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https://www.readbyqxmd.com/read/29666575/combining-mental-training-and-physical-training-with-goal-oriented-protocols-in-stroke-rehabilitation-a-feasibility-case-study
#1
Xin Zhang, Ahmed M Elnady, Bubblepreet K Randhawa, Lara A Boyd, Carlo Menon
Stroke is one of the leading causes of permanent disability in adults. The literature suggests that rehabilitation is key to early motor recovery. However, conventional therapy is labor and cost intensive. Robotic and functional electrical stimulation (FES) devices can provide a high dose of repetitions and as such may provide an alternative, or an adjunct, to conventional rehabilitation therapy. Brain-computer interfaces (BCI) could augment neuroplasticity by introducing mental training. However, mental training alone is not enough; but combining mental with physical training could boost outcomes...
2018: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/29662774/a-novel-gait-based-synthesis-procedure-for-the-design-of-4-bar-exoskeleton-with-natural-trajectories
#2
Ramanpreet Singh, Himanshu Chaudhary, Amit K Singh
Background/Objective: Human walking involves the coordination of brain, nerves, and muscles. A disturbance in their coordination may result in gait disorder. The gait disorder may be treated through manually assisted gait training or with the aid of assistive devices/robotic devices. These robotic devices involve mechanisms which are synthesized using complex conventional procedures. Therefore, in this study, a new gait-based synthesis procedure is proposed, which simplifies the mechanism synthesis and helps to develop a mechanism which can be used in rehabilitation devices, bipeds, etc...
January 2018: Journal of Orthopaedic Translation
https://www.readbyqxmd.com/read/29652043/-the-hardware-techniques-for-the-restoration-of-the-gait-stereotype-in-the-patients-following-total-hip-replacement-the-personalized-approach
#3
E S Koneva, K V Lyadov, T V Shapovalenko, E V Zhukova, V G Polushkin
BACKGROUND: total hip replacement has long ago become the «golden standard» for the treatment of dysplastic coxarthrosis in thousands of the patients receiving it every year. In the meantime, the analysis of the specialized literature gives evidence of the lack of a systematic and personified approach to the rehabilitation treatment. AIM: The objective of the present study was to improve medical rehabilitation of the patients following the total hip replacement and to develop the personalized programs for walking modality reconstruction taking into consideration the age and the body weight of the patients...
April 9, 2018: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
https://www.readbyqxmd.com/read/29650492/robotically-driven-orthoses-exert-proximal-to-distal-differential-recovery-on-the-lower-limbs-in-children-with-hemiplegia-early-after-acquired-brain-injury
#4
Elena Beretta, Erika Molteni, Emilia Biffi, Roberta Morganti, Paolo Avantaggiato, Sandra Strazzer
Robotically-driven orthoses (RDO) are promising for treating gait impairment in children with hemiplegia after acquired brain injury (ABI). Despite this, existing literature on the employment of RDO in ABI is scanty, and cohorts' age spans throughout the adult age, with no specific focus on the developmental age. We aim to compare a treatment solely based on conventional physiotherapy (CP) with a program combining RDO training with CP, and to examine the effect of time following ABI on recovery. A prospective two-cohorts study was conducted in a rehabilitation hospital...
March 23, 2018: European Journal of Paediatric Neurology: EJPN
https://www.readbyqxmd.com/read/29643516/-preliminary-study-of-robot-assisted-ankle-rehabilitation-for-children-with-cerebral-palsy
#5
R L Wang, Z H Zhou, Y C Xi, Q N Wang, N H Wang, Z Huang
OBJECTIVE: To propose a kind of robotic ankle-foot rehabilitation system for children with cerebral palsy and to preliminarily verify its feasibility in clinical application. METHODS: A robot assisted ankle-foot rehabilitation system was specially designed and developed for children with cerebral palsy and a preliminary clinical study was conducted in Department of Rehabilitation Medicine, Peking University First Hospital. Modified Tardieu Scale and joint biomechanical properties (ankle plantar flexion resistance torque under different ankle dorsiflexion angles) were measured to analyze the muscle tone and soft tissue compliance of the ankle plantar flexors pre- and post-robotic training intervention...
April 18, 2018: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/29642921/feasibility-of-robot-based-perturbed-balance-training-during-treadmill-walking-in-a-high-functioning-chronic-stroke-subject-a-case-control-study
#6
Zlatko Matjačić, Matjaž Zadravec, Andrej Olenšek
BACKGROUND: For stroke survivors, balance deficits that persist after the completion of the rehabilitation process lead to a significant risk of falls. We have recently developed a balance-assessment robot (BAR-TM) that enables assessment of balancing abilities during walking. The purpose of this study was to test feasibility of using the BAR-TM in an experimental perturbed-balance training program with a selected high-functioning stroke survivor. METHODS: A control and an individual with right-side chronic hemiparesis post-stroke were studied...
April 11, 2018: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29628911/estimation-of-muscle-force-based-on-neural-drive-in-a-hemispheric-stroke-survivor
#7
Chenyun Dai, Yang Zheng, Xiaogang Hu
Robotic assistant-based therapy holds great promise to improve the functional recovery of stroke survivors. Numerous neural-machine interface techniques have been used to decode the intended movement to control robotic systems for rehabilitation therapies. In this case report, we tested the feasibility of estimating finger extensor muscle forces of a stroke survivor, based on the decoded descending neural drive through population motoneuron discharge timings. Motoneuron discharge events were obtained by decomposing high-density surface electromyogram (sEMG) signals of the finger extensor muscle...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29626272/a-semi-passive-planar-manipulandum-for-upper-extremity-rehabilitation
#8
Chih-Kang Chang, Edward P Washabaugh, Andrew Gwozdziowski, C David Remy, Chandramouli Krishnan
Robotic rehabilitation is a promising approach to treat individuals with neurological or orthopedic disorders. However, despite significant advancements in the field of rehabilitation robotics, this technology has found limited traction in clinical practice. A key reason for this issue is that most robots are expensive, bulky, and not scalable for in-home rehabilitation. Here, we introduce a semi-passive rehabilitation robot (SepaRRo) that uses controllable passive actuators (i.e., brakes) to provide controllable resistances at the end-effector over a large workspace in a manner that is cost-effective and safe for in-home use...
April 6, 2018: Annals of Biomedical Engineering
https://www.readbyqxmd.com/read/29625628/advanced-robotic-therapy-integrated-centers-artic-an-international-collaboration-facilitating-the-application-of-rehabilitation-technologies
#9
Hubertus J A van Hedel, Giacomo Severini, Alessandra Scarton, Anne O'Brien, Tamsin Reed, Deborah Gaebler-Spira, Tara Egan, Andreas Meyer-Heim, Judith Graser, Karen Chua, Daniel Zutter, Raoul Schweinfurther, J Carsten Möller, Liliana P Paredes, Alberto Esquenazi, Steffen Berweck, Sebastian Schroeder, Birgit Warken, Anne Chan, Amber Devers, Jakub Petioky, Nam-Jong Paik, Won-Seok Kim, Paolo Bonato, Michael Boninger
BACKGROUND: The application of rehabilitation robots has grown during the last decade. While meta-analyses have shown beneficial effects of robotic interventions for some patient groups, the evidence is less in others. We established the Advanced Robotic Therapy Integrated Centers (ARTIC) network with the goal of advancing the science and clinical practice of rehabilitation robotics. The investigators hope to exploit variations in practice to learn about current clinical application and outcomes...
April 6, 2018: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29619890/evolution-of-upper-limb-kinematics-four-years-after-subacute-robot-assisted-rehabilitation-in-stroke-patients
#10
Ophélie Pila, Christophe Duret, Jean-Michel Gracies, Gerard E Francisco, Nicolas Bayle, Émilie Hutin
PURPOSE: To assess functional status and robot-based kinematic measures four years after subacute robot-assisted rehabilitation in hemiparesis. MATERIAL AND METHODS: Twenty-two patients with stroke-induced hemiparesis participated in a ≥3-month upper limb combined program of robot-assisted and occupational therapy from two months post-stroke, and received community-based therapy after discharge. Four years later, nineteen (86%) participated in this long-term follow-up study...
April 5, 2018: International Journal of Neuroscience
https://www.readbyqxmd.com/read/29615890/automatic-setting-procedure-for-exoskeleton-assisted-overground-gait-proof-of-concept-on-stroke-population
#11
Marta Gandolla, Eleonora Guanziroli, Andrea D'Angelo, Giovanni Cannaviello, Franco Molteni, Alessandra Pedrocchi
Stroke-related locomotor impairments are often associated with abnormal timing and intensity of recruitment of the affected and non-affected lower limb muscles. Restoring the proper lower limbs muscles activation is a key factor to facilitate recovery of gait capacity and performance, and to reduce maladaptive plasticity. Ekso is a wearable powered exoskeleton robot able to support over-ground gait training. The user controls the exoskeleton by triggering each single step during the gait cycle. The fine-tuning of the exoskeleton control system is crucial-it is set according to the residual functional abilities of the patient, and it needs to ensure lower limbs powered gait to be the most physiological as possible...
2018: Frontiers in Neurorobotics
https://www.readbyqxmd.com/read/29602721/efficacy-and-safety-of-tadalafil-5-mg-once-daily-for-the-treatment-of-erectile-dysfunction-after-robot-assisted-laparoscopic-radical-prostatectomy-a-2-year-follow-up
#12
Soodong Kim, Gyung Tak Sung
BACKGROUND: Although nerve-sparing robot-assisted radical prostatectomy (NS-RALP) is performed, a large number of patients still experience erectile dysfunction (ED) after surgery. AIM: To evaluate the efficacy and safety of tadalafil 5 mg once daily (OaD) in ED treatment over 2 years and investigate the cause of vascular ED after NS-RARP. METHODS: We retrospectively evaluated 95 men who underwent NS-RARP and had a penile rehabilitation treatment with tadalafil 5 mg OaD...
March 27, 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29600688/early-robot-assisted-gait-retraining-in-non-ambulatory-patients-with-stroke-a-single-blind-randomized-controlled-trial
#13
Andreas Mayr, Ellen Quirbach, Alessandro Picelli, Markus Kofler, Nicola Smania, Leopold Saltuari
BACKGROUND: Restoration of walking function is a primary concern of neurorehabilitation with respect to the aspired social and vocational reintegration. To date, the best practice for improving gait early after stroke is still object of debate. On one hand, repetitive task-specific approaches with higher intensities of walking have been observed to result in greater improvements of gait after stroke. Conversely there is some evidence that conventional gait training would be more effective for facilitating walking ability after stroke...
March 29, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29588227/resting-state-functional-connectivity-predicts-the-ability-to-adapt-to-robot-mediated-force-fields
#14
Irene Faiman, Sara Pizzamiglio, Duncan L Turner
Motor deficits are common outcomes of neurological conditions such as stroke. In order to design personalised motor rehabilitation programmes such as robot-assisted therapy, it would be advantageous to predict how a patient might respond to such treatment. Spontaneous neural activity has been observed to predict differences in the ability to learn a new motor behaviour in both healthy and stroke populations. This study investigated whether spontaneous resting-state functional connectivity could predict the degree of motor adaptation of right (dominant) upper limb reaching in response to a robot-mediated force field...
March 24, 2018: NeuroImage
https://www.readbyqxmd.com/read/29577779/a-review-in-gait-rehabilitation-devices-and-applied-control-techniques
#15
Silvia L Chaparro-Cárdenas, Alejandro A Lozano-Guzmán, Julian Andres Ramirez-Bautista, Antonio Hernández-Zavala
PURPOSE: The aim of this review is to analyse the different existing technologies for gait rehabilitation, focusing mainly in robotic devices. Those robots help the patient to recover a lost function due to neurological gait disorders, accidents or after injury. Besides, they facilitate the identification of normal and abnormal features by registering muscle activity providing the doctor important data where he can observe the evolution of the patient. METHOD: A deep literature review was realized using selected keywords considering not only the most common medical and engineering databases, but also other available sources that provide information on commercial and scientific gait rehabilitation devices...
March 25, 2018: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29564773/improvement-in-hand-trajectory-of-reaching-movements-by-error-augmentation
#16
Sharon Israely, Gerry Leisman, Eli Carmeli
The purpose of this study was to investigate whether adaptive responses to error-augmentation force fields, would decrease the trajectory errors in hand-reaching movements in multiple directions in healthy individuals. The study was conducted, as a randomized controlled trial, in 41 healthy subjects. The study group trained on a 3D robotic system, applying error-augmenting forces on the hand during the execution of tasks. The control group carried out the same protocol in null-field conditions. A mixed-model ANOVA was implemented to investigate the interaction between groups and time, and changes in outcome measures within groups...
March 22, 2018: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/29557196/the-future-of-the-provision-process-for-mobility-assistive-technology-a-survey-of-providers
#17
Brad E Dicianno, James Joseph, Stacy Eckstein, Christina K Zigler, Eleanor J Quinby, Mark R Schmeler, Richard M Schein, Jon Pearlman, Rory A Cooper
PURPOSE: The purpose of this study was to evaluate the opinions of providers of mobility assistive technologies to help inform a research agenda and set priorities. MATERIALS AND METHODS: This survey study was anonymous and gathered opinions of individuals who participate in the process to provide wheelchairs and other assistive technologies to clients. Participants were asked to rank the importance of developing various technologies and rank items against each other in terms of order of importance...
March 20, 2018: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29555075/automated-objective-robot-assisted-assessment-of-wrist-passive-ranges-of-motion
#18
Mingming Zhang, Sihui Zhang, Andrew McDaid, Claire Davies, Sheng Q Xie
The measurement of wrist passive ranges of motion (ROMs) can provide insight into improvements and allow for effective monitoring during a rehabilitation program. Compared with conventional methods, this study proposed a new robotic assessment technique for measuring passive ROMs of the wrist. The robotic system has a reconfigurable handle structure that allows for multi-dimensional applications of wrist motions. The assessment reliability of this robotic system was analysed on 11 subjects for measuring wrist extension/flexion and radial/ulnar deviation...
March 13, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/29546366/technology-in-geriatrics
#19
Alberto Pilotto, Raffaella Boi, Jean Petermans
Recently, the interest of industry, government agencies and healthcare professionals in technology for aging people has increased. The challenge is whether technology may play a role in enhancing independence and quality of life and in reducing individual and societal costs of caring. Information and communication technologies, i.e. tools aimed at communicating and informing, assistive technologies designed to maintain older peoples' independence and increasing safety, and human-computer interaction technologies for supporting older people with motility and cognitive impairments as humanoid robots, exoskeletons, rehabilitation robots, service robots and companion-type are interdisciplinary topics both in research and in clinical practice...
March 13, 2018: Age and Ageing
https://www.readbyqxmd.com/read/29545846/effective-robotic-assistive-pattern-of-treadmill-training-for-spinal-cord-injury-in-a-rat-model
#20
Bo-Lun Zhao, Wen-Tao Li, Xiao-Hua Zhou, Su-Qian Wu, Hong-Shi Cao, Zhu-Ren Bao, Li-Bin An
The purpose of the present study was to establish an effective robotic assistive stepping pattern of body-weight-supported treadmill training based on a rat spinal cord injury (SCI) model and assess the effect by comparing this with another frequently used assistive stepping pattern. The recorded stepping patterns of both hind limbs of trained intact rats were edited to establish a 30-sec playback normal rat stepping pattern (NRSP). Step features (step length, step height, step number and swing duration), BBB scores, latencies, and amplitudes of the transcranial electrical motor-evoked potentials (tceMEPs) and neurofilament 200 (NF200) expression in the spinal cord lesion area during and after 3 weeks of body-weight-supported treadmill training (BWSTT) were compared in rats with spinal contusion receiving NRSP assistance (NRSPA) and those that received manual assistance (MA)...
April 2018: Experimental and Therapeutic Medicine
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