Efficacy of Armeo® Robotic Therapy Versus Conventional Therapy on Upper Limb Function in Children With Hemiplegic Cerebral Palsy

El-Shamy, Shamekh Mohamed

doi:10.1097/phm.0000000000000852

Cited by 55 publications

(47 citation statements)

References 53 publications

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“…Nonetheless, we also found a study showing that the training with Armeo improved only the MAAULF scale while the QUEST scale remained unchanged, which means improvements in functional gains of the upper limbs and not in the movement characteristics [84]. However, significant improvements in terms of QUEST scale after the training with Armeo has been proven by El-Shamy [85], showing that robotic-assisted therapy is more effective than conventional therapy in promoting functional improvements of upper limbs, suggesting to combine conventional and robotic therapies for the achievement of better rehabilitation gains. In support of this thesis, another study [82] has demonstrated the improvement of functionality of the upper limbs after Armeo Spring training in children with CP and ABI.…”

Section: Robotic Protocols For Upper Limb Rehabilitationsupporting

confidence: 51%

“…This device records movement parameters such as resistance, strength, coordination and range of motion and is adjustable according to the patient's condition. We found 7 clinical studies involving this device [81][82][83][84][85][86][87]. It has been used primarily for clinical rehabilitation protocols for children with CP, demonstrating a better quality of upper limb movements due to improvements of QUEST and MAAULF scales at the end of the training [81][82][83].…”

Section: Robotic Protocols For Upper Limb Rehabilitationmentioning

confidence: 99%

“…Specifically, two clinical studies [81,83] enrolled healthy children as control group trying to understand the difference between the performance of impaired children, after robotic rehabilitation, and healthy age-matched controls. Two other studies [15,85] used, as control group an age-matched population affected by the same neurological disorder undergoing conventional therapy. Finally, another clinical protocol [68] used, as control group, children with the same neurological disorder undergoing robotic therapy in combination with other treatments, demonstrating the feasibility of this approach without adverse effects.…”

Section: Robotic Protocols For Upper Limb Rehabilitationmentioning

confidence: 99%

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Devices and Protocols for Upper Limb Robot-Assisted Rehabilitation of Children with Neuromotor Disorders

et al. 2019

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Neuromotor disorders negatively affect the sensorimotor system, limiting the ability to perform daily activities autonomously. Rehabilitation of upper limb impairments is therefore essential to improve independence and quality of life. In the last two decades, there has been a growing interest in robot-assisted rehabilitation as a beneficial way to promote children recovery process. However, a common understanding of the best drivers of an effective intervention has not been reached yet. With this aim, the current study reviewed the existing literature on robot-assisted rehabilitation protocols for upper extremities in children, with the goal of examining the effects of robotic therapy on their sensorimotor recovery process. A literature search was conducted in several electronic database to identify the studies related to the application of robotic therapy on upper limbs in the pediatric population. We analyzed three reviews and 35 studies that used 14 different robotic devices, and an overview of their characteristics, applications in the clinical setting and results is provided. Besides, the potential benefits of robot-assisted assessment and therapy are discussed to identify the key factors yielding positive outcomes in children. Finally, this review aim to lay the foundations for more effective neuroplasticity-enhancement protocols and elicit insights into robot-based approaches.

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Section: Robotic Protocols For Upper Limb Rehabilitationsupporting

confidence: 51%

Section: Robotic Protocols For Upper Limb Rehabilitationmentioning

confidence: 99%

Section: Robotic Protocols For Upper Limb Rehabilitationmentioning

confidence: 99%

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Devices and Protocols for Upper Limb Robot-Assisted Rehabilitation of Children with Neuromotor Disorders

et al. 2019

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“…While our exomuscle is designed for the needs of stroke survivors, other populations might also benefit from similar devices. Gravity supported therapy has shown to improve clinical measures of motor ability in participants with cerebral palsy [50]. Gravity-compensating devices can also provide movement benefits to individuals with muscular dystrophy [51], though most extant examples are mounted to wheelchairs and are not wearable.…”

Section: Discussionmentioning

confidence: 99%

Upper extremity exomuscle for shoulder abduction support

Simpson

Huerta

Sketch

et al. 2020

Preprint

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Assistive devices may aid motor recovery after a stroke, but access to such devices is limited. Exosuits may be a more accessible alternative to current devices and have been used to successfully assist movement after a variety of motor impairments, but we know little about how they might assist post-stroke upper extremity movement. Here, we designed an exosuit actuator to support shoulder abduction, which we call an "exomuscle" and is based on a form of growing robot known as a pneumatic-reel actuator. We also assembled a ceiling-mounted support to serve as a positive control. We verified that both supports reduce the activity of shoulder abductor muscles and do not impede range of motion in healthy participants (n=4). Then, we measured reachable workspace area in stroke survivors (n=6) both with and without support. Our exomuscle increased workspace area in four participants (180±90 cm 2 ) while the ceiling support increased workspace area in five participants (792±540 cm 2 ). Design decisions that make the exomuscle wearable, such as leaving the forearm free, likely contribute to the performance differences between the two supports. Heterogeneity amongst stroke survivors' abilities likely contribute to a high variability in our results. Though both supports resulted in similar performance for healthy participants, the performance differences in stroke survivors highlight the need to validate assistive devices in the target population.

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“…They found significant differences in improvement between groups post-treatment in terms of visual motor skills. El-Shamy et al [ 17 ] showed improvements after ARMEO robotic therapy, compared with conventional therapy, in children with hemiplegic CP, with Modified Ashworth Scale and the Quality of Upper Extremity Skills Test. Sajan et al [ 15 ] and Cavalcante Neto et al [ 18 ] concluded that task-specific training affords stronger benefits for general motor skill than Wii-based training.…”

Section: Introductionmentioning

confidence: 99%

Immersive Virtual Environments and Wearable Haptic Devices in rehabilitation of children with neuromotor impairments: a single-blind randomized controlled crossover pilot study

Bortone

Barsotti

Leonardis

et al. 2020

J NeuroEngineering Rehabil

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Background The past decade has seen the emergence of rehabilitation treatments using virtual reality. One of the advantages in using this technology is the potential to create positive motivation, by means of engaging environments and tasks shaped in the form of serious games. The aim of this study is to determine the efficacy of immersive Virtual Environments and weaRable hAptic devices (VERA) for rehabilitation of upper limb in children with Cerebral Palsy (CP) and Developmental Dyspraxia (DD). Methods A two period cross-over design was adopted for determining the differences between the proposed therapy and a conventional treatment. Eight children were randomized into two groups: one group received the VERA treatment in the first period and the manual therapy in the second period, and viceversa for the other group. Children were assessed at the beginning and the end of each period through both the Nine Hole Peg Test (9-HPT, primary outcome) and Kinesiological Measurements obtained during the performing of similar tasks in a real setting scenario (secondary outcomes). Results All subjects, not depending from which group they come from, significantly improved in both the performance of the 9-HPT and in the parameters of the kinesiological measurements (movement error and smoothness). No statistically significant differences have been found between the two groups. Conclusions These findings suggest that immersive VE and wearable haptic devices is a viable alternative to conventional therapy for improving upper extremity function in children with neuromotor impairments. Trial registration ClinicalTrials, NCT03353623. Registered 27 November 2017-Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT03353623

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Efficacy of Armeo® Robotic Therapy Versus Conventional Therapy on Upper Limb Function in Children With Hemiplegic Cerebral Palsy

Abstract: Armeo robotic therapy is significantly more effective than conventional therapy in improving the upper limb quality of movement in children with hemiplegic cerebral palsy.

Cited by 55 publications

References 53 publications

Devices and Protocols for Upper Limb Robot-Assisted Rehabilitation of Children with Neuromotor Disorders

Devices and Protocols for Upper Limb Robot-Assisted Rehabilitation of Children with Neuromotor Disorders

Upper extremity exomuscle for shoulder abduction support

Immersive Virtual Environments and Wearable Haptic Devices in rehabilitation of children with neuromotor impairments: a single-blind randomized controlled crossover pilot study

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