S P R I N T Smart mobility devices for improved mobility and independent living.

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Transcript of S P R I N T Smart mobility devices for improved mobility and independent living.

S P R I N T

Smart mobility devices

for

improved mobility

and

independent living

The problem

• Ageing

• Decrease of people between

20 and 64 years old

Population according to age groups

• Elderly loose mobility, physical condition and

independency increase of needed care

• Decrease of young people and healthy elderly

less manpower in care

• Yearly 2 hrs more work for healthcare professionals

The problem

Ageing

Neuropathy

balance capacities

frequency of falling

hip fractures, hospital admittance

and dependency

The problem

SPRINT Vision

• Improve mobility independency and quality of life

• More efficient health care by a shift from intramural to

extramural health care

• More efficient health care by patient-driven approach

SPRINT Mission

1. Interactive training programs and

devices to prevent falls

2. Interactive training programs and

devices for rehabilitation at home

3. Smart prostheses and orthoses,

patient-driven

Three research lines

Savings

In NL,140.000 elderly treated after a fall accident

Annual direct + indirect costs: 400 M€

With 30% decrease: 120 M€

Prosthetic care: 140 M€

intelligent prosthesis + telecare: 50 M€

Shortening hospital rehabilitation: 36 M€

• Learning process of motor control

• Device development

• Serious gaming for training

• Telemonitoring

• On-site tests

• Valorisation

Research and technology

representation

muscle properties

prosthetic dynamics

foot-knee interaction

terrain

adjustment and fitting

sensory input

multi body dynamics

Control technologies

EMGEMG

ForceForce

MotionMotion

Computer Generated 3D EnvironmentComputer Generated 3D Environment

TheoryTheory

CAREN

Video

Motion

Audio

Moments of Force

inverse

forward

Dynamics

human body model

Motion & Forces

How do amputees learn?

Sensor technologies

• Myoelectric prosthesis often unused

• Motions after each other and not at

the same time; not functional

Patient-driven instead of technology-driven

• Balance training

• Training at home

Training technologies

Vibrating Insoles

Neuropathy balance capacities risk of falling

hip fractures, hospital admittance and dependency

Stochastic vibration

• Threshold

• Signal

• Noise

Rehabilition technologies

Serious gaming

• Interface technologies to

implement serious gaming

• Smart, self-learning algorithms for

dynamic feedback

• User interfaces for telemonitoring

IT

ICT

Telemonitoring

• Algorithms for dynamic feedback • User interfaces for telemonitoring

Reflex leg

• Reflexive control, physiological motor control• Controllable efficient actuator

Smart prostheses / orthoses

Improved fixation by osteo-integration

Smart prostheses / orthoses

Wheeldrive project

1/241/40

Smart wheelchairs

Smart prostheses / orthoses

Healthcare institutions • Roessingh Rehabilitation, Enschede • Rehabilitation Friesland,

Beetsterzwaag • Rehabilitation Doorn• St. Maartenskliniek, Nijmegen

Industry• Ambroise, Enschede• AtosOrigin Consultancy, Utrecht• aXion, Groningen• Baat Engineering, Hengelo• Demcon, Oldenzaal• Durea, Drunen• Eriks aandrijftechniek, Schoonhoven• Evocare, Hengelo• Gameship, Leeuwarden• Grendel Games, Leeuwarden

• IMDS, Roden• Indes, Enschede• Lode, Groningen• McRoberts, Den Haag• Meditas, Drachten• Motek Medical, Amsterdam• Motion Projects, Utrecht• NewCom, Opende• OIM Orthopedie, Assen• Otto Bock, Son en Breugel, Duderstadt (D)• Personal Space Technologies, Amsterdam• Pezy, Groningen• STT, Tolbert• Technologies88, Leeuwarden• Umaco, Groningen• Xsens, Enschede• Össur, Son en Breugel, Reyjavik (IJsland)

In total 133 fte

Implementation / valorisation

Universities

• UMCG (including: Center for Rehabilitation, NeuroImaging Center,

departments of Orthopaedics, Biomedical Engineering, Human

Movement Sciences, Neurology, Medical Physiology, ENT

• RUG (Institute for Mathematics and Informatics, Departments of Discrete

Technology & Production Automation and Business & ICT.

• UT (Departments of Biomechanical Engineering, Biomedical Signals &

Systems, Design, Production and Management)

Private research groups

• Healthcare Innovation Forum

• INCAS3, Assen

• Gameship, Leeuwarden

• Roessingh RRD, Enschede

• Waag Society Amsterdam

Public research groups

Development chain

Research & technology Industry Care

providersPatient Groups

Transfer Implemen-tation

Therapydevelopment

Strength of SPRINT:

Participation of all stages of the development chain

Social innovation

• UMCG: CAREN virtual reality lab, Balance and motor lab, function lab for studying

upper extremity tasks, Work lab with computer controlled ergometers and a wide

treadmill, MTx Motion Tracker, Acti-Graph™ GT1M activity monitor, DynaPort®

Minimod system, VICON system, several AMTI force platforms, FScan system.

• Within the RuG is available: Linux cluster, Blue Gene/P supercomputer, data

operations centre, Reality Cube (Cave) virtual environment, Reality Theatre,

Humanoid robot for improving rehabilitation, MR-compatible EEG/EMG system

Brain Products, rTMS system MagStim Rapid2, MR/EEG/TMS.

• Within the UT is available: Tribometers for skin–object interactions; confocal &

interference microscopy, Human performance VR lab, Robotics lab, Moven system,

TMSi measuring systems.

• Gameship will contribute with: CAREN system, render farm, motion capture studio

(24 infrared cameras), fully digital video studio (6 HD cameras, 1 RED), Pro Tools

audio system, 50 workstations.

• The Rehabilitation Centers also have different gait laboratories

Research facilities

Organisation

External Supervisory Board

SPRINT CoREBoard of Directors

Management team

Program CoordinatorExtramural Prevention

Program CoordinatorProtheses & Orthoses

Program CordinatorExtramural Rehabilitation

Research project

Post-docPhD

Technicians/analysts students

Research project

Post-docPhD

Technicians/analystsstudents

Research project

Post-docPhD

Technicians/analystsstudents

Users Committee SPRINT Holding BV

Supervisory Board

• Prof. Lou de Leij (UMCG/RuG);

• Prof. Peter Veltink (MIRA-UT)

• Industrial representative

Board of directors

• Technical scientific leader (Prof. Bart Verkerke, UMCG/UT)

• Clinical scientific leader (Prof. Klaas Postema, UMCG)

• Managing directors (Dr. Ruud vd Bilt,RuG, dr. Martijn Kuit, UT)

Organisation

Management team

• Prof. Bert Otten (UMCG)

• Prof. Bart Koopman (UT)

• Prof. Hans Wortmann (RuG)

• Dr. Che Hsin Falkenstrom (OIM Orthopedics)

• Prof. Gert ter Horst (UMCG)

• Prof. Hans Rietman (RRD)

• Dr. Corry vd Sluis (UMCG)

.

• IAG (OIM Orthopedie)

• SNN (Exergaming)

• INCAS3 (Sensor & feedback for balance)

• SNN (SPRINT)

• STW Perspectief (SPRINT)

• Topsector Life Sciences & Health (IMDI)

• Erasmus Mundus Doctorate (SPRINT+)

Grants

S P R I N T

Smart mobility devices for independent mobility