition. As is the case with other domains of symptoms and performance in schizophrenia, relationships among Neurologic exam variables are altered by the presence of antipsychotic medication.
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Factor structure of Neurologic Examination abnormalities in unmedicated schizophrenia
Psychiatry research, 2000Co-Authors: Richard D Sanders, Matcheri S. Keshavan, Steven D. Forman, Joseph N Pieri, N. Mclaughlin, Daniel N. Allen, Daniel P. Van Kammen, Gerald GoldsteinAbstract:The heterogeneity and uncertain significance of Neurologic exam abnormalities in schizophrenia prompted us to evaluate their factor structure. We administered a modified version of the Neurological Evaluation Scale (NES) to 103 unmedicated patients with schizophrenia. Data were distilled by combining right- and left-side scores, and by eliminating superfluous, rarely abnormal and unreliable items from the analysis. Exploratory principal components analysis yielded four factors: repetitive motor tasks (fist-ring, fist-edge-palm, alternating fist-palm, dysdiadochokinesis); cognitive-perceptual tasks (memory, audiovisual integration, right-left orientation, face-hand test, rhythm tapping reproduction); balancing tasks (Romberg, tandem gait); and the palmomental reflex. Evaluation of the relationship between these factors and clinical and demographic variables revealed a robust correlation between the cognitive-perceptual factor and full-scale IQ score. This analysis is a step toward developing empirical subscales of a modified NES, which may provide insights into the nature of Neurologic impairment in schizophrenia and may prove clinically useful.
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Neurologic Examination abnormalities in schizophrenia with and without a history of alcoholism
Neuropsychiatry Neuropsychology and Behavioral Neurology, 2000Co-Authors: Daniel N. Allen, Matcheri S. Keshavan, Steven D. Forman, Daniel P. Van Kammen, Gerald Goldstein, Richard D SandersAbstract:Objective: The current investigation examines the impact of a past history of alcoholism on Neurologic Examination abnormalities in schizophrenia (SZ). Background: Individuals with SZ have a high rate of comorbid alcohol use disorders (AUDs), but relatively little is known about the potential adverse consequences of alcoholism for neuropsychological and Neurologic functioning in SZ. Recent evidence suggests consistent but subtle neurocognitive differences between groups, with more prominent differences in Neurologic Examination abnormalities. Method: Thirty-three male patients with SZ or SZ/AUDs were evaluated using a modified Neurologic Evaluation Scale (NES) and ratings for positive and negative symptoms. Results: The SZ/AUD group exhibited a greater impairment in the Cognitive-Perceptual factor of the Neurologic Evaluation Scale. Greater impairment in the tandem-Romberg factor or in motor items was not found, nor were groups different based on positive or negative symptoms. Conclusions: A history of alcoholism in SZ is associated with greater overall Neurologic impairment, particularly in the area of cognitive-perceptual dysfunction, an area often found to be impaired in patients with schizophrenia without alcoholism.
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the Neurologic Examination in adult psychiatry from soft signs to hard science
Journal of Neuropsychiatry and Clinical Neurosciences, 1998Co-Authors: Richard D Sanders, Matcheri S. KeshavanAbstract:Of the proliferating approaches to neuropsychiatric assessment, a relatively neglected technique is the venerable, accessible, noninvasive, and inexpensive Neurologic Examination. This article orga...
Simon Podnar - One of the best experts on this subject based on the ideXlab platform.
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Neurologic Examination and instrument based measurements in the evaluation of ulnar neuropathy at the elbow
Muscle & Nerve, 2018Co-Authors: Gregor Omejec, Simon PodnarAbstract:INTRODUCTION The aim of the study was to compare the utility of instrument-based assessment of peripheral nerve function with the Neurologic Examination in ulnar neuropathy at the elbow (UNE). METHODS We prospectively recruited consecutive patients with suspected UNE, performed a Neurologic Examination, and performed instrument-based measurements (muscle cross-sectional area by ultrasonography, muscle strength by dynamometry, and sensation using monofilaments). RESULTS We found good correlations between clinical estimates and corresponding instrument-based measurements, with similar ability to diagnose UNE and predict UNE pathophysiology. DISCUSSION Although instrument-based methods provide quantitative evaluation of peripheral nerve function, we did not find them to be more sensitive or specific in the diagnosis of UNE than the standard Neurologic Examination. Likewise, instrument-based methods were not better able to differentiate between groups of UNE patients with different pathophysiologies. Muscle Nerve 57: 951-957, 2018.
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Neurologic Examination and instrument‐based measurements in the evaluation of ulnar neuropathy at the elbow
Muscle & Nerve, 2018Co-Authors: Gregor Omejec, Simon PodnarAbstract:INTRODUCTION The aim of the study was to compare the utility of instrument-based assessment of peripheral nerve function with the Neurologic Examination in ulnar neuropathy at the elbow (UNE). METHODS We prospectively recruited consecutive patients with suspected UNE, performed a Neurologic Examination, and performed instrument-based measurements (muscle cross-sectional area by ultrasonography, muscle strength by dynamometry, and sensation using monofilaments). RESULTS We found good correlations between clinical estimates and corresponding instrument-based measurements, with similar ability to diagnose UNE and predict UNE pathophysiology. DISCUSSION Although instrument-based methods provide quantitative evaluation of peripheral nerve function, we did not find them to be more sensitive or specific in the diagnosis of UNE than the standard Neurologic Examination. Likewise, instrument-based methods were not better able to differentiate between groups of UNE patients with different pathophysiologies. Muscle Nerve 57: 951-957, 2018.
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can Neurologic Examination predict pathophysiology of ulnar neuropathy at the elbow
Clinical Neurophysiology, 2016Co-Authors: Gregor Omejec, Tomaž žgur, Simon PodnarAbstract:Abstract Objective To explore the utility of Neurologic Examination to predict the pathophysiology of ulnar nerve lesions in patients with ulnar neuropathies at the elbow (UNE). Methods We prospectively recruited consecutive patients with suspected UNE. Four blinded investigators took a history and performed Neurologic, electrodiagnostic (EDx) and ultrasonographic (US) Examinations. In patients with axonal UNE, conduction block and conduction slowing, the pathophysiologies of UNE and Neurologic Examination findings were compared. Results We found significant differences in muscle bulk and strength of the ulnar hand muscles between 96 arms with axonal UNE, 34 with conduction block, and 45 with isolated conduction slowing. Severe muscle atrophy and weakness (0–3/5 on MRC) predicted axonal UNE, and moderate weakness (−4/5 on MRC) with normal muscle bulk predicted UNE with conduction block. Using more restrictive criteria for axonal and conduction block UNE, muscle strength of 4–5/5 on MRC was predictive of isolated conduction slowing. Conclusion Although we found significant differences in patterns of muscle bulk and strength between groups of UNE patients with different UNE pathophysiologies, in the majority of arms, Neurologic Examination could not reliably predict UNE pathophysiology. Significance Results confirm that nerve conduction studies are essential for determination of the pathophysiology of ulnar neuropathy at the elbow.
Chunbao Wang - One of the best experts on this subject based on the ideXlab platform.
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development of a human like motor nerve model to simulate the diseases effects on muscle tension for Neurologic Examination training
Robotics and Biomimetics, 2014Co-Authors: Chunbao Wang, Hiroyuki Ishii, Lihong Duan, Qing Shi, Ai Nibori, Yusaku Miura, Yurina Sugamiya, W Kong, D Zhang, Salvatore SessaAbstract:Neurologic Examination takes an important role in the physical Examination. By now, several methods have been carried out for medical training which bring the benefits for trainee to master the skills and accumulate experiences. However, because of the limits of these methods, the training effectiveness is limited. With the developments of technology, more and more simulators have been launched to improve medical training effectiveness. However, most of these simulators only focus on mimicking the symptoms, not simulating the pathology of diseases. In this paper, we propose an improved motor nerve model which is used in the elbow robot named WKE-2(Waseda Kyotokagaku Elbow Robot No.2). This robot is designed to simulate the disorders of motor nerves to give the trainee a full training on the elbow Examination. The motor nerve model mimics the real motor nerve structure. And the functions of each part are designed from analysis of the real functions of each organ. In this robot, the effects of motor nerve system, and various symptoms related to the Examination of elbow force, biceps tendon reflex, involuntary action are simulated. Making use of this robot, a systematic training on the skills as well as the understanding of knowledge is provided. Finally, several experiments are performed to verify our proposed system. The experimental results lead to the consideration that the approach is worth following in further research.
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development of a human like Neurologic model to simulate the influences of diseases for Neurologic Examination training
International Conference on Robotics and Automation, 2013Co-Authors: Chunbao Wang, Yohan Noh, Chihara Terunaga, Mitsuhiro Tokumoto, Matsuoka Yusuke, Hiroyuki Ishii, Atsuo Takanishi, Salvatore Sessa, Massimiliano Zecca, Kazuyuki HatakeAbstract:Neurologic Examination procedures require not only abundant knowledge but also prominent skills. During medical education and training, several methods will be put to use such as watching video, reading books, making use of the simulated patient (SP), and so on. These can help medical staffs, especially novices, to master the skills and accumulate experiences. To make up for the drawbacks of the above methods, such as lack of active interactions, limitation of multi-symptom reproductions, etc, the medical training simulators have been developed to improve training effectiveness. However, most of these simulators only mimic the symptoms. They have no the abilities to show the pathology of diseases. This limits the training effectiveness. In this paper, we propose an elbow robot named WKE-1(Waseda Kyotokagaku Elbow Robot No.1) for Neurologic Examination training as one part of the whole body patient robot named WKP (Waseda Kyotokagaku Patient). In this robot, we simulate various symptoms occurring during the Examination of elbow force, biceps tendon reflex, involuntary action, and also make a physiological Neurological model to simulate the pathology of the nervous system. Taking advantage of this robot, the trainee can get a systematic training on both the skills and knowledge. Finally, we take a set of experiments to verify our proposed mechanism and system. The experimental results lead to the consideration that the approach is worth following in further research.
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ICRA - Development of a human-like Neurologic model to simulate the influences of diseases for Neurologic Examination training
2013 IEEE International Conference on Robotics and Automation, 2013Co-Authors: Chunbao Wang, Yohan Noh, Chihara Terunaga, Mitsuhiro Tokumoto, Matsuoka Yusuke, Hiroyuki Ishii, Atsuo Takanishi, Salvatore Sessa, Massimiliano Zecca, Kazuyuki HatakeAbstract:Neurologic Examination procedures require not only abundant knowledge but also prominent skills. During medical education and training, several methods will be put to use such as watching video, reading books, making use of the simulated patient (SP), and so on. These can help medical staffs, especially novices, to master the skills and accumulate experiences. To make up for the drawbacks of the above methods, such as lack of active interactions, limitation of multi-symptom reproductions, etc, the medical training simulators have been developed to improve training effectiveness. However, most of these simulators only mimic the symptoms. They have no the abilities to show the pathology of diseases. This limits the training effectiveness. In this paper, we propose an elbow robot named WKE-1(Waseda Kyotokagaku Elbow Robot No.1) for Neurologic Examination training as one part of the whole body patient robot named WKP (Waseda Kyotokagaku Patient). In this robot, we simulate various symptoms occurring during the Examination of elbow force, biceps tendon reflex, involuntary action, and also make a physiological Neurological model to simulate the pathology of the nervous system. Taking advantage of this robot, the trainee can get a systematic training on both the skills and knowledge. Finally, we take a set of experiments to verify our proposed mechanism and system. The experimental results lead to the consideration that the approach is worth following in further research.
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development of an arm robot for Neurologic Examination training
Intelligent Robots and Systems, 2012Co-Authors: Chunbao Wang, Yohan Noh, Kazuki Ebihara, Chihara Terunaga, Mitsuhiro Tokumoto, Isamu Okuyama, Matsuoka Yusuke, Hiroyuki Ishii, Atsuo Takanishi, Kazuyuki HatakeAbstract:Neurologic Examination takes an important role in diagnosis of the nerve system diseases. Neurologic medical staffs, especially the novices, need to be trained on this skill. There are many methodologies which can help to accumulate experiences, such as watching video, reading books, making use of the simulated patient (SP), and so on. However, the best way is to practice on the real patient. All the above methods have their own drawbacks such as lack of active interactions, limitation of multi-symptoms' reproducing, etc. To improve the training effectiveness, an arm robot is proposed in this paper for Neurologic Examination training as one part of the whole body patient robot named Waseda Kyotokagaku Patient (WKP). In this robot, various symptoms of the elbow force, biceps tendon reflex, involuntary action, and so on, are simulated and shown to the trainee. Finally, a set of experiments was carried out to verify our proposed mechanism and control system. Three neurologists with over 30 years' experience were invited to show their opinions on the reproductions of patients' symptoms, and to discuss the results. The effectiveness of this system was confirmed. The experimental results lead to the consideration that the approach is worth following in further research.
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IROS - Development of an arm robot for Neurologic Examination training
2012 IEEE RSJ International Conference on Intelligent Robots and Systems, 2012Co-Authors: Chunbao Wang, Yohan Noh, Kazuki Ebihara, Chihara Terunaga, Mitsuhiro Tokumoto, Isamu Okuyama, Matsuoka Yusuke, Hiroyuki Ishii, Atsuo Takanishi, Kazuyuki HatakeAbstract:Neurologic Examination takes an important role in diagnosis of the nerve system diseases. Neurologic medical staffs, especially the novices, need to be trained on this skill. There are many methodologies which can help to accumulate experiences, such as watching video, reading books, making use of the simulated patient (SP), and so on. However, the best way is to practice on the real patient. All the above methods have their own drawbacks such as lack of active interactions, limitation of multi-symptoms' reproducing, etc. To improve the training effectiveness, an arm robot is proposed in this paper for Neurologic Examination training as one part of the whole body patient robot named Waseda Kyotokagaku Patient (WKP). In this robot, various symptoms of the elbow force, biceps tendon reflex, involuntary action, and so on, are simulated and shown to the trainee. Finally, a set of experiments was carried out to verify our proposed mechanism and control system. Three neurologists with over 30 years' experience were invited to show their opinions on the reproductions of patients' symptoms, and to discuss the results. The effectiveness of this system was confirmed. The experimental results lead to the consideration that the approach is worth following in further research.
