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
Electromechanical-assisted gait training after stroke: a systematic review comparing end-effector and exoskeleton devices.
Jan Mehrholz,Marcus Pohl +1 more
TL;DR: The results suggest that the type of electromechanical-assisted device might influence the outcome of gait rehabilitation after stroke, and it is not clear which device may be the most effective for recovery of walking.
Journal ArticleDOI
Who may benefit from robotic-assisted gait training? A randomized clinical trial in patients with subacute stroke.
Giovanni Morone,Maura Bragoni,Marco Iosa,Domenico De Angelis,Vincenzo Venturiero,Paola Coiro,Luca Pratesi,Stefano Paolucci +7 more
TL;DR: Robotic therapy combined with conventional therapy may be more effective than conventional therapy alone in patients with greater motor impairment during inpatient stroke rehabilitation.
Journal ArticleDOI
Robot-assisted upper-limb therapy in acute rehabilitation setting following stroke: Department of Veterans Affairs multisite clinical trial
Charles G. Burgar,Peter S. Lum,A.M. Erika Scremin,Susan L. Garber,H. F. Machiel Van der Loos,Deborah Kenney,Peggy C. Shor +6 more
TL;DR: This randomized, controlled, multisite Department of Veterans Affairs clinical trial assessed robot-assisted upper-limb therapy with the Mirror Image Movement Enabler in the acute stroke rehabilitation setting and found intensity of training was positively correlated with motor-control gains.
Journal ArticleDOI
Effects of robot-assisted upper limb rehabilitation on daily function and real-world arm activity in patients with chronic stroke: a randomized controlled trial
TL;DR: Symmetrical and bilateral robotic practice, combined with functional task training, can significantly improve motor function, arm activity, and self-perceived bilateral arm ability in patients late after stroke.
Journal ArticleDOI
Robotic approaches for rehabilitation of hand function after stroke.
TL;DR: The impairments in hand function after stroke is discussed and previous work on robot-assisted approaches to movement neurorehabilitation is presented, highlighting the authors’ work in this area.
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