Design and construction of a sit-to-stand support device for the elderly

Authors

  • Jaroonrut Prinyakupt College of Biomedical Engineering, Rangsit University, Patumthani 12000, Thailand
  • Thanakorn Yootho College of Biomedical Engineering, Rangsit University, Patumthani 12000, Thailand
  • Phattra Kunsungnoern College of Biomedical Engineering, Rangsit University, Patumthani 12000, Thailand
  • Voravasri Vorateera College of Biomedical Engineering, Rangsit University, Patumthani 12000, Thailand
  • Kitima Rongsawad Faculty of Physical Therapy and Sport Medicine, Rangsit University, Patumthani 12000, Thailand

Keywords:

assist device, biomechanics, design and construction, elderly, sit-to-stand, support device

Abstract

Home-bound elderly people are those who can get around by themselves at home or may need some help from a caregiver.  A cane or walker is often used to provide support for activities in the home.  The sit-to-stand movement from a bed to a walker or from a chair to a walker can be difficult for the elderly due to loss of skeletal muscle mass and reduction of muscle strength and function.  The objective of this study was to design and construct a support device for the elderly to help them stand-up while transferring from a chair or bed to a walker in order to reduce the muscular exertion that may cause muscle injury or increase the risk of falling.  The design idea was to use a controllable triangular air cushion for lifting and lowering the subject.  This study adopted the biomechanical analysis of sit-to-stand and air-compression control.  This design of the stand up and sit down support device for the elderly consists of two main parts: hardware and software.  The hardware comprises the user interface, the control unit, and the display unit.  The software was developed with a microcontroller with C programming language.  Using Kinovea software to evaluate the functional test, it was found that the designed device can perform the sit-to-stand biomechanics phase from phase I to the middle of phase III.  The performance test showed that the time duration, when measuring from the start until the maximum pressure of the triangular air cushion was reached, was approximately 1 minute.  The electrical safety test results revealed a 20 µA leakage current, which met the IEC standard of 60601-1.

References

Foundation of Thai Gerontology Research and Development Institute (TGRI). (2014). Annual report (2014): Situation of the thai eldery 2014. Bangkok, Thailand. Retrieved from http://www.dop.go.th/download/knowledge/knowledge_th_20161608145327_1.pdf

Janssen, W. G., Bussmann, H. B., & Stam, H. J. (2002). Determinants of the sit-to-stand movement: a review. Physical Therapy, 82(9), 866-879. DOI: 10.1093/ptj/82.9.866

Lee, S. J., Mehta-Desai, R., Oh, K., Sanford, J., & Prilutsky, B. I. (2019). Effects of bilateral swing-away grab bars on the biomechanics of stand-to-sit and sit-to-stand toilet transfers. Disability and Rehabilitation: Assistive Technology, 14(3), 292-300. DOI: 10.1080/17483107.2018.1447605

Li, J., Xue, Q., Yang, S., & Guo, J. (2019). Human motion law based design and control for sit-to-stand assisting devices. In 2019 IEEE International Conference on Computation, Communication and Engineering, ICCCE 2019 (pp. 150-153). Institute of Electrical and Electronics Engineers Inc. DOI: 10.1109/ICCCE48422.2019.9010763

Millington, P. J., Myklebust, B. M., & Shambes, G. M. (1992). Biomechanical analysis of the sit-to-stand motion in elderly persons. Archives of Physical Medicine and Rehabilitation, 73(7), 609-617. DOI: 10.5555/uri:pii:000399939290124F

Nakano, M. M., Otonari, T. S., Takara, K. S., Carmo, C. M., & Tanaka, C. (2014). Physical performance, balance, mobility, and muscle strength decline at different rates in elderly45 people. Journal of Physical Therapy Science, 26(4), 583-586. DOI: 10.1589/jpts.26.583

Puig-Diví, A., Escalona-Marfil, C., Padullés-Riu, J. M., Busquets, A., Padullés-Chando, X., & Marcos-Ruiz, D. (2019). Validity and reliability of the Kinovea program in obtaining angles and distances using coordinates in 4 perspectives. PLOS ONE, 14(6), e0216448. DOI: 10.1371/journal.pone.0216448

Qureshi, M. H., Masood, Z., Rehman, L., Owais, M., & Khan, M. U. (2018). Biomechanical design and control of lower limb exoskeleton for sit-to-stand and stand-to-sit movements. In 2018 14th IEEE/ASME International Conference on Mechatronic and Embedded Systems and Applications, MESA 2018. Institute of Electrical and Electronics Engineers Inc.DOI: 10.1109/MESA.2018.8449158

Roebroeck, M. E., Doorenbosch, C. A. M., Harlaar, J., Jacobs, R., & Lankhorst, G. J. (1994). Biomechanics and muscular activity during sit-to-stand transfer. Clinical Biomechanics, 9(4), 235-244. DOI: 10.1016/0268-0033(94)90004-3

Ruszala, S., & Musa, I. (2005). An evaluation of equipment to assist patient sit-to-stand activities in physiotherapy. Physiotherapy, 91(1), 35-41. DOI:10.1016/j.physio.2004.06.010

Sa-adprai, S., & Rungroungdouyboon, B. (2020). The design and development of sit to stand trainer for the elderly. Walailak Journal of Science and Technology (WJST), 17(8), 760-775. DOI: 10.48048/wjst.2020.6145

Standard Wheelchair Measurements. (n.d.). Retrieved April 10, 2021, from https://media.lanecc.edu/users/howardc/PTA101/101Wheelchairs/101Wheelchairs3.html

Sütçü, G., Yalçın, A. İ., Ayvat, E., Kılınç, Ö. O., Ayvat, F., Doğan, M., Kılınç, M. (2019). Electromyographic activity and kinematics of sit-to-stand in individuals with muscle disease. Neurological Sciences, 40(11), 2311-2318. DOI: 10.1007/s10072-019-03974-5

Tieland, M., Trouwborst, I., & Clark, B. C. (2018, February 1). Skeletal muscle performance and ageing. Journal of Cachexia, Sarcopenia and Muscle. Wiley Blackwell. DOI: 10.1002/jcsm.12238

Van Lummel, R. C., Ainsworth, E., Lindemann, U., Zijlstra, W., Chiari, L., Van Campen, P., & Hausdorff, J. M. (2013). Automated approach for quantifying the repeated sit-to-stand using one body fixed sensor in young and older adults. Gait and Posture, 38(1), 153–156. DOI: 10.1016/j.gaitpost.2012.10.008

Downloads

Published

2021-05-27

How to Cite

Jaroonrut Prinyakupt, Thanakorn Yootho, Phattra Kunsungnoern, Voravasri Vorateera, & Kitima Rongsawad. (2021). Design and construction of a sit-to-stand support device for the elderly. Journal of Current Science and Technology, 11(2), 208–217. Retrieved from https://ph04.tci-thaijo.org/index.php/JCST/article/view/393

Issue

Section

Research Article