Robot-assisted Therapy in Stroke Rehabilitation.
Won Hyuk Chang,Yun-Hee Kim +1 more
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TLDR
The present evidence supports the use of robot-assisted therapy for improving motor function in stroke patients as an additional therapeutic intervention in combination with the conventional rehabilitation therapies.Abstract:
Research into rehabilitation robotics has grown rapidly and the number of therapeutic rehabilitation robots has expanded dramatically during the last two decades. Robotic rehabilitation therapy can deliver high-dosage and high-intensity training, making it useful for patients with motor disorders caused by stroke or spinal cord disease. Robotic devices used for motor rehabilitation include end-effector and exoskeleton types; herein, we review the clinical use of both types. One application of robot-assisted therapy is improvement of gait function in patients with stroke. Both end-effector and the exoskeleton devices have proven to be effective complements to conventional physiotherapy in patients with subacute stroke, but there is no clear evidence that robotic gait training is superior to conventional physiotherapy in patients with chronic stroke or when delivered alone. In another application, upper limb motor function training in patients recovering from stroke, robot-assisted therapy was comparable or superior to conventional therapy in patients with subacute stroke. With end-effector devices, the intensity of therapy was the most important determinant of upper limb motor recovery. However, there is insufficient evidence for the use of exoskeleton devices for upper limb motor function in patients with stroke. For rehabilitation of hand motor function, either end-effector and exoskeleton devices showed similar or additive effects relative to conventional therapy in patients with chronic stroke. The present evidence supports the use of robot-assisted therapy for improving motor function in stroke patients as an additional therapeutic intervention in combination with the conventional rehabilitation therapies. Nevertheless, there will be substantial opportunities for technical development in near future.read more
Citations
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Book ChapterDOI
After Stroke Movement Impairments: A Review of Current Technologies for Rehabilitation
TL;DR: This chapter presents a review of the rehabilitation technologies for people who have suffered a stroke, comparing and analyzing the impact that these technologies have on their recovery in the short and long term.
Journal ArticleDOI
An Exoneuromusculoskeleton for Self-help Upper Limb Rehabilitation After Stroke
Ching Yi Nam,Masahiro Kawasaki,Wei Rong,Wai Ming Li,Ching Yee Cheung,Ngai Wing Kit,Tsz Ching Cheung,Man Kit Peter Pang,Li Li,Junyan Hu,Hon Wah Wai,Xiaoling Hu +11 more
TL;DR: A novel electromyography (EMG)-driven exoneuromusculoskeleton that integrates the neuromuscular electrical stimulation (NMES), soft pneumatic muscle, and exoskeleton techniques, for self-help upper limb training after stroke is presented.
Journal ArticleDOI
Robot-assisted therapy for balance function rehabilitation after stroke: A systematic review and meta-analysis.
Qing-Xiang Zheng,Li Ge,Carol Chunfeng Wang,Qi-Shou Ma,Yan-Tan Liao,Ping-Ping Huang,Guan-Dong Wang,Qiu-Lin Xie,Mikael Rask +8 more
TL;DR: Evidence in the present systematic review indicates that robot-assisted therapy may produce significantly positive improvements on balance function among stroke patients compared with those not using this method.
Journal ArticleDOI
Sequencing bilateral robot-assisted arm therapy and constraint-induced therapy improves reach to press and trunk kinematics in patients with stroke.
Yu-wei Hsieh,Rong Jiuan Liing,Keh-chung Lin,Ching-yi Wu,Tsan Hon Liou,Jui Chi Lin,Jen wen Hung +6 more
TL;DR: A combination of RT and mCIT could be an effective approach to improve stroke rehabilitation outcomes, achieving better motor control strategies, motor function, and functional independence of instrumental activities of daily living.
Journal ArticleDOI
Effect of Stride Management Assist Gait Training for Poststroke Hemiplegia: A Single Center, Open-Label, Randomized Controlled Trial
Naojiro Tanaka,Shinro Matsushita,Yasushi Sonoda,Yoshikatsu Maruta,Yuta Fujitaka,Masashi Sato,Miki Simomori,Rhyuki Onaka,Keiji Harada,Takashi Hirata,Shoji Kinoshita,Takatsugu Okamoto,Hitoshi Okamura +12 more
TL;DR: Ten days of RAGT with the SMA was effective for improving gait disorders of subacute stroke patients with hemiplegia using Stride Management Assist in a single center, open-label randomized controlled trial.
References
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TL;DR: There is evidence to support rehabilitation in well coordinated multidisciplinary stroke units or through provision of early supported provision of discharge teams and promising interventions that could be beneficial to improve aspects of gait include fitness training, high-intensity therapy, and repetitive-task training.
Journal ArticleDOI
Robot-Assisted Therapy for Long-Term Upper-Limb Impairment after Stroke
Albert C. Lo,Peter Guarino,Lorie Richards,Jodie K. Haselkorn,George F. Wittenberg,Daniel G. Federman,Daniel G. Federman,Robert J. Ringer,Todd H. Wagner,Hermano Igo Krebs,Bruce T. Volpe,Christopher T. Bever,Dawn M. Bravata,Pamela W. Duncan,Barbara H. Corn,Alysia D. Maffucci,Stephen E. Nadeau,Susan S. Conroy,Janet M. Powell,Grant D. Huang,Peter Peduzzi +20 more
TL;DR: In patients with long-term upper-limb deficits after stroke, robot-assisted therapy did not significantly improve motor function at 12 weeks, as compared with usual care or intensive therapy.
Journal ArticleDOI
Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after stroke.
TL;DR: Compared with conventional treatment, robot-assisted movements had advantages in terms of clinical and biomechanical measures and was justified into the use of robotic manipulation for motor rehabilitation.
Journal ArticleDOI
Intensity of leg and arm training after primary middle-cerebral-artery stroke: a randomised trial
TL;DR: Greater intensity of leg rehabilitation improves functional recovery and health-related functional status, whereas greater intensity of arm rehabilitation results in small improvements in dexterity, providing further evidence that exercise therapy primarily induces treatment effects on the abilities at which training is specifically aimed.
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