Effect of robot-mediated therapy on upper extremity dysfunction post-stroke—a single case study

Coote, Susan; Stokes, Emma

doi:10.1016/j.physio.2004.12.003

Cited by 24 publications

(27 citation statements)

References 35 publications

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“…Many research groups have developed robotic devices for upper-limb rehabilitation, for example, Massachusetts Institute of Technology (MIT)-Manus [9], Assisted Rehabilitation and Measurement (ARM) Guide [10], Mirror Image Motion Enabler (MIME) [11], BiManu-Track [12], GENTLE/S [13], Neurorehabilitation Robot (NeReBot) [14], REHAROB [15], Arm Coordination Training 3-D (ACT 3D ) [16], and ARMin [17]. The training these devices provide is based on exercise therapy modalities that the literature and/or clinical practice indicate may help restore upper-limb motor control and function.…”

Section: Introductionmentioning

confidence: 99%

“…In most robotic systems, more than one modality is incorporated into a single robotic device. Most robotic devices were designed for training the proximal upper limb (shoulder and elbow) of the hemiparetic arm by enabling movement in multiple directions [9][10][11][13][14]16,[18][19]. The BiManu-Track focuses on the distal upper limb (forearm and wrist) [12], as does a recent extension of the MITManus robotic device for training of wrist movements [20].…”

Section: Introductionmentioning

confidence: 99%

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Systematic review of the effect of robot-aided therapy on recovery of the hemiparetic arm after stroke

Prange

Jannink²,

Groothuis-Oudshoorn³

et al. 2006

JRRD

829

450

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Abstract-A limited number of clinical studies have examined the effect of poststroke rehabilitation with robotic devices on hemiparetic arm function. We systematically reviewed the literature to assess the effect of robot-aided therapy on stroke patients' upper-limb motor control and functional abilities. Eight clinical trials were identified and reviewed. For four of these studies, we also pooled short-term mean changes in FuglMeyer scores before and after robot-aided therapy. We found that robot-aided therapy of the proximal upper limb improves short-and long-term motor control of the paretic shoulder and elbow in subacute and chronic patients; however, we found no consistent influence on functional abilities. In addition, robotaided therapy appears to improve motor control more than conventional therapy.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Systematic review of the effect of robot-aided therapy on recovery of the hemiparetic arm after stroke

Prange

Jannink²,

Groothuis-Oudshoorn³

et al. 2006

JRRD

829

450

View full text Add to dashboard Cite

show abstract

“…Although some studies have shown that PNF can be effective in promoting muscular strength, its drawback is that the training requires a therapist for effective movements of resistance and patterns 8) . Meanwhile, adequate intensity and repetition is essential for effective intervention therapy 9) , and the training routine should consist of movements during daily life so that the patient exercises for many hours a day. Considering this, the most efficient approach is to help patients understand their own problems and progressively participate in their own treatment.…”

Section: Introductionmentioning

confidence: 99%

The Effects of Self-induced and Therapist-assisted Lower-limb PNF Pattern Training on the Activation of Contralateral Muscles

Park

et al. 2012

J Phys Ther Sci

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Abstract.[Purpose] The purpose of this study was to compare the effects of therapist-assisted and self-induced lower-limb PNF pattern training on the activation of contralateral muscles, with the objective of discovering whether self-led PNF pattern training can be effective.[Subjects] Six male and 15 female students participated in the experiment; after being introduced to the methods, they voluntarily signed a consent form.[Method] Members of the self-led treadmill exercise group went through three sets of extension, abduction, and internal rotation-the lower-limb pattern of PNF training-according to a researcher's spoken instructions. The other group went through three sets of the same exercises, receiving direct resistance training from a therapist. A surface EMG was used for measurement, and the average values of three measurements were used for both groups. [Result] In the treadmill group, muscular activation of the opposite-side lower limbs showed a significant difference. There were also changes in muscular activation in the PNF pattern group conducted by a therapist. It was found that muscular activation of the gastrocnemius was higher in the group that received training from a therapist, while semitendinosus activation was higher in the self-led treadmill group. [Conclusion] In conclusion, these findings suggest that PNF training on a treadmill can be effective in promoting muscular activation of the contralateral semitendinosus, while therapist-led PNF training promotes muscular activation of the gastrocnemius. Overall, lower-limb PNF pattern training of one side of the body can be an effective treatment method for promoting muscular activation of the opposite side.

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“…Numerous haptic devices have been developed for motor and neurological rehabilitation of upper limbs, and their effectiveness has been validated and presented in the last decade [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22]. While improved effectiveness over conventional treatment has not been convincingly shown, in general, the leading advantages of robotic rehabilitation over traditional therapy are-1.…”

Section: Introductionmentioning

confidence: 99%

“…A survey of literature published to date reveals that the kinematic structure of robots for upper-limb motor rehabilitation is commonly either (1) serial linkage mechanisms in which the end effector of the robot contacts the user's hand, suitable for either arm-reach movement [4][5][6][7][8][9][10][11] or wrist-movement [12][13][14][15][16] training, or (2) exoskeleton-based mechanisms that provide haptic interaction for both the arm and wrist simultaneously [17][18][19][20]. Serial mechanism devices typically have between 1 and 3 degrees of freedom (DOFs), with the exception of those that have additional DOFs for wrist movement [21][22], while exoskeleton mechanisms typically have 7 DOFs.…”

Section: Introductionmentioning

confidence: 99%

Variable structure pantograph mechanism with spring suspension system for comprehensive upper-limb haptic movement training

Perry¹,

Oblak²,

Jung³

et al. 2011

JRRD

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Abstract-Numerous haptic devices have been developed for upper-limb neurorehabilitation, but their widespread use has been largely impeded because of complexity and cost. Here, we describe a variable structure pantograph mechanism combined with a spring suspension system that produces a versatile rehabilitation robot, called Universal Haptic Pantograph, for movement training of the shoulder, elbow, and wrist. The variable structure is a 5-degree-of-freedom (DOF) mechanism composed of 7 joints, 11 joint axes, and 3 configurable joint locks that reduce the number of system DOFs to between 0 and 3. The resulting device has eight operational modes: Arm, Wrist, ISO (isometric) 1, ISO 2, Reach, Lift 1, Lift 2, and Steer. The combination of available work spaces (reachable areas) shows a high suitability for movement training of most upperlimb activities of daily living. The mechanism, driven by series elastic actuators, performs similarly in all operational modes, with a single control scheme and set of gains. Thus, a single device with minimal setup changes can be used to treat a variety of upper-limb impairments that commonly afflict veterans with stroke, traumatic brain injury, or other direct trauma to the arm. With appropriately selected design parameters, the developed multimode haptic device significantly reduces the costs of robotic hardware for full-arm rehabilitation while performing similarly to that of single-mode haptic devices. We conducted case studies with three patients with stroke who underwent clinical training using the developed mechanism in Arm, Wrist, and/or Reach operational modes. We assessed outcomes using Fugl-Meyer Motor Assessment and Wolf Motor Function Test scores showing that upper-limb ability improved significantly following training sessions.

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Effect of robot-mediated therapy on upper extremity dysfunction post-stroke—a single case study

Cited by 24 publications

References 35 publications

Systematic review of the effect of robot-aided therapy on recovery of the hemiparetic arm after stroke

Systematic review of the effect of robot-aided therapy on recovery of the hemiparetic arm after stroke

The Effects of Self-induced and Therapist-assisted Lower-limb PNF Pattern Training on the Activation of Contralateral Muscles

Variable structure pantograph mechanism with spring suspension system for comprehensive upper-limb haptic movement training

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