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Robotic rehabilitation

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https://www.readbyqxmd.com/read/29454392/soft-robotic-devices-for-hand-rehabilitation-and-assistance-a-narrative-review
#1
REVIEW
Chia-Ye Chu, Rita M Patterson
INTRODUCTION: The debilitating effects on hand function from a number of a neurologic disorders has given rise to the development of rehabilitative robotic devices aimed at restoring hand function in these patients. To combat the shortcomings of previous traditional robotics, soft robotics are rapidly emerging as an alternative due to their inherent safety, less complex designs, and increased potential for portability and efficacy. While several groups have begun designing devices, there are few devices that have progressed enough to provide clinical evidence of their design's therapeutic abilities...
February 17, 2018: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29453171/finger-strength-individuation-and-their-interaction-relationship-to-hand-function-and-corticospinal-tract-injury-after-stroke
#2
Eric T Wolbrecht, Justin B Rowe, Vicky Chan, Morgan L Ingemanson, Steven C Cramer, David J Reinkensmeyer
OBJECTIVE: The goal of this study was to determine the relative contributions of finger weakness and reduced finger individuation to reduced hand function after stroke, and their association with corticospinal tract (CST) injury. METHODS: We measured individuated and synergistic maximum voluntary contractions (MVCs) of the index and middle fingers, in both flexion and extension, of 26 individuals with a chronic stroke using a robotic exoskeleton. We quantified finger strength and individuation, and defined a novel metric that combines them - "multifinger capacity"...
February 3, 2018: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
https://www.readbyqxmd.com/read/29444172/motor-and-psychosocial-impact-of-robot-assisted-gait-training-in-a-real-world-rehabilitation-setting-a-pilot-study
#3
Cira Fundarò, Anna Giardini, Roberto Maestri, Silvia Traversoni, Michelangelo Bartolo, Roberto Casale
In the last decade robotic devices have been applied in rehabilitation to overcome walking disability in neurologic diseases with promising results. Robot assisted gait training (RAGT) using the Lokomat seems not only to improve gait parameters but also the perception of well-being. Data on the psychosocial patient-robot impact are limited, in particular in the real-world of RAGT, in the rehabilitation setting. During rehabilitation training, the Lokomat can be considered an "assistive device for movement"...
2018: PloS One
https://www.readbyqxmd.com/read/29439942/using-robots-at-home-to-support-patients-with-chronic-obstructive-pulmonary-disease-pilot-randomized-controlled-trial
#4
Elizabeth Broadbent, Jeff Garrett, Nicola Jepsen, Vickie Li Ogilvie, Ho Seok Ahn, Hayley Robinson, Kathryn Peri, Ngaire Kerse, Paul Rouse, Avinesh Pillai, Bruce MacDonald
BACKGROUND: Socially assistive robots are being developed for patients to help manage chronic health conditions such as chronic obstructive pulmonary disease (COPD). Adherence to medication and availability of rehabilitation are suboptimal in this patient group, which increases the risk of hospitalization. OBJECTIVE: This pilot study aimed to investigate the effectiveness of a robot delivering telehealth care to increase adherence to medication and home rehabilitation, improve quality of life, and reduce hospital readmission compared with a standard care control group...
February 13, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29435956/robot-assisted-body-weight-supported-treadmill-training-in-gait-impairment-in-multiple-sclerosis-patients-a-pilot-study
#5
Marek Łyp, Iwona Stanisławska, Bożena Witek, Ewelina Olszewska-Żaczek, Małgorzata Czarny-Działak, Ryszard Kaczor
This study deals with the use of a robot-assisted body-weight-supported treadmill training in multiple sclerosis (MS) patients with gait dysfunction. Twenty MS patients (10 men and 10 women) of the mean of 46.3 ± 8.5 years were assigned to a six-week-long training period with the use of robot-assisted treadmill training of increasing intensity of the Lokomat type. The outcome measure consisted of the difference in motion-dependent torque of lower extremity joint muscles after training compared with baseline before training...
February 13, 2018: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/29425663/sexual-rehabilitation-after-nerve-sparing-radical-prostatectomy-free-of-charge-phosphodiesterase-type-5-inhibitor-administration-improves-compliance-to-treatment
#6
Giampaolo Siena, Andrea Mari, Aude Canale, Nicola Mondaini, Andrea Chindemi, Isabella Greco, Omar Saleh, Sergio Serni, Giulio Nicita, Andrea Minervini, Marco Carini
BACKGROUND: In December 2006, the region of Tuscany (Italy) authorized the free-of-charge provision of phosphodiesterase type 5 inhibitors (PDE5I) for all patients with Tuscan citizenship who undergo nerve-sparing radical prostatectomy (NSRP). OBJECTIVE: To compare sexual rehabilitation outcomes in patients with low risk of erectile dysfunction and minimal comorbidities who received PDE5Is free of charge (PDE5I-F) with those who paid for PDE5Is (PDE5I-P) after bilateral NSRP...
February 2018: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29422842/estimation-of-neuromuscular-primitives-from-eeg-slow-cortical-potentials-in-incomplete-spinal-cord-injury-individuals-for-a-new-class-of-brain-machine-interfaces
#7
Andrés Úbeda, José M Azorín, Dario Farina, Massimo Sartori
One of the current challenges in human motor rehabilitation is the robust application of Brain-Machine Interfaces to assistive technologies such as powered lower limb exoskeletons. Reliable decoding of motor intentions and accurate timing of the robotic device actuation is fundamental to optimally enhance the patient's functional improvement. Several studies show that it may be possible to extract motor intentions from electroencephalographic (EEG) signals. These findings, although notable, suggests that current techniques are still far from being systematically applied to an accurate real-time control of rehabilitation or assistive devices...
2018: Frontiers in Computational Neuroscience
https://www.readbyqxmd.com/read/29420360/effectiveness-of-a-single-session-of-dual-transcranial-direct-current-stimulation-in-combination-with-upper-limb-robotic-assisted-rehabilitation-in-chronic-stroke-patients-a-randomized-double-blind-cross-over-study
#8
Stéphanie Dehem, Maxime Gilliaux, Thierry Lejeune, Emmanuelle Delaunois, Paul Mbonda, Yves Vandermeeren, Christine Detrembleur, Gaëtan Stoquart
The impact of transcranial direct current stimulation (tDCS) is controversial in the neurorehabilitation literature. It has been suggested that tDCS should be combined with other therapy to improve their efficacy. To assess the effectiveness of a single session of upper limb robotic-assisted therapy (RAT) combined with real or sham-tDCS in chronic stroke patients. Twenty-one hemiparetic chronic stroke patients were included in a randomized, controlled, cross-over double-blind study. Each patient underwent two sessions 7 days apart in a randomized order: (a) 20 min of real dual-tDCS associated with RAT (REAL+RAT) and (b) 20 min of sham dual-tDCS associated with RAT (SHAM+RAT)...
February 7, 2018: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
https://www.readbyqxmd.com/read/29404692/utilising-the-intel-realsense-camera-for-measuring-health-outcomes-in-clinical-research
#9
REVIEW
Francesco Luke Siena, Bill Byrom, Paul Watts, Philip Breedon
Applications utilising 3D Camera technologies for the measurement of health outcomes in the health and wellness sector continues to expand. The Intel® RealSense™ is one of the leading 3D depth sensing cameras currently available on the market and aligns itself for use in many applications, including robotics, automation, and medical systems. One of the most prominent areas is the production of interactive solutions for rehabilitation which includes gait analysis and facial tracking. Advancements in depth camera technology has resulted in a noticeable increase in the integration of these technologies into portable platforms, suggesting significant future potential for pervasive in-clinic and field based health assessment solutions...
February 5, 2018: Journal of Medical Systems
https://www.readbyqxmd.com/read/29404226/automatic-detection-of-compensation-during-robotic-stroke-rehabilitation-therapy
#10
Ying Xuan Zhi, Michelle Lukasik, Michael H Li, Elham Dolatabadi, Rosalie H Wang, Babak Taati
Robotic stroke rehabilitation therapy can greatly increase the efficiency of therapy delivery. However, when left unsupervised, users often compensate for limitations in affected muscles and joints by recruiting unaffected muscles and joints, leading to undesirable rehabilitation outcomes. This paper aims to develop a computer vision system that augments robotic stroke rehabilitation therapy by automatically detecting such compensatory motions. Nine stroke survivors and ten healthy adults participated in this study...
2018: IEEE Journal of Translational Engineering in Health and Medicine
https://www.readbyqxmd.com/read/29400988/the-effects-of-robot-assisted-gait-training-on-temporal-spatial-characteristics-of-people-with-spinal-cord-injuries-a-systematic-review
#11
Stephen Clive Hayes, Christopher Richard James Wilcox, Hollie Samantha Forbes White, Natalie Vanicek
CONTEXT: Robotic assisted gait training (RAGT) technology can be used as a rehabilitation tool or as an assistive device for spinal cord injured (SCI) individuals. Its impact on upright stepping characteristics of SCI individuals using treadmill or overground robotic exoskeleton systems has yet to be established. OBJECTIVE: To systematically review the literature and identify if overground or treadmill based RAGT use in SCI individuals elicited differences in temporal-spatial characteristics and functional outcome measures...
February 5, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29400683/preliminary-research-of-a-novel-center-driven-robot-for-upper-extremity-rehabilitation
#12
Wujing Cao, Fei Zhang, Hongliu Yu, Bingshan Hu, Qiaoling Meng
BACKGROUND: Loss of upper limb function often appears after stroke. Robot-assisted systems are becoming increasingly common in upper extremity rehabilitation. Rehabilitation robot provides intensive motor therapy, which can be performed in a repetitive, accurate and controllable manner. OBJECTIVE: This study aims to propose a novel center-driven robot for upper extremity rehabilitation. METHODS: A new power transmission mechanism is designed to transfer the power to elbow and shoulder joints from three motors located on the base...
January 19, 2018: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/29400670/upper-limb-robot-assisted-therapy-in-subacute-and-chronic-stroke-patients-using-an-innovative-end-effector-haptic-device-a-pilot-study
#13
S Mazzoleni, E Battini, R Crecchi, P Dario, F Posteraro
BACKGROUND: Significant results have been shown when an upper limb robot-assisted rehabilitation is delivered to stroke patients. OBJECTIVE: To evaluate the effects of upper limb robot-assisted rehabilitation on motor recovery in stroke patients who underwent a treatment based on a haptic device. METHODS: Thirty-nine stroke patients (twenty-three subacute and sixteen chronic) underwent rehabilitation training by using MOTORE/Armotion haptic system...
2018: NeuroRehabilitation
https://www.readbyqxmd.com/read/29391520/evaluating-upper-limb-impairments-in-multiple-sclerosis-by-exposure-to-different-mechanical-environments
#14
Laura Pellegrino, Martina Coscia, Margit Muller, Claudio Solaro, Maura Casadio
Multiple sclerosis is a chronic, autoimmune and neurodegenerative disease affecting multiple functional systems and resulting in motor impairments associated with muscle weakness and lack of movement coordination. We quantified upper limb motor deficits with a robot-based assessment including behavioral and muscle synergy analysis in 11 multiple sclerosis subjects with mild to moderate upper limb impairment (9 female; 50 ± 10 years) compared to 11 age- and gender- matched controls (9 female; 50 ± 9 years)...
February 1, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29391492/comparison-of-proximal-versus-distal-upper-limb-robotic-rehabilitation-on-motor-performance-after-stroke-a-cluster-controlled-trial
#15
Yu-Wei Hsieh, Keh-Chung Lin, Ching-Yi Wu, Tsai-Yu Shih, Ming-Wei Li, Chia-Ling Chen
This study examined the treatment efficacy of proximal-emphasized robotic rehabilitation by using the InMotion ARM (P-IMT) versus distal-emphasized robotic rehabilitation by using the InMotion WRIST (D-IMT) in patients with stroke. A total of 40 patients with stroke completed the study. They received P-IMT, D-IMT, or control treatment (CT) for 20 training sessions. Primary outcomes were the Fugl-Meyer Assessment (FMA) and Medical Research Council (MRC) scale. Secondary outcomes were the Motor Activity Log (MAL) and wrist-worn accelerometers...
February 1, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29390585/combined-treatment-of-botulinumtoxin-and-robot-assisted-rehabilitation-therapy-on-poststroke-upper-limb-spasticity-a-case-report
#16
So Young Lee, Young Tae Jeon, Bo Ryun Kim, Eun Young Han
RATIONALE: Spasticity is a major complication after stroke, and botulinumtoxin A (BoNT-A) injection is commonly used to manage focal spasticity. However, it is uncertain whether BoNT-A can improve voluntary motor control or activities of daily living function of paretic upper limbs. This study investigated whether BoNT-A injection combined with robot-assisted upper limb therapy improves voluntary motor control or functions of upper limbs after stroke. PATIENT CONCERNS: Two subacute stroke patients were transferred to the Department of Rehabilitation...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29388926/-the-role-of-the-neurophysiological-methods-in-the-assessment-of-the-effectiveness-of-the-rehabilitation-of-sensorimotor-disturbances-associated-with-the-lesions-of-the-central-nervous-system-at-the-spinal-cord-level
#17
E V Ekusheva, V B Voitenkov, N V Skripchenko, I G Samoilova, V A Filimonov
AIM: The objective of the present study was the evaluation and comparison of the effectiveness of the differential approaches to the neurorehabilitation of the somatosensory disturbances in the patients presenting with the spinal cord lesions. MATERIALS AND METHODS: A total of 68 patients with spinal cord lesions were enrolled in the study, including 38 suffering from vascular myelopathy, 18 with the consequences of extramedullar meningioma surgery, 12 with the sequelae of acute transverse myelitis...
December 28, 2017: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
https://www.readbyqxmd.com/read/29385842/long-term-use-of-the-jaco-robotic-arm-a-case-series
#18
Maude Beaudoin, Josiane Lettre, François Routhier, Philippe S Archambault, Martin Lemay, Isabelle Gélinas
PURPOSE: Past research with JACO has principally focused on the short-term impacts on new users. Therefore, this study aims to document the long-term impacts of this assistive device on users and their family caregivers following prolonged use. METHODS: Users' characteristics, caregivers' characteristics and expenses related to JACO were documented with questionnaires designed for this study. Upper extremity performance was measured with an adaptation of an upper extremity performance test, the TEMPA, and accomplishment of life habits was documented in an interview based on the LIFE-H questionnaire...
January 31, 2018: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29384762/the-role-of-robotic-gait-training-coupled-with-virtual-reality-in-boosting-the-rehabilitative-outcomes-in-patients-with-multiple-sclerosis
#19
Margherita Russo, Vincenzo Dattola, Maria C De Cola, Anna L Logiudice, Bruno Porcari, Antonino Cannavò, Francesca Sciarrone, Rosaria De Luca, Francesco Molonia, Edoardo Sessa, Placido Bramanti, Rocco S Calabrò
Motor impairment is the most common symptom in multiple sclerosis (MS). Thus, a variety of new rehabilitative strategies, including robotic gait training, have been implemented, showing their effectiveness. The aim of our study was to investigate whether an intensive robotic gait training, preceding a traditional rehabilitative treatment, could be useful in improving and potentiating motor performance in MS patients. Forty-five patients, who fulfilled the inclusion criteria, were enrolled in this study and randomized into either the control group (CG) or the experimental group (EG)...
January 30, 2018: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
https://www.readbyqxmd.com/read/29366918/the-role-of-the-rehabilitation-in-subjects-with-progressive-supranuclear-palsy-a-narrative-review
#20
REVIEW
Domenico Intiso, Michelangelo Bartolo, Andrea Santamato, Filomena Di Rienzo
Progressive Supranuclear Palsy (PSP) is a progressive neurodegenerative disorder due to the deposition of abnormal proteins in neurons of the basal ganglia that limit motor ability producing disability and reduced quality of life. So far, no pharmacologic therapy has been developed and the treatment remains symptomatic. The aim of the present study was to investigate systematically literature, and to determine the types and effects of rehabilitative interventions. A search of all studies was conducted in MEDLINE/PubMed, the Cochrane Central Register of Controlled Trials, CINAHL and EMBASE...
January 20, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
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