Publications by authors named "L Struijk"

Article Synopsis
  • * Nine stroke patients participated by performing ankle and knee movements, with an algorithm determining the level of assistance needed for each repetition.
  • * Results showed that patients needed support for a significant percentage of ankle movements (44%) but much less for knee movements (5%), and the fatigue experienced was mild to moderate. The study suggests this method is feasible and encourages future clinical application research.
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Increasing the independence of individuals with tetraplegia is a challenging task. One potential solution is to allow for use of an assistive robotic manipulator (ARM), when solving tasks in personal and remote space. There is a lack in available control interfaces that are suitable for severely disabled individuals.

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Background: Although early rehabilitation is important following a stroke, severely affected patients have limited options for intensive rehabilitation as they are often bedridden. To create a system for early rehabilitation of lower extremities in these patients, we combined the robotic manipulator ROBERT® with electromyography (EMG)-triggered functional electrical stimulation (FES) and developed a novel user-driven Assist-As-Needed (AAN) control. The method is based on a state machine able to detect user movement capability, assessed by the presence of an EMG-trigger and the movement velocity, and provide different levels of assistance as required by the patient (no support, FES only, and simultaneous FES and mechanical assistance).

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Background: Effective screening for oropharyngeal cancer is lacking. Four oncogenic HPV clearance definitions were explored to understand long-term natural history for persistent oncogenic oral HPV (oncHPV), the precursor of oropharyngeal cancer.

Methods: Prospective multicenter cohort of participants living with/at-risk for HIV, with oral rinse and gargle samples collected every 6 to 12 months for up to 10 years and tested for oncHPV.

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Background: Human papillomavirus (HPV)-related oropharyngeal cancer screening is being explored in research studies, but strategies to identify an appropriate population are not established. The authors evaluated whether a screening population could be enriched for participants with oncogenic HPV biomarkers using risk factors for oral HPV.

Methods: Participants were enrolled at Johns Hopkins Hospitals and Mount Sinai Icahn School of Medicine.

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