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International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 06 Issue: 11 | Nov 2019 www.irjet.net p-ISSN: 2395-0072
© 2019, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 1209
Neural Rehabilitator – Design and Fabrication for Motion of Four Limbs
Heet Patel1, Jay Patel2, Pinkal Patel3, Utkarsh Gandhi4, Girish Bramhakshatriya5
1234 Student, Dept. of Mechanical Engineering, Shroff S. R. Rotary Institute of Chemical Technology, Gujarat, India
5Professor, Dept. of Mechanical Engineering, Shroff S. R. Rotary Institute of Chemical Technology, Gujarat, India
----------------------------------------------------------------------***---------------------------------------------------------------------
Abstract - This idea is called Neural Rehabilitator. The
meaning of 'neural' is problem or disease related to nervous
system and 'rehabilitator' is machine which helps to improve
or to rehabilitate for giving signals to brain. This project is to
be made for neurological disorder like cerebral palsy and
many more disease related to it. Cerebral palsy causes things
like overly toned muscles, poor reflexes, under-toned or floppy
muscles, poor coordination, poor posture, and poor balance.
All of these issues impact how a person moves and is able to
get from one place to another. In neural rehabilitator there is
repetitive passive motion which is done by four wires for 4
limbs of a human. Here wires are to be attached with legs and
hands and repetitive motion is done by manual or in
automatic way to all 4 limbs. By these technique reverse
process is done in body and message is passing to brain which
helps to improve nerve process and at long process for long
time brain will learn to absorb signal and it can react to
process which is done by human.
Key Words: Neurology, Rehabilitation, Cerebral Palsy,
Human Limbs, Therapy Machine, Paralysis
1. INTRODUCTION
Cerebral palsy (CP) is a group of permanent movement
disorders. There may be problems with sensation, vision,
swallowing and speaking. In Neural Rehabilitator, there is
repetitive passive motion which is doneby ropesfor4limbs
of a human. By technical reverse process message is passed
to brain which helps to improve nerve process. Due to
continuous repetitive action of 4 limbs for long time brain
will learn to absorb signal and it can react to process.
1.1 Cerebral Palsy
Cerebral palsy is an abnormality of motor function (the
ability to move and control movements) that is acquired at
an early age, usually less than 1 year, and is due to a brain
damage. The word “cerebral” means having to do with the
brain. The word “palsy” means weakness or problems with
body movement. CP is frequently the result of abnormalities
that occur while a fetus (fertilized egg, unborn baby) is
developing inside the womb. According to the Centres for
Disease Control and Prevention (CDC), it affects at least
1.5 to 4 out of every 1,000 children worldwide.
1.2 Common Signs of Cerebral Palsy
1. Delays in reaching motorskill milestones, suchasrolling
over, sitting up alone or crawling, Variations in muscle
tone, such as being too floppy or too stiff.
2. Delays in speech development and difficulty speaking.
3. Difficulty walking, Favouring one side of the body, such
as reaching with one hand.
4. Neurological problems, such as seizures, intellectual
disabilities, and blindness.
1.3 Various Treatment for Cerebral Palsy
1. Assistive Aids
2. Medication
3. Surgery
4. Speech Therapy
5. Counselling
6. Physical Therapy
2. Neural Rehabilitator
2.1 Problem Summary
The reason behind this disorder is damaged neurological
network of the patient’s body. Such abnormalities may
include accidents of brain development, genetic disorders,
stroke due to abnormal blood vessels or blood clots, or
infection of the brain. When a patient is suffering from CP,
his legs are more bent then a normal person. Due to this
reason the center of gravity of the patient will not remain at
proper location which resultsinimproperbalance,improper
walking and ultimately poor overall body posture. So to
improve the walking style of CP patient we canusea therapy
machine like Neural Reahabilitator.
2.2 Existing Design for Solution
The existing model is rigid andnon-flexible.Theheightofthe
chair is not adjustable according to patient’s comfort. The
length between chair and front end is also not adjustable
according to the patient’sheight.Themostimportantthingis
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 06 Issue: 11 | Nov 2019 www.irjet.net p-ISSN: 2395-0072
© 2019, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 1210
that it is not flexible in terms of dis-assembling the whole
setup.
2.3 Trial and Error Method
2.4 Modified Design
Neural Rehabilitator contains various type of components:
1. Base Frame
2. Sliding mechanism
3. Screw Jack
4. Flexible Chair
5. Upper Frame
6. Paddle mechanism
7. Pulleys and Gym rope
8. Hand support
FIG 1: Final Product Side View
FIG 2: Final Product Front View
Start
Problem Identification
Doctor’s
Suggestions
Finding Solution by Literature
Survey
Discussion with
Guide & Expert
Basic Design/Idea
Discussion and
review from Guide
Prototype Making
Designing with proper
Dimension
Fabrication
YES
NO
Testing
Feedback
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 06 Issue: 11 | Nov 2019 www.irjet.net p-ISSN: 2395-0072
© 2019, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 1211
2.5 Advantages of Modified Design
1. The essential benefit of Neural Rehabilitator is that,
person with any height or age can do exercise on the
machine.
2. The sliding mechanism can help the patient to sit
comfortably on the machine andtodoexerciseproperly.
3. By doing exercise on this machine day by day, the
walking style is changed of the patient and this can cure
the disease at very much extent.
3. CONCLUSION
Under the supervision of physiotherapist the testing took
place and conclusion came that by doing repetitive motion
on Neural Rehabilitator, helps the patient to gain the ability
to walk. This method is way more helpful then others like
medication and surgery which arequitedangerousthanthis.
Patient’s walking style can be improved up to some extent.
They can walk again like a normal Human being walk. By
synchronizing doctors’ suggestion, the machine can be
modified and can be used for different stretching exercise
and different therapies like hippo-therapy, suspension
therapy etc.
REFERENCES
[1] Yilmaz Topcuoglu M-Su, KrautwurstBK,KlotzM,Dreher
T, Wolf SI, How do children with bilateralspasticcerebral
palsy manage walking on inclines?, Gaitandamp;Posture
(2018), https://doi.org/10.1016/j.gaitpost.2018.08.032
[2] Cloud Publications, International Journal of Advanced
Ayurveda, Yoga, Unani, Siddha and Homeopathy 2015,
Volume 4, Issue 1, pp. 275-281,ArticleIDMed-260ISSN:
2320 – 0251
[3] Rosenbaum, P., Paneth, N., Leviton,A.,Goldstein,M.,Bax,
M. and Damiano, D., et al. A Report: The Definition and
Classification of CerebralPalsy April 2006. DevMedChild
Neurol Suppl. 2007 Feb. 109; 8-14.
[4] Ana Luíza P.A. L_elis, Maria Vera L.M.Cardoso,WendyA.
Hall, Sleep disorders in children with cerebral palsy: An
integrative review, Sleep Medicine Reviews 30 (2016)
63e71.
[5] S. Scharr, F. Salami, L. Staut, B. Krautwurst, S. Wolf, Walk
to run transition in children with cerebral
palsy,www.elsevier.com/locate/gaitpost.
[6] Rilla E. Schneider, Pamela Ng, Xun Zhang, John
Andersen, David Buckley, Darcy Fehlings, Adam Kirton,
Ellen Wood, Esias van Rensburg, Michael I. Shevell,
Maryam Oskoui, The Association between Maternal Age
and Cerebral Palsy Risk Factors, Pediatric Neurology
(2018),
https://doi.org/10.1016/j.pediatrneurol.2018.01.005.
[7] Alicia J. Spittle, Catherine Morgan, Joy E. Olsen, Iona
Novak, Jeanie L.Y. Cheong, Early Diagnosis and
Treatment of Cerebral Palsy in Children with a History of
Preterm Birth, www.perinatology.theclinics.com
[8] Gordon AM, Duff SV. Relation between clinical measures
and fine manipulative control in children withhemiplegic
cerebral palsy. Dev Med Child Neurol 1999; 41:586-91.

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IRJET- Neural Rehabilitator – Design and Fabrication for Motion of Four Limbs

  • 1. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 06 Issue: 11 | Nov 2019 www.irjet.net p-ISSN: 2395-0072 © 2019, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 1209 Neural Rehabilitator – Design and Fabrication for Motion of Four Limbs Heet Patel1, Jay Patel2, Pinkal Patel3, Utkarsh Gandhi4, Girish Bramhakshatriya5 1234 Student, Dept. of Mechanical Engineering, Shroff S. R. Rotary Institute of Chemical Technology, Gujarat, India 5Professor, Dept. of Mechanical Engineering, Shroff S. R. Rotary Institute of Chemical Technology, Gujarat, India ----------------------------------------------------------------------***--------------------------------------------------------------------- Abstract - This idea is called Neural Rehabilitator. The meaning of 'neural' is problem or disease related to nervous system and 'rehabilitator' is machine which helps to improve or to rehabilitate for giving signals to brain. This project is to be made for neurological disorder like cerebral palsy and many more disease related to it. Cerebral palsy causes things like overly toned muscles, poor reflexes, under-toned or floppy muscles, poor coordination, poor posture, and poor balance. All of these issues impact how a person moves and is able to get from one place to another. In neural rehabilitator there is repetitive passive motion which is done by four wires for 4 limbs of a human. Here wires are to be attached with legs and hands and repetitive motion is done by manual or in automatic way to all 4 limbs. By these technique reverse process is done in body and message is passing to brain which helps to improve nerve process and at long process for long time brain will learn to absorb signal and it can react to process which is done by human. Key Words: Neurology, Rehabilitation, Cerebral Palsy, Human Limbs, Therapy Machine, Paralysis 1. INTRODUCTION Cerebral palsy (CP) is a group of permanent movement disorders. There may be problems with sensation, vision, swallowing and speaking. In Neural Rehabilitator, there is repetitive passive motion which is doneby ropesfor4limbs of a human. By technical reverse process message is passed to brain which helps to improve nerve process. Due to continuous repetitive action of 4 limbs for long time brain will learn to absorb signal and it can react to process. 1.1 Cerebral Palsy Cerebral palsy is an abnormality of motor function (the ability to move and control movements) that is acquired at an early age, usually less than 1 year, and is due to a brain damage. The word “cerebral” means having to do with the brain. The word “palsy” means weakness or problems with body movement. CP is frequently the result of abnormalities that occur while a fetus (fertilized egg, unborn baby) is developing inside the womb. According to the Centres for Disease Control and Prevention (CDC), it affects at least 1.5 to 4 out of every 1,000 children worldwide. 1.2 Common Signs of Cerebral Palsy 1. Delays in reaching motorskill milestones, suchasrolling over, sitting up alone or crawling, Variations in muscle tone, such as being too floppy or too stiff. 2. Delays in speech development and difficulty speaking. 3. Difficulty walking, Favouring one side of the body, such as reaching with one hand. 4. Neurological problems, such as seizures, intellectual disabilities, and blindness. 1.3 Various Treatment for Cerebral Palsy 1. Assistive Aids 2. Medication 3. Surgery 4. Speech Therapy 5. Counselling 6. Physical Therapy 2. Neural Rehabilitator 2.1 Problem Summary The reason behind this disorder is damaged neurological network of the patient’s body. Such abnormalities may include accidents of brain development, genetic disorders, stroke due to abnormal blood vessels or blood clots, or infection of the brain. When a patient is suffering from CP, his legs are more bent then a normal person. Due to this reason the center of gravity of the patient will not remain at proper location which resultsinimproperbalance,improper walking and ultimately poor overall body posture. So to improve the walking style of CP patient we canusea therapy machine like Neural Reahabilitator. 2.2 Existing Design for Solution The existing model is rigid andnon-flexible.Theheightofthe chair is not adjustable according to patient’s comfort. The length between chair and front end is also not adjustable according to the patient’sheight.Themostimportantthingis
  • 2. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 06 Issue: 11 | Nov 2019 www.irjet.net p-ISSN: 2395-0072 © 2019, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 1210 that it is not flexible in terms of dis-assembling the whole setup. 2.3 Trial and Error Method 2.4 Modified Design Neural Rehabilitator contains various type of components: 1. Base Frame 2. Sliding mechanism 3. Screw Jack 4. Flexible Chair 5. Upper Frame 6. Paddle mechanism 7. Pulleys and Gym rope 8. Hand support FIG 1: Final Product Side View FIG 2: Final Product Front View Start Problem Identification Doctor’s Suggestions Finding Solution by Literature Survey Discussion with Guide & Expert Basic Design/Idea Discussion and review from Guide Prototype Making Designing with proper Dimension Fabrication YES NO Testing Feedback
  • 3. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 06 Issue: 11 | Nov 2019 www.irjet.net p-ISSN: 2395-0072 © 2019, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 1211 2.5 Advantages of Modified Design 1. The essential benefit of Neural Rehabilitator is that, person with any height or age can do exercise on the machine. 2. The sliding mechanism can help the patient to sit comfortably on the machine andtodoexerciseproperly. 3. By doing exercise on this machine day by day, the walking style is changed of the patient and this can cure the disease at very much extent. 3. CONCLUSION Under the supervision of physiotherapist the testing took place and conclusion came that by doing repetitive motion on Neural Rehabilitator, helps the patient to gain the ability to walk. This method is way more helpful then others like medication and surgery which arequitedangerousthanthis. Patient’s walking style can be improved up to some extent. They can walk again like a normal Human being walk. By synchronizing doctors’ suggestion, the machine can be modified and can be used for different stretching exercise and different therapies like hippo-therapy, suspension therapy etc. REFERENCES [1] Yilmaz Topcuoglu M-Su, KrautwurstBK,KlotzM,Dreher T, Wolf SI, How do children with bilateralspasticcerebral palsy manage walking on inclines?, Gaitandamp;Posture (2018), https://doi.org/10.1016/j.gaitpost.2018.08.032 [2] Cloud Publications, International Journal of Advanced Ayurveda, Yoga, Unani, Siddha and Homeopathy 2015, Volume 4, Issue 1, pp. 275-281,ArticleIDMed-260ISSN: 2320 – 0251 [3] Rosenbaum, P., Paneth, N., Leviton,A.,Goldstein,M.,Bax, M. and Damiano, D., et al. A Report: The Definition and Classification of CerebralPalsy April 2006. DevMedChild Neurol Suppl. 2007 Feb. 109; 8-14. [4] Ana Luíza P.A. L_elis, Maria Vera L.M.Cardoso,WendyA. Hall, Sleep disorders in children with cerebral palsy: An integrative review, Sleep Medicine Reviews 30 (2016) 63e71. [5] S. Scharr, F. Salami, L. Staut, B. Krautwurst, S. Wolf, Walk to run transition in children with cerebral palsy,www.elsevier.com/locate/gaitpost. [6] Rilla E. Schneider, Pamela Ng, Xun Zhang, John Andersen, David Buckley, Darcy Fehlings, Adam Kirton, Ellen Wood, Esias van Rensburg, Michael I. Shevell, Maryam Oskoui, The Association between Maternal Age and Cerebral Palsy Risk Factors, Pediatric Neurology (2018), https://doi.org/10.1016/j.pediatrneurol.2018.01.005. [7] Alicia J. Spittle, Catherine Morgan, Joy E. Olsen, Iona Novak, Jeanie L.Y. Cheong, Early Diagnosis and Treatment of Cerebral Palsy in Children with a History of Preterm Birth, www.perinatology.theclinics.com [8] Gordon AM, Duff SV. Relation between clinical measures and fine manipulative control in children withhemiplegic cerebral palsy. Dev Med Child Neurol 1999; 41:586-91.