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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Journal ArticleDOI
Rehabilitation of Motor Function after Stroke: A Multiple Systematic Review Focused on Techniques to Stimulate Upper Extremity Recovery.
Samar Hatem,Samar Hatem,Geoffroy Saussez,Margaux M. della Faille,Vincent Prist,Xue X. Zhang,Delphine Dispa,Delphine Dispa,Yannick Bleyenheuft +8 more
TL;DR: This multiple systematic review focuses both on standard treatment methods and on innovating rehabilitation techniques used to promote upper extremity motor function in stroke patients to achieve the maximal motor function recovery for each patient.
Journal ArticleDOI
Effects of Robot-Assisted Therapy for the Upper Limb After Stroke
Janne M. Veerbeek,Anneli C. Langbroek-Amersfoort,Erwin E. H. van Wegen,Erwin E. H. van Wegen,Carel G. M. Meskers,Gert Kwakkel +5 more
TL;DR: Limited findings could be related to poor understanding of robot-induced motor learning as well as inadequate designing of RT-UL trials, by not applying an appropriate selection of stroke patients with a potential to recovery at baseline aswell as the lack of fixed timing of baseline assessments and using an insufficient treatment contrast early poststroke.
Journal ArticleDOI
Upper-Limb Robotic Exoskeletons for Neurorehabilitation: A Review on Control Strategies
TL;DR: The aim of this review is to provide a taxonomy of currently available control strategies for exoskeletons for neurorehabilitation in order to formulate appropriate questions toward the development of innovative and improved control strategies.
Journal ArticleDOI
Effects of a wearable exoskeleton stride management assist system (SMA®) on spatiotemporal gait characteristics in individuals after stroke: a randomized controlled trial.
Carolyn Buesing,Gabriela Fisch,Megan O’Donnell,Ida Shahidi,Lauren Thomas,Chaithanya K. Mummidisetty,Kenton J. Williams,Hideaki Takahashi,William Z. Rymer,Arun Jayaraman +9 more
TL;DR: SMA and FTST interventions provided similar, significant improvements in spatiotemporal gait parameters; however, the SMA group showed additional improvements across more parameters at various time points.
Journal ArticleDOI
Neuroplastic Changes Following Brain Ischemia and their Contribution to Stroke Recovery: Novel Approaches in Neurorehabilitation
Claudia Alia,Cristina Spalletti,Stefano Lai,Alessandro Panarese,Giuseppe Lamola,Federica Bertolucci,Fabio Vallone,Fabio Vallone,Fabio Vallone,Angelo Di Garbo,Carmelo Chisari,Silvestro Micera,Silvestro Micera,Matteo Caleo +13 more
TL;DR: Advances in the comprehension of post-stroke network reorganization in patients and animal models are discussed, and the potential use of non-invasive brain stimulation techniques to boost recovery is illustrated.
References
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Journal ArticleDOI
Individual finger synchronized robot-assisted hand rehabilitation in subacute to chronic stroke: a prospective randomized clinical trial of efficacy:
TL;DR: A four-week rehabilitation using a novel robot that provides individual finger synchronization resulted in a dose-dependent improvement in hand function in subacute to chronic stroke patients.
Journal ArticleDOI
Effect of Gravity on Robot-Assisted Motor Training After Chronic Stroke: A Randomized Trial
Susan S. Conroy,Jill Whitall,Laura Dipietro,Lauren M. Jones-Lush,Min Zhan,Margaret A. Finley,George F. Wittenberg,Hermano Igo Krebs,Hermano Igo Krebs,Christopher T. Bever +9 more
TL;DR: Chronic UE deficits because of stroke are responsive to intensive motor task training, however, training outside the horizontal plane in a gravity present environment using a combination of vertical with planar robots was not superior to training with the planar robot alone.
Journal Article
Can we improve gait skills in chronic hemiplegics? A randomised control trial with gait trainer.
D Dias,Jorge Laíns,A L Pereira,R Nunes,J Caldas,C Amaral,S Pires,A. T. Costa,P Alves,M Moreira,N Garrido,Luís Loureiro +11 more
TL;DR: Both groups of chronic hemiplegic patients improved after either PBWS with gait trainer or Bobath treatment, and only subjects undergoing PBWS With gait Trainer maintained functional gain after 3 months.
Journal ArticleDOI
Dose–Response Relationship of Robot-Assisted Stroke Motor Rehabilitation The Impact of Initial Motor Status
TL;DR: The higher treatment intensity provided by RT was associated with better motor outcome for patients with stroke, which may shape further stroke rehabilitation.
Journal ArticleDOI
Effect of Therapist-Based Versus Robot-Assisted Bilateral Arm Training on Motor Control, Functional Performance, and Quality of Life After Chronic Stroke: A Clinical Trial
Ching-yi Wu,Chieh-ling Yang,Li-ling Chuang,Keh-chung Lin,Hsieh-Ching Chen,Ming-de Chen,Wan-chien Huang +6 more
TL;DR: Large and significant effects were found in the kinematic variables, distal part of upper-limb motor impairment, and certain aspects of quality of life in favor of TBAT or RBAT.
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