ICARE

ICARE

An Intelligently Controlled Assistive Rehabilitation Elliptical Training System to Promote Walking and Fitness in Persons with Physical Limitations and Chronic Conditions

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For Purchase Information Contact: Kourtney Kerr kourtney@icaresales.com 954-647-9820 Richard Kentopp richard@icaresales.com 214-926-0351 The Brain Injury Association of Australia, called SYNAPSE, supports the ICARE for its therapeutic benefits for individuals with brain injury. Learn more at the Synapse website. Funding Agency: The National Institute on Disability and Rehabilitation Research (NIDRR Award No. H133G070209 - Principal Investigator: J.M. Burnfield, P.T., Ph.D.) Project Description: Regaining walking ability and physical fitness are central goals for many individuals participating in rehabilitation programs, and this desire continues beyond discharge. Yet many face barriers to accessing optimal treatment programs in healthcare settings and community based fitness facilities. Barriers include lack of affordable and accessible equipment, and sufficient staff with appropriate expertise. This project developed ICARE, an Intelligently Controlled Assistive Rehabilitation Elliptical trainer and therapeutic program, to help physically challenged individuals and those with chronic conditions regain and/or retain their walking ability and physical fitness. To date, over 140 individuals with and without disabilities have participated in extensive biomechanical and equipment evaluations during the initial development period as well as subsequent clinical testing in physical rehabilitation environments and a fitness center. The ICARE design promotes greater elliptical trainer accessibility so that people with disabilities can engage in effective therapeutic exercise and gait programs in order to promote optimal health, quality of life, and maximum independence. Patent

  • Burnfield JM, Shu Y, Taylor AP, Buster TW, Nelson CA (2012). Rehabilitation and Exercise Machine. U.S. Patent 8,177,688 B2.
  • Burnfield JM, Shu Y, Taylor AP, Buster TW, Nelson CA (2011). Rehabilitation and Exercise Machine. U.S. Patent 8,007,405.

 

 

Relevant Publications and Presentations

  • Irons SL, Brusola GA, Buster TW, Burnfield JM (2015). Novel ICARE Intervention Improves Six-Minute Walk Test and Oxygen Cost for an Individual with Progressive Supranuclear Palsy. Cardiopulmonary Physical Therapy Journal, 26(2):36-41.
  • Burnfield JM, Terryberry-Spohr L, Tran J. Affordable Motor-assisted Elliptical Training to Improve Physical, Cognitive, Psychosocial and Health Outcomes Across Rehabilitation Continuum [Symposium]. To be presented, 2016 American Congress of Rehabilitation Medicine (ACRM) 93rd Annual Conference: Progress in Rehabilitation Research. Chicago, IL, November 2, 2016.
  • Irons SL, Burnfield JM, Buster TW, Karkowski-Schelar E, Johns E. Individuals with multiple sclerosis improved walking endurance and decreased fatigue following motor-assisted elliptical training intervention [Abstract]. To be presented, 2016 American Congress of Rehabilitation Medicine (ACRM) 93rd Annual Conference: Progress in Rehabilitation Research. Chicago, IL, November 3, 2016.
  • Burnfield JM, Buster TW, Irons SL, Cesar GM, Nelson CA, Rech NR, Nichols EM. Pediatric walking vs. training on prototype motor-assisted elliptical: kinematic comparison at self-selected comfortable speed [Abstract]. To be presented, 2016 American Congress of Rehabilitation Medicine (ACRM) 93rd Annual Conference: Progress in Rehabilitation Research. Chicago, IL, November 3, 2016.
  • Burnfield JM, Buster TW, Irons SL, Rech N, Cesar GM, Pfeifer CM, Nelson CA (2016). Pediatric Intelligently Controlled Assistive Rehabilitation Elliptical for Walking and Fitness: Prototype Development and Biomedical Analysis [Abstract]. To be presented at RESNA/NCART (Rehabilitation Engineering Society of North America/National Coalition for Assistive and Rehab Technology) 2016 annual convention, July 10-14, Arlington, VA.
  • Pfeifer CM, Burnfield JM, Kota S, Buster TW, Irons SL, Rowen DA, Nelson CA (2016). Positive Reinforcement System Design for Therapeutic Devices [Abstract]. To be presented at RESNA/NCART (Rehabilitation Engineering Society of North America/National Coalition for Assistive and Rehab Technology) 2016 annual convention, July 10-14, Arlington, VA.
  • Pfeifer CM, Burnfield JM, Kota S, Buster TW, Irons SL, Sulski C, Nelson CA (2016). Design of a Custom Heart-Rate Control System for the Pediatric Intelligently Controlled Assistive Rehabilitation Elliptical [Abstract]. To be presented at RESNA/NCART (Rehabilitation Engineering Society of North America/National Coalition for Assistive and Rehab Technology) 2016 annual convention, July 10-14, Arlington, VA.
  • Buster TW, Burnfield JM, Irons SL, Nelson CA, Trejo LH, Leutzinger TJ (2016). Pediatric walking vs. training on a prototype motor-assisted elliptical: Kinematic and EMG comparisons at self-selected fast speeds [Abstract]. Conference proceedings, 2016 Annual Meeting Gait and Clinical Movement Analysis Society. Memphis, TN, May 17-20, 2016.
  • Burnfield JM, Irons SL, Buster TW (2016). Individual with progressive supranuclear palsy demonstrates improvements in walking distance and efficiency following a motor-assisted elliptical training intervention [Abstract]. Conference proceedings, 9th World Congress for Neurorehabilitation. Philadelphia, PA, May 12, 2016.
  • Burnfield JM, Buster TW, Irons SL (2016). Individuals post stroke improved walking endurance and efficiency following motor-assisted elliptical training intervention [Abstract]. Conference proceedings, 9th World Congress for Neurorehabilitation. Philadelphia, PA, May 12, 2016.
  • Buster TW, Burnfield JM (2016). Movement variability during walking and elliptical exercise for individuals with chronic severe traumatic brain injuries [Abstract]. Conference proceedings, 9th World Congress for Neurorehabilitation. Philadelphia, PA, May 12, 2016.
  • Nelson CA, Stolle CJ, Burnfield JM, Buster TW (2015). Synthesis of a rehabilitation mechanism replicating normal gait [Technical Paper]. Conference Proceedings, 14th World Congress in Mechanisms and Machine Science; DOI: 10.6567/IFToMM.14TH.WC.OS1.016. Taipei, Taiwan, October 25-30, 2015.
  • Pfeifer CM, Burnfield JM, Twedt MH, Cesar GM, Hasenkamp RM, Hawks JA (2015). Post processing technique for approximating projectile trajectory in 3D space. Conference Proceedings, American Society of Biomechanics 39th Annual Meeting: 1316-1317. Columbus, Ohio, August 5-8, 2015.
  • Burnfield JM, Irons SL, Buster TW, Taylor AP, Hildner GA, Shy Y (2014). Comparative analysis of speed's impact on muscular demands during partial body weight support motor-assisted elliptical training. Gait and Posture. 39(1): 314-20.
  • Buster TW, Burnfield JM, Taylor AP, Stergiou, N (2013). Lower extremity kinematics during walking and elliptical training in individuals with and without traumatic brain injury. Journal of Neurologic Physical Therapy, 37(4): 176-186
  • Burnfield JM, Shu Y, Buster TW, Taylor A, Nelson CA (2011). Impact of elliptical trainer ergonomic modifications on perceptions of safety, comfort, workout and usability by individuals with physical disabilities and chronic conditions. Physical Therapy, 91(11)1604-1617.
  • Burnfield JM, Hildner GA, Buster TW, Taylor AP, Shu Y (2011). Speed’s Impact on Muscle Demands during Partial Body Weight Supported Training on a Motorized Elliptical. Archives of Physical Medicine and Rehabilitation, 92(10): 1700.
  • Nelson CA, Burnfield JM, Shu Y, Buster TW, Taylor A, Graham A (2011). Modified elliptical machine motor-drive design for assistive gait rehabilitation. Transactions of the ASME Journal of Medical Devices, 5:021001.1-021001.7.
  • Burnfield JM, Taylor AP, Buster TW, Shu Y, Goldman AJ, Nelson CA (2011). Use of Intelligently Controlled Assistive Rehabilitation Elliptical Trainer to Improve Walking and Fitness during Acute Stroke Rehabilitation. Stroke, 42(3), pg. e326.
  • Burnfield JM, Goulet C, Buster TW, Cassel AJ, Mills J, Seow CM (2011). Comparison of velocity, muscle demands and perceived exertion during elliptical training and treadmill walking in individuals with and without multiple sclerosis. 2011 Annual Combined Sections Meeting of the American Physical Therapy Association.
  • Burnfield JM, Shu Y, Buster TW, Taylor AP, Merriman L, Nelson CA (2010). Comparison of lower extremity electromyographic (EMG) demands during ICARE training and walking. American Society of Biomechanics 2010 Annual Meeting. (PDF Download).
  • Buster TW, Taylor AP, Frazier M, Burnfield JM (2010). Kinematic analysis of five cardiovascular exercises. American Society of Biomechanics 2010 Annual Meeting. (PDF Download).
  • Burnfield JM (2010). ICARE: An Affordable Technology Designed to Promote Walking and Cardiovascular Fitness During Rehabilitation and Following Discharge. 8th Annual Medical Rehabilitation Providers Association Educational Conference.
  • Burnfield JM, Shu Y, Buster TW, Taylor AP (2010). Similarity of joint kinematics and muscle demands between elliptical training and walking: Implications for practice. Physical Therapy, 90(2):289-305.
  • Burnfield JM, Buster TW, Taylor A, Keenan S, Shu Y, Nelson CA (2010). Intelligently Controlled Assistive Rehabilitation Elliptical (ICARE) Training: An Analysis of Lower Extremity Electromyographic (EMG) Demands with Varying Levels of Motor Assistance. Online Proceedings, Rehabilitation Engineering and Assistive Technology Society of North America's 2010 Annual Conference (PDF Download).
  • Shu Y, Buster TW, Taylor A, Keenan S, Nelson CA, Burnfield JM (2010). Ergonomic redesign of elliptical trainer to promote greater safety, comfort and usability. Online Proceedings, Rehabilitation Engineering and Assistive Technology Society of North America's 2010 Annual Conference (PDF Download).
  • Burnfield JM, Combs S, Finley M (2010). The Role of Biomechanics in the Management of Upper- and Lower-extremity Dysfunction: Emerging Interventions for Individuals with Neurological Involvement [2 hour short course]. Program, 2010 Annual Combined Sections Meeting of the American Physical Therapy Association, pg. 46.
  • Burnfield JM. Development of the ICARE Trainer to Promote Gait and Cardiovascular Fitness in Individuals with Physical Disabilities (2010). Presented at Rancho Los Amigos National Rehabilitation Center. Downey, CA. May 27, 2010.
  • Burnfield JM. Patient-Centered Rehabilitation Research (2010). Presented at Capital City Kiwanis. Lincoln, NE. May 18, 2010.
  • Burnfield JM (2010). Ergonomics in Health Care: Biomechanical Considerations. Presented at Wisconsin Physical Therapy Association. Green Bay, WS. April 15, 2010.
  • Burnfield JM (2010). Biomechanical Demands of Transfer and Gait Activities: Promoting Clinician Safety and Therapeutic Patient Outcomes. Presented at Tenth Annual Safe Patient Handling and Movement Conference. Lake Buena Vista, FL. March 31, 2010.
  • Burnfield JM, Roemmich RT, Scherr T, Buster TW (2009). Comparison of Vastus Lateralis and Medial Hamstring Electromyographic Activity Across Five Cardiovascular Exercises. Supplement to Medicine and Science in Sports and Exercise, Volume 41(5), pgs. S568-569.
  • Buster TW, Roemmich RT, Doher NJ, Burnfield JM (2009). Comparison of Ankle Muscle Electromyographic Activity Across Five Cardiovascular Exercises. Supplement to Medicine and Science in Sports and Exercise, Volume 41(5), pg. S569.
  • Taylor AP, Buster TW, Barber BR, Burnfield JM (2009). Comparison of Forefoot and Heel Pressures Across Fast Walking and Four Elliptical Trainer Conditions. Supplement to Medicine and Science in Sports and Exercise, Volume 41(5), pg. S242.
  • Corbridge LM, Goldman AJ, Shu Y, Buster TW, Burnfield JM (2009). Clinician's Muscle Effort During Partial Body Weight Support Treadmill Training: Is it Hard Work? Online Proceedings, American Physical Therapy Association's 2009 Annual Conference and Exposition.
  • Burnfield JM, Barber BR, Buster TW, Taylor AP (2009). Plantar Pressures Vary Across Elliptical Trainers and Compared to Walking. Proceedings, Gait and Clinical Movement Analysis Society 14th Annual Meeting, pgs. 116-117.
  • Buster TW, Goldman AJ, Corbridge LM, Shu Y, Burnfield JM (2009). Partial Body Weight Support Treadmill Training: Clinician's Upper Extremity Muscle Activation During Facilitation of Hemiparetic Limb Movement. Proceedings, Gait and Clinical Movement Analysis Society 14th Annual Meeting, pgs 258-259.
  • Burnfield JM, Goldman A (2009). The Physical Therapist's Role in Community Based Wellness for Stroke Patients. Presented at Eighth Annual Nebraska Stroke Symposium-Present Challenges and Future Hopes. Omaha, NE. October 12, 2009.
  • Burnfield JM, Wilkinson H (2009). Breaking Down Barriers to Wellness and Fitness in Persons Living with Chronic Conditions and Disabilities: A Proactive Approach. Presented at Osher Lifelong Learning Institute (OLLI), College of Education and Human Sciences, University of Nebraska - Lincoln. Lincoln, NE. April 15, 2009.
  • Burnfield JM, Buster TR (2009). Neuroplasticity: Applying Guiding Principles to Help People Relearn to Walk Following an Injury. Presented at Osher Lifelong Learning Institute (OLLI), College of Education and Human Sciences, University of Nebraska - Lincoln. Lincoln, NE. April 8, 2009.
  • Kulig K, Burnfield JM (2008). The role of biomechanics in orthopedic and neurological rehabilitation. Acta of Bioengineering and Biomechanics, 10:1-14.
  • Kulig K, Burnfield JM (2008). Mechanistic and interventional aspects of movement disorders: The role of biomechanics. Proceedings of the International Congress of the Polish Society of Biomechanics 2008, pgs. 11-18.
  • Burnfield JM, Buster TW, Provorse A, Takahashi S (2007). Muscular demands during elliptical training compared to overground walking. Physiotherapy, 93(Supplement 1), pg. S179.
  • Takahashi S, Burnfield JM, Buster TW, Provorse AR (2007). Comparison of Gluteal Muscle Electromyographic Activity across Five Cardiovascular Exercises in Healthy Young Adults. Medicine and Science in Sports and Exercise, Volume 39(5), pg. S255.
 
 
Madonna Rehabilitation Hospital
5401 South St.
Lincoln, NE 68506
Phone: (402) 413-3000
Toll-Free: (800) 676-5448