Use of Robotics in Spinal Cord Injury: A Case Report

Abstract

The findings from this case are promising and demonstrate the Reo Go's utility in combination with traditional occupational therapy. However, more research and specific protocols that are easily reproducible with robots such as the Reo Go are needed to validate this evolving treatment area.

Improved motor performance in chronic spinal cord injury following upper-limb robotic training

“…None of the participants dropped out of the study. Some case reports have described the safety and feasibility of the upper limb robotic training in this population with similar results, high tolerance and no increase in pain or spasticity (Yozbatiran et al, 2012; Sledziewski et al, 2012; Kadivar et al, 2012), using different robotic devices (Armeo, Geo Ro).…”

“…Krebs et al, 2008; Sledziewski, Schaaf, & Mount, 2012; Yozbatiran et al, 2012). We proposed that chronic SCI patients with some residual upper-limb function should also be able to improve voluntary motor control with the same robotic upper extremity training.…”

Evaluation of Muscle Strength in Medullar Injury: A Literature Review

“…12,84,87 It also uses a six-point scale for MMT grading, but instead of isolated muscles, it evaluates muscle groups, which should also be determined by the examiner. 103 Another scale applied to MMT grading is that elaborated by the Medical Research Council, 23,50,79,86 as well as its variation, 83 96,99 Electronic search (n=495) Pubmed 12 MMT Daniels and Worthinghan Gomes-Osman; Field-Fote (2015) 13 Manual dynamometer Average of three repetitions 42 Isokinetic dynamometer three maximum voluntary contractions, with 3 to 6s of duration, and 1 minute of rest between them Sledziewski; Schaaf; Mount (2012) 43 MMT UEMS Alcobendas-Maestro et al (2012) 44 MMT LEMS 101 MMT Brunnstron e Dennen which grades strength on a scale of 0 to 5. It does not define the resistance that must be applied by the examiner at the time of the test, nor does it consider the range of motion developed.…”

Moving Toward 2017: Progress in Rehabilitation Intervention Effectiveness Research

“…A recent systematic review of the use of robotics for upper-extremity (UE) motor recovery after stroke determined that equal intensity and duration of robotic therapy shows no greater effectiveness for improving activities of daily living, strength, andmotorcontrolthanconventionaltherapy; however,whentherobotictherapieswereused in addition to conventional therapy, a positive additive effect for UE motor recovery occurred (Norouzi-Gheidari, Archambault, & Fung, 2012). The robotics investigated during the past 5 years included the ReoGo, used to facilitate unilateral UE motor recovery after spinal injury (Sledziewski et al, 2012) and the Bi-Manu-Track, a bimanual UE robotic trainer used to compare the effects of bilateral versus unilateral UE training after stroke (Yang et al, 2012).…”