The potential effect of a vibrotactile glove rehabilitation system on motor recovery in chronic post-stroke hemiparesis.

BACKGROUND: Poor fine motor skills are common among chronic stroke patients. Conventional rehabilitation programs only emphasize intensive and repeated exercises that do not motivate patients to continue rehabilitation. Using a vibrotactile glove rehabilitation system with a human-computer interaction interface can therefore resolve this issue. OBJECTIVE: The objective of this study was to examine the potential benefits of this vibrotactile glove rehabilitation system for chronic stroke patients who have already reached the recovery plateau. METHODS: Two interesting computer games were designed to coordinate with the vibrotactile gloves in patient training. The training sessions lasted for about 30 minutes twice a week for five consecutive weeks. We compared finger ROM, grip strength, pinch strength, NHPT, and MHQ results before and after the intervention and surveyed subject satisfaction afterwards. RESULTS: The subjects showed slight improvements in muscle strength and hand after five weeks. The patients reported progress, but the differences did not reach statistical significance. In the satisfaction questionnaire, the subjects gave positive ratings. CONCLUSIONS: This vibrotactile glove rehabilitation system has the potential to help chronic stroke patients who have reached their recovery plateau to make progress and is clinically quite effective in increasing their motivation.

Development of a novel haptic glove for improving finger dexterity in poststroke rehabilitation.

Almost all stroke patients experience a certain degree of fine motor impairment, and impeded finger movement may limit activities in daily life. Thus, to improve the quality of life of stroke patients, designing an efficient training device for fine motor rehabilitation is crucial. This study aimed to develop a novel fine motor training glove that integrates a virtual-reality based interactive environment with vibrotactile feedback for more effective post stroke hand rehabilitation. The proposed haptic rehabilitation device is equipped with small DC vibration motors for vibrotactile feedback stimulation and piezoresistive thin-film force sensors for motor function evaluation. Two virtual-reality based games ``gopher hitting'' and ``musical note hitting'' were developed as a haptic interface. According to the designed rehabilitation program, patients intuitively push and practice their fingers to improve the finger isolation function. Preliminary tests were conducted to assess the feasibility of the developed haptic rehabilitation system and to identify design concerns regarding the practical use in future clinical testing.

Synthesis and determination of dicarboxylic degradation products of nonylphenol polyethoxylates by gas chromatography-mass spectrometry.

The synthesis and determination of persistent dicarboxylic metabolites of alkylphenol polyethoxylates (NPEOs), carboxyalkyl phenoxy ethoxy carboxylates (CAPECs), are investigated. The synthesized CAPECs have three and four carbon atoms and a carboxyl group in the alkyl chain side, and a carboxymethoxy acid group in its para-position (expressed as CA(3)P1EC and CA(4)P1EC in their abbreviation). The synthesis was successfully accomplished via a four-step reaction sequence that started from 4-fluoroanisole. After propylation by a propanol/acetyl chloride procedure, the derivatives of synthesized CA(3)P1EC and CA(4)P1EC were separated and identified by GC-MS with electron impact ionization (EI). The most abundant characteristic ions were produced by benzylic cleavages of carboxyalkyl chain to yield [M-87](+), corresponding to ions of m/z 235 for CA(3)P1EC and m/z 249 for CA(4)P1EC. Recoveries of synthesized CA(3)P1EC and CA(4)P1EC in various spiked water samples ranged from 82 to 92% with relative standard deviations (RSD) lesser than 7%. The limits of quantitation (LOQ) of CA(3)P1EC and CA(4)P1EC were estimated to be 0.005 and 0.01 microg/l in 100ml of water samples, respectively. The concentrations of CA(4)P1EC residues were detected in the aquatic environment ranging from n.d. to 3.24 microg/l. The results show that the synthesized CA(4)P1EC has been successfully applied to more accurately determine the concentrations of CA(4)P1EC residues in water samples.

Studies on a novel safety-catch linker cleaved by Pummerer rearrangement.

We describe the use of a sulfide linkage as a safety-catch linker. This linker is significantly stable to acidic as well as basic conditions and allows transformations to be carried out on solid supports. Moreover, its cleavage is facile by applying Pummerer rearrangement after transforming it to sulfoxide.