Robotic-Assisted Hand Therapy with Gloreha Sinfonia for the Improvement of Hand Function after Pediatric Stroke: A Case Report

Bressi, Federica; Santacaterina, Fabio; Cricenti, Laura; Campagnola, Benedetta; Nasto, Francesca; Assenza, Carla; Morelli, Daniela; Cordella, Francesca; Lapresa, Martina; Zollo, Loredana; Sterzi, Silvia; Bravi, Marco

doi:10.3390/app12094206

Cited by 11 publications

(5 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The hybrid design of the granular-tendon gripper demonstrates its capability to universally adapt to multiple objects of diverse sizes and weights, from light to heavy, which can be mounted to the robot arm [ 52 ], therapy robot hands [ 53 ], and soft haptic fingers [ 54 ]. The gripper exhibited high success rates in picking up small- and big-size objects.…”

Section: Discussionmentioning

confidence: 99%

Universally Grasping Objects with Granular—Tendon Finger: Principle and Design

Nguyen,

Dhyan,

Han

et al. 2023

Micromachines

View full text Add to dashboard Cite

Nowadays, achieving the stable grasping of objects in robotics requires an increased emphasis on soft interactions. This research introduces a novel gripper design to achieve a more universal object grasping. The key feature of this gripper design was a hybrid mechanism that leveraged the soft structure provided by multiple granular pouches attached to the finger skeletons. To evaluate the performance of the gripper, a series of experiments were conducted using fifteen distinct types of objects, including cylinders, U-shaped brackets, M3 bolts, tape, pyramids, big pyramids, oranges, cakes, coffee sachets, spheres, drink sachets, shelves, pulley gears, aluminium profiles, and flat brackets. Our experimental results demonstrated that our gripper design achieved high success rates in gripping objects weighing less than 210 g. One notable advantage of the granular-tendon gripper was its ability to generate soft interactions during the grasping process while having a skeleton support to provide strength. This characteristic enabled the gripper to adapt effectively to various objects, regardless of their shape and material properties. Consequently, this work presented a promising solution for manipulating a wide range of objects with both stability and soft interaction capabilities, regardless of their individual characteristics.

show abstract

Section: Discussionmentioning

confidence: 99%

Universally Grasping Objects with Granular—Tendon Finger: Principle and Design

Nguyen,

Dhyan,

Han

et al. 2023

Micromachines

View full text Add to dashboard Cite

show abstract

“…The Kinect sensor, independent of any specific software for rehabilitation after stroke, is able to capture gross movement of the upper limb, but it cannot identify hand [43,44], in contrast to programs focusing on proximal motor function [45], robot-assisted hand treatment [30,46] or improving balance and walking [47,48]. Therefore, the aim of the present study is to test whether conventional rehabilitation combined with SVR is more effective than conventional therapy alone in restoring the motor function and muscle tone of the hand after stroke.…”

Section: Discussionmentioning

confidence: 99%

Can specific virtual reality combined with conventional rehabilitation improve poststroke hand motor function? A randomized clinical trial

Rodríguez–Hernández

Polonio-López

Corregidor-Sánchez

et al. 2023

J NeuroEngineering Rehabil

View full text Add to dashboard Cite

Trial objective To verify whether conventional rehabilitation combined with specific virtual reality is more effective than conventional therapy alone in restoring hand motor function and muscle tone after stroke. Trial design This prospective single-blind randomized controlled trial compared conventional rehabilitation based on physiotherapy and occupational therapy (control group) with the combination of conventional rehabilitation and specific virtual reality technology (experimental group). Participants were allocated to these groups in a ratio of 1:1. The conventional rehabilitation therapists were blinded to the study, but neither the participants nor the therapist who applied the virtual reality–based therapy could be blinded to the intervention. Participants Forty-six patients (43 of whom completed the intervention period and follow-up evaluation) were recruited from the Neurology and Rehabilitation units of the Hospital General Universitario of Talavera de la Reina, Spain. Intervention Each participant completed 15 treatment sessions lasting 150 min/session; the sessions took place five consecutive days/week over the course of three weeks. The experimental group received conventional upper-limb strength and motor training (100 min/session) combined with specific virtual reality technology devices (50 min/session); the control group received only conventional training (150 min/session). Results As measured by the Ashworth Scale, a decrease in wrist muscle tone was observed in both groups (control and experimental), with a notably larger decrease in the experimental group (baseline mean/postintervention mean: 1.22/0.39; difference between baseline and follow-up: 0.78; 95% confidence interval: 0.38–1.18; effect size = 0.206). Fugl-Meyer Assessment scores were observed to increase in both groups, with a notably larger increase in the experimental group (total motor function: effect size = 0.300; mean: − 35.5; 95% confidence interval: − 38.9 to − 32.0; wrist: effect size = 0.290; mean: − 5.6; 95% confidence interval: − 6.4 to − 4.8; hand: effect size = 0.299; mean: − -8.9; 95% confidence interval: − 10.1 to − 7.6). On the Action Research Arm Test, the experimental group quadrupled its score after the combined intervention (effect size = 0.321; mean: − 32.8; 95% confidence interval: − 40.1 to − 25.5). Conclusion The outcomes of the study suggest that conventional rehabilitation combined with a specific virtual reality technology system can be more effective than conventional programs alone in improving hand motor function and voluntary movement and in normalizing muscle tone in subacute stroke patients. With combined treatment, hand and wrist functionality and motion increase; resistance to movement (spasticity) decreases and remains at a reduced level. Trials Registry: International Clinical Trials Registry Platform: ISRCTN27760662 (15/06/2020; retrospectively registered).

show abstract

“…As an additional parameter to evaluate grip strength, a virtual reality (VR) game-based evaluation system was used to measure the patient’s improvements in force control and modulation [ 19 , 20 ]. This system involves the use of three piezoresistive sensors (FSR ® by Interlink Electronics, Camarillo, CA, USA), applied at the level of the distal phalanges of the I, II, and III finger, to measure the grip force exerted by each finger.…”

Section: Methodsmentioning

confidence: 99%

Treatment of the Paretic Hand with a Robotic Glove Combined with Physiotherapy in a Patient Suffering from Traumatic Tetraparesis: A Case Report

Bressi

Cricenti

Bravi

et al. 2023

Sensors

Self Cite

View full text Add to dashboard Cite

Background: cervical spinal cord injury leads to loss of upper limb functionality, which causes a decrease in autonomy to perform activities of daily living. The use of robotic technologies in rehabilitation could contribute to improving upper limb functionality and treatment quality. This case report aims to describe the potential of robotic hand treatment with Gloreha Sinfonia, in combination with conventional rehabilitation, in a tetraparetic patient. Material: fifteen rehabilitative sessions were performed. Evaluations were conducted pre-treatment (T0), post-treatment (T1), and at two-months follow-up (T2) based on: the upper-limb range of motion and force assessment, the FMA-UE, the 9-Hole Peg Test (9HPT), and the DASH questionnaire. A virtual reality game-based rating system was used to evaluate the force control and modulation ability. Results: the patient reported greater ability to use hands with less compensation at T1 and T2 assessments. Improvements in clinical scales were reported in both hands at T1, however, at T2 only did the dominant hand show further improvement. Improved grip strength control and modulation ability were reported for T1. However a worsening was found in both hands at T2, significant only for the non-dominant hand. The maximum force exerted increased from T0 to T2 in both hands. Conclusion: hand treatment combining physical therapy and Gloreha Sinfonia seems to have benefits in functionality and dexterity in tetraparetic patient in the short term. Further studies are needed to confirm these findings, to verify long-term results, and to identify the most appropriate modalities of robotic rehabilitation.

show abstract

Robotic-Assisted Hand Therapy with Gloreha Sinfonia for the Improvement of Hand Function after Pediatric Stroke: A Case Report

Cited by 11 publications

References 28 publications

Universally Grasping Objects with Granular—Tendon Finger: Principle and Design

Universally Grasping Objects with Granular—Tendon Finger: Principle and Design

Can specific virtual reality combined with conventional rehabilitation improve poststroke hand motor function? A randomized clinical trial

Treatment of the Paretic Hand with a Robotic Glove Combined with Physiotherapy in a Patient Suffering from Traumatic Tetraparesis: A Case Report

Contact Info

Product

Resources

About