The Rehabilitation Effects of Myoelectric Powered Wearable Orthotics on Improving Upper Extremity Function in Persons with SCI

Androwis, Ghaith J.; Engler, Amanda; Rana, Sameer; Kirshblum, Steven; Yue, Guang H.

doi:10.1109/embc46164.2021.9630972

Cited by 3 publications

(3 citation statements)

References 17 publications

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“…Our findings suggest that a rehabilitative program based on the improvement of ADL and IADL using HA provides evidence that domotic technologies enhance global cognitive functions, psychological well-being, and QoL compared to conventional treatment (Table 4). Other studies have shown that motor rehabilitation, focused on the upper and lower limbs, improves independence and can potentially benefit psychological status and QoL [46,47]. Our study introduced technological innovation to rehabilitate ADL in a safe environment.…”

Section: Discussionmentioning

confidence: 92%

The Effects of Home Automation on Personal and Social Autonomies in Spinal Cord Injury Patients: A Pilot Study

Maresca,

Latella,

Formica

et al. 2024

JCM

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Background: Spinal cord injury (SCI) is a severe and progressive neurological condition caused by trauma to the nervous system, resulting in lifelong disability and severe comorbidities. This condition imposes serious limitations on everyday life, interfering with patients’ social lives and compromising their quality of life, psychological well-being, and daily living activities. Rehabilitation is essential to helping SCI patients gain more independence in their daily routines. Home automation (HA) systems provide personalized support to users, allowing them to manage various aspects of their living environment, promoting independence and well-being. This study aims to demonstrate the efficacy of an HA system in enhancing personal and social autonomies in SCI patients, resulting in improved cognitive function and reduced anxiety–depressive symptoms compared to traditional training. Methods: We enrolled 50 SCI patients undergoing neurorehabilitation at IRCCS Centro Neurolesi (Messina, Italy). These patients were randomly assigned to one of two groups: a control group (CG) and an experimental group (EG). The CG received traditional training, while the EG underwent HA training. We evaluated the patients before (T0) and after (T1) rehabilitation using various scales, including the Montreal Cognitive Assessment (MoCA), the Beck Depression Inventory (BDI), the Hamilton Rating Scale for Anxiety (HRS-A), the 12-Item Short-Form Survey (SF-12), the Functional Independence Measure (FIM), Activities of Daily Living (ADL), Instrumental Activities of Daily Living Scale (IADL), and the EQ-5D-5L. Results: The effect of the experimental treatment showed an improvement in all patients test scores in the EG, especially regarding cognitive functions, mood disorders, activities of daily living, and quality of life. Conclusion: Our findings suggest that HA may be effective in improving daily autonomy and, in turn, alleviating mood disorders and enhancing psychological well-being.

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Section: Discussionmentioning

confidence: 92%

The Effects of Home Automation on Personal and Social Autonomies in Spinal Cord Injury Patients: A Pilot Study

Maresca,

Latella,

Formica

et al. 2024

JCM

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“…The use of the device also helped in avoiding the development of wrist ulnar and radial deviations. Notably, no serious adverse events, such as the hyperextension of joints, pain caused by the device, or skin breakdown, were recorded [62][63][64][65][66][67][68].…”

Section: Commercial Devicesmentioning

confidence: 99%

“…By the end of the study, he was able to independently open his hand (by 75%), which indicates substantial improvements in ADLs using his paretic left arm, and in his level of independence. In [63,64], two adult males (respectively, 75 and 31 years old) with SCI were involved in the study. The experimental protocol consisted of evaluating the active hand-grip angular position, hand-grip force, and sEMG from the finger flexor and extensor muscles, by having the participants squeeze and open their hands over 18 training sessions at a rehabilitation research center, conducted three times per week (almost 60 min/session).…”

Section: Commercial Devicesmentioning

confidence: 99%

State of the Art in Wearable Wrist Exoskeletons Part II: A Review of Commercial and Research Devices

Pitzalis,

Park,

Caldwell

et al. 2023

Machines

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Manual handling tasks, both in daily activities and at work, require high dexterity and the ability to move objects of different shapes and sizes. However, musculoskeletal disorders that can arise due to aging, disabilities, overloading, or strenuous work can impact the natural capabilities of the hand with serious repercussions both in working and daily activities. To address this, researchers have been developing and proving the benefits of wrist exoskeletons. This paper, which is Part II of a study on wrist exoskeletons, presents and summarizes wearable wrist exoskeleton devices intended for use in rehabilitation, assistance, and occupational fields. Exoskeletons considered within the study are those available either in a prototyping phase or on the market. These devices can support the human wrist by relieving pain or mitigating fatigue while allowing for at least one movement. Most of them have been designed to be active (80%) for higher force/torque transmission, and soft for better kinematic compliance, ergonomics, and safety (13 devices out of 24, more than 50%). Electric motors and cable transmission (respectively 11 and 9 devices, out of 24, i.e., almost 50% and 40%) are the most common due to their simplicity, controllability, safety, power-to-weight ratio, and the possibility of remote actuation. As sensing technologies, position and force sensors are widely used in all devices (almost 90%). The control strategy depends mainly on the application domain: for rehabilitation, CPM (control passive motion) is preferred (35% of devices), while for assistance and occupational purposes, AAN (assistance-as-needed) is more suitable (38% of the devices). What emerges from this analysis is that, while rehabilitation and training are fields in which exoskeletons have grown more easily and gained some user acceptance (almost 18 devices, of which 4 are available on the market), relatively few devices have been designed for occupational purposes (5, with only 2 available on the market) due to difficulties in meeting the acceptance and needs of users. In this perspective, as a result of the state-of-the-art analysis, the authors propose a conceptual idea for a portable soft wrist exoskeleton for occupational assistance.

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Design of a 3 Degree-of-Freedom Upper-Limb Active Exoskeleton with Cable-Driven Actuators for Neuromotor Rehabilitation

Dias,

Ulhoa,

Andrade

2023

2023 IEEE Colombian Caribbean Conference (C3)

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The Rehabilitation Effects of Myoelectric Powered Wearable Orthotics on Improving Upper Extremity Function in Persons with SCI

Cited by 3 publications

References 17 publications

The Effects of Home Automation on Personal and Social Autonomies in Spinal Cord Injury Patients: A Pilot Study

The Effects of Home Automation on Personal and Social Autonomies in Spinal Cord Injury Patients: A Pilot Study

State of the Art in Wearable Wrist Exoskeletons Part II: A Review of Commercial and Research Devices

Design of a 3 Degree-of-Freedom Upper-Limb Active Exoskeleton with Cable-Driven Actuators for Neuromotor Rehabilitation

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