Robot-mediated ACtive REhabilitation (ACRE2) for the hemiplegic upper limb after a stroke: A pilot study

Doornebosch, Arno J; Cools, H.J.M.; Slee-Turkenburg, M.E.C.; Elk, M.G. van; Schoone-Harmsen, M.

doi:10.3233/tad-2007-19405

Cited by 6 publications

(4 citation statements)

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“…Due to early discharge from the hospital, the incoming patients in nursing homes are more impaired and frail than a few years ago [23,24]. Because of evidence of motor-recovery ability being best at (and even limited to) the first period after the stroke [8,11], guidelines for rehabilitation aim at starting rehabilitation training as soon as possible after the incident. This standpoint has led to our criterion for the moment of stroke being less than 60 days prior to the moment of inclusion.…”

Section: Discussionmentioning

confidence: 99%

“…The position of the hand is shown on a computer screen in front of the user and is used to do training exercises or play games for rehabilitation purposes. Especially by the use of the games the patients are stimulated to train their affected arm more frequently and repetitively [7,8]. The device is complementary to traditional arm-hand therapy and designed as an instrument for self-training.…”

Section: Introductionmentioning

confidence: 99%

“…Eventually, a future version of the ACRE could even be placed at home for further rehabilitation and activation after stroke. A more detailed description of the current ACRE robot can be found in an article on the early pilot study with the ACRE prototype [8].…”

Section: Introductionmentioning

confidence: 99%

“…The conclusion of a first user pilot study from 2005 was that both the patient and the therapist found the ACRE suitable for rehabilitation after stroke [8].…”

Section: Introductionmentioning

confidence: 99%

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Stroke Rehabilitation in Frail Elderly with the Robotic Training Device ACRE: A Randomized Controlled Trial and Cost-Effectiveness Study

Schoone

Dusseldorp²,

Marle

et al. 2011

Journal of Robotics

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The ACRE (ACtive REhabilitation) robotic device is developed to enhance therapeutic treatment of upper limbs after stroke. The aim of this study is to assess effects and costs of ACRE training for frail elderly patients and to establish if ACRE can be a valuable addition to standard therapy in nursing home rehabilitation. The study was designed as randomized controlled trial, one group receiving therapy as usual and the other receiving additional ACRE training. Changes in motor abilities, stroke impact, quality of life and emotional well-being were assessed. In total, 24 patients were included. In this small number no significant effects of the ACRE training were found. A large number of 136 patients were excluded. Main reasons for exclusion were lack of physiological or cognitive abilities. Further improvement of the ACRE can best be focused on making the system suitable for self-training and development of training software for activities of daily living.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…The conclusion of a first user pilot study from 2005 was that both the patient and the therapist found the ACRE suitable for rehabilitation after stroke [8].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Stroke Rehabilitation in Frail Elderly with the Robotic Training Device ACRE: A Randomized Controlled Trial and Cost-Effectiveness Study

Schoone

Dusseldorp²,

Marle

et al. 2011

Journal of Robotics

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Iterative Learning Control in Health Care: Electrical Stimulation and Robotic-Assisted Upper-Limb Stroke Rehabilitation

et al. 2012

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A nnually, 15 million people worldwide suffer a stroke, and 5 million are left permanently disabled. A stroke is usually caused when a blood clot blocks a vessel in the brain and acts like a dam, stopping the blood reaching the regions downstream. Alternatively, it may be caused by a hemorrhage, in which a vessel ruptures and leaks blood into surrounding areas. As a result, some of the connecting nerve cells die, and the person commonly suffers partial paralysis on one side of the body, termed hemiplegia. Cells killed in this way cannot regrow, but the brain has some spare capacity and, hence, new connections can be made. The brain is continually and rapidly changing as new skills are learned, new connections are formed, and redundant ones disappear. A person who relearns skills after a stroke goes through the same process as someone learning to play tennis or a baby learning to walk, requiring sensory feedback during the repeated practice of a task. Unfortunately, the problem is that they can hardly move and, therefore, do not receive feedback on their performance.Stroke survivors often have a complex pattern of upperlimb motor impairments, resulting in a loss of functional abilities such as reaching. The relationship between reaching and independence is reflected in measures of functional independence, such as the Barthel index [1] where the ability to reach is required for over half of the activity of daily living tasks. The current prognosis for upper-limb recovery following a stroke is poor, with a review reporting that complete recovery occurs in less than 15% of patients with initial paralysis [2]. Stroke is also an age-related disease [3], placing an increasing burden on long-term health

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Anhang: Literatur »Autonome Systeme in der Neurorehabilitation«

2020

Robotische Systeme Für Die Pflege

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Robot-mediated ACtive REhabilitation (ACRE2) for the hemiplegic upper limb after a stroke: A pilot study

Cited by 6 publications

References 0 publications

Stroke Rehabilitation in Frail Elderly with the Robotic Training Device ACRE: A Randomized Controlled Trial and Cost-Effectiveness Study

Stroke Rehabilitation in Frail Elderly with the Robotic Training Device ACRE: A Randomized Controlled Trial and Cost-Effectiveness Study

Iterative Learning Control in Health Care: Electrical Stimulation and Robotic-Assisted Upper-Limb Stroke Rehabilitation

Anhang: Literatur »Autonome Systeme in der Neurorehabilitation«

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