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Robotic Therapy Stroke

Eun Young Han, Sang Hee Im, Bo Ryun Kim, Min Ji Seo, Myeong Ok Kim
OBJECTIVE: Brachial-ankle pulse wave velocity (baPWV) evaluates arterial stiffness and also predicts early outcome in stroke patients. The objectives of this study were to investigate arterial stiffness of subacute nonfunctional ambulatory stroke patients and to compare the effects of robot-assisted gait therapy (RAGT) combined with rehabilitation therapy (RT) on arterial stiffness and functional recovery with those of RT alone. METHOD: The RAGT group (N = 30) received 30 minutes of robot-assisted gait therapy and 30 minutes of conventional RT, and the control group (N = 26) received 60 minutes of RT, 5 times a week for 4 weeks...
October 2016: Medicine (Baltimore)
V A Bronnikov, V B Smychek, Yu A Mavlikaeva, Yu I Kravtsov, K A Sklyannaya, O A Plotnikova, A V Vil'deman
AIM: To compare the efficacy of complex rehabilitation in patients receiving robotic kinesiotherapy and conventional physical therapy. MATERIAL AND METHODS: In total 68 patients were examined, including 37 patients receiving traditional kinesiotherapy and sessions on the robotic complex 'Locomat' and 31 patients of the control group who received conventional physical therapy. RESULTS AND CONCLUSION: There were statistical between-group differences in the indices of mobility, physical capabilities, strength and muscle tone in paretic extremities as well as the overall improvement of daily activity...
2016: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
Francisco J Valero-Cuevas, Verena Klamroth-Marganska, Carolee J Winstein, Robert Riener
BACKGROUND: Comparing the efficacy of alternative therapeutic strategies for the rehabilitation of motor function in chronically impaired individuals is often inconclusive. For example, a recent randomized clinical trial (RCT) compared robot-assisted vs. conventional therapy in 77 patients who had had chronic motor impairment after a cerebrovascular accident. While patients assigned to robotic therapy had greater improvements in the primary outcome measure (change in score on the upper extremity section of the Fugl-Meyer assessment), the absolute difference between therapies was small, which left the clinical relevance in question...
October 11, 2016: Journal of Neuroengineering and Rehabilitation
Francisco Resquín, Alicia Cuesta Gómez, Jose Gonzalez-Vargas, Fernando Brunetti, Diego Torricelli, Francisco Molina Rueda, Roberto Cano de la Cuerda, Juan Carlos Miangolarra, José Luis Pons
In recent years the combined use of functional electrical stimulation (FES) and robotic devices, called hybrid robotic rehabilitation systems, has emerged as a promising approach for rehabilitation of lower and upper limb motor functions. This paper presents a review of the state of the art of current hybrid robotic solutions for upper limb rehabilitation after stroke. For this aim, studies have been selected through a search using web databases: IEEE-Xplore, Scopus and PubMed. A total of 10 different hybrid robotic systems were identified, and they are presented in this paper...
September 29, 2016: Medical Engineering & Physics
Christophe Duret, Anne Gaelle Grosmaire, Ophélie Courtial
OBJECTIVE: In stroke patients, motor impairments evaluated during the first few weeks usually predict upper limb motor outcomes after rehabilitation. However, a recent growing literature suggests that severe patients might not follow this principle [1]. This study aimed at exploring predictors of motor recovery after intensive training in that sub population of stroke patients. MATERIAL/PATIENTS AND METHODS: Thirty-eight patients with sub-acute hemiparesis (19 females, age 56±17 [19-87] years; time from stroke, 55±22 days) carried out 16 sessions (33±12 days) of robot-assisted adaptive training using a shoulder/elbow device integrated into conventional care...
September 2016: Annals of Physical and Rehabilitation Medicine
Eleni Papathanasiou, Mathilde Chevignard, Carole Vuillerot, Anne Tiberghien, Ingrid Godard
OBJECTIVE: Paediatric stroke is a relatively rare medical condition, but it often leads to long lasting motor and cognitive impairments. Rehabilitation of motor impairments has been widely studied, with most studies performed in children with cerebral palsy (CP). However, CP covers a variety of medical conditions, including brain lesions due to paediatric stroke occurring early in life, but not stroke occurring later on during childhood. The specificity of rehabilitation after paediatric stroke remains understudied...
September 2016: Annals of Physical and Rehabilitation Medicine
Roberto Colombo, Fabrizio Pisano, Carmen Delconte, Alessandra Mazzone, Giuseppe Grioni, Marisa Castagna, Giacomo Bazzini, Chiara Imarisio, Giorgio Maggioni, Caterina Pistarini
BACKGROUND: Several robotic devices have been proposed for upper limb rehabilitation, but they differ in terms of application fields and the technical solutions implemented. AIM: To compare the effectiveness of three different robotic devices for shoulder-elbow rehabilitation in reducing motor impairment and improving motor performance in post-stroke patients. DESIGN: Retrospective multi-center study. SETTING: Inpatient rehabilitation hospital...
September 27, 2016: European Journal of Physical and Rehabilitation Medicine
Ching-Yi Wu, Keh-Chung Lin, Chung-Shan Hung, Yu-Wei Hsieh, Ting-Ting Yeh
No abstract text is available yet for this article.
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Karla Bustamante Valles, Sandra Montes, Maria de Jesus Madrigal, Adan Burciaga, María Elena Martínez, Michelle J Johnson
BACKGROUND: Stroke rehabilitation in low- and middle-income countries, such as Mexico, is often hampered by lack of clinical resources and funding. To provide a cost-effective solution for comprehensive post-stroke rehabilitation that can alleviate the need for one-on-one physical or occupational therapy, in lower and upper extremities, we proposed and implemented a technology-assisted rehabilitation gymnasium in Chihuahua, Mexico. The Gymnasium for Robotic Rehabilitation (Robot Gym) consisted of low- and high-tech systems for upper and lower limb rehabilitation...
2016: Journal of Neuroengineering and Rehabilitation
Patricia Leconte, Renaud Ronsse
BACKGROUND: Rhythmic and discrete upper-limb movements are two fundamental motor primitives controlled by different neural pathways, at least partially. After stroke, both primitives can be impaired. Both conventional and robot-assisted therapies mainly train discrete functional movements like reaching and grasping. However, if the movements form two distinct neural and functional primitives, both should be trained to recover the complete motor repertoire. Recent studies show that rhythmic movements tend to be less impaired than discrete ones, so combining both movement types in therapy could support the execution of movements with a higher degree of impairment by movements that are performed more stably...
2016: Journal of Neuroengineering and Rehabilitation
Luis D Lledó, Jorge A Díez, Arturo Bertomeu-Motos, Santiago Ezquerro, Francisco J Badesa, José M Sabater-Navarro, Nicolás García-Aracil
Post-stroke neurorehabilitation based on virtual therapies are performed completing repetitive exercises shown in visual electronic devices, whose content represents imaginary or daily life tasks. Currently, there are two ways of visualization of these task. 3D virtual environments are used to get a three dimensional space that represents the real world with a high level of detail, whose realism is determinated by the resolucion and fidelity of the objects of the task. Furthermore, 2D virtual environments are used to represent the tasks with a low degree of realism using techniques of bidimensional graphics...
2016: Frontiers in Aging Neuroscience
Takashi Morishita, Tooru Inoue
Interactive bio-feedback (iBF) was initially developed for the rehabilitation of motor function in patients with neurological disorders, and subsequently yielded the development of the hybrid assistive limb (HAL). Here, we provide a review of the theory underlying HAL treatment as well as our clinical experience and recommendations for future clinical studies using HAL in acute stroke patients. We performed a PubMed-based literature search, a retrospective data review of our acute stroke case series, and included a sample case report of our findings...
October 15, 2016: Neurologia Medico-chirurgica
Yoon Sik Choi, Kyeong Woo Lee, Jong Hwa Lee, Sang Beom Kim, Gyu Tae Park, Sook Joung Lee
OBJECTIVE: To investigate the effectiveness of an upper limb rehabilitation robot therapy on hemispatial neglect in stroke patients. METHODS: Patients were randomly divided into an upper limb rehabilitation robot treatment group (robot group) and a control group. The patients in the robot group received left upper limb training using an upper limb rehabilitation robot. The patients sat on the right side of the robot, so that the monitor of the robot was located on the patients' left side...
August 2016: Annals of Rehabilitation Medicine
Janne M Veerbeek, Anneli C Langbroek-Amersfoort, Erwin E H van Wegen, Carel G M Meskers, Gert Kwakkel
Background Robot technology for poststroke rehabilitation is developing rapidly. A number of new randomized controlled trials (RCTs) have investigated the effects of robot-assisted therapy for the paretic upper limb (RT-UL). Objective To systematically review the effects of poststroke RT-UL on measures of motor control of the paretic arm, muscle strength and tone, upper limb capacity, and basic activities of daily living (ADL) in comparison with nonrobotic treatment. Methods Relevant RCTs were identified in electronic searches...
September 5, 2016: Neurorehabilitation and Neural Repair
Jaewon Beom, Sukgyu Koh, Hyung Seok Nam, Wonshik Kim, Yoonjae Kim, Han Gil Seo, Byung-Mo Oh, Sun Gun Chung, Sungwan Kim
Mirror therapy has been performed as effective occupational therapy in a clinical setting for functional recovery of a hemiplegic arm after stroke. It is conducted by eliciting an illusion through use of a mirror as if the hemiplegic arm is moving in real-time while moving the healthy arm. It can facilitate brain neuroplasticity through activation of the sensorimotor cortex. However, conventional mirror therapy has a critical limitation in that the hemiplegic arm is not actually moving. Thus, we developed a real-time 2-axis mirror robot system as a simple add-on module for conventional mirror therapy using a closed feedback mechanism, which enables real-time movement of the hemiplegic arm...
2016: Journal of Visualized Experiments: JoVE
T Platz, L Schmuck
BACKGROUND: Arm paralysis after a stroke is a major cause of impairment. OBJECTIVE: Presentation of therapeutic options and the efficacy in arm rehabilitation after stroke. MATERIAL AND METHODS: Based on a systematic critical appraisal of randomized controlled trials (RCT) the therapeutic procedures for arm paralysis after stroke in the context of their effectiveness are introduced, including robotic therapy, mirror therapy, constraint-induced movement therapy (CIMT), arm basis training, arm ability training, neuromuscular electrical stimulation, bilateral and task-specific training, mental training and transcranial stimulation techniques, such as repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS)...
October 2016: Der Nervenarzt
Hiroyuki Miyasaka, Abbas Orand, Hitoshi Ohnishi, Genichi Tanino, Kotaro Takeda, Shigeru Sonoda
We investigated whether untriggered neuromuscular electrical stimulation (NMES) can increase the effectiveness of shoulder and elbow robotic training in patients with hemiparesis. Thirty subacute stroke patients were randomly equally allocated to robot only (RO) and robot and electrical stimulation (RE) groups. During training, shoulder and elbow movements were trained by operating the robotic arm with the paretic arm, and the robotic device helped to move the arm. In the RE group, the anterior deltoid and triceps brachii muscles were electrically stimulated at sub-motor threshold intensity...
August 13, 2016: Medical Engineering & Physics
Camilo Cortés, Ana de Los Reyes-Guzmán, Davide Scorza, Álvaro Bertelsen, Eduardo Carrasco, Ángel Gil-Agudo, Oscar Ruiz-Salguero, Julián Flórez
Robot-Assisted Rehabilitation (RAR) is relevant for treating patients affected by nervous system injuries (e.g., stroke and spinal cord injury). The accurate estimation of the joint angles of the patient limbs in RAR is critical to assess the patient improvement. The economical prevalent method to estimate the patient posture in Exoskeleton-based RAR is to approximate the limb joint angles with the ones of the Exoskeleton. This approximation is rough since their kinematic structures differ. Motion capture systems (MOCAPs) can improve the estimations, at the expenses of a considerable overload of the therapy setup...
2016: BioMed Research International
Loris Pignolo, Lucia F Lucca, Giuseppina Basta, Sebastiano Serra, Maria E Pugliese, Walter G Sannita, Giuliano Dolce
BACKGROUND: In recent years, as part of the rehabilitation of post stroke patients, the use of robotic technologies to improve recovery of upper limb has become more widespread. The Automatic Recovery Arm Motility Integrated System (ARAMIS) is a concept robot and prototype designed to promote the functional interaction of the arms in the neurorehabilitation of the paretic upper limb. Two computer-controlled, symmetric and interacting exoskeletons compensate for the inadequate strength and accuracy of the paretic arm and the effect of gravity during rehabilitation...
April 2016: Annali Dell'Istituto Superiore di Sanità
Yupeng Ren, Yi-Ning Wu, Chung-Yong Yang, Tao Xu, Richard Harvey, Li-Qun Zhang
Ankle movement training is important in motor recovery post stroke and early intervention is critical to stroke rehabilitation. However, acute stroke survivors receive motor rehabilitation in only a small fraction of time, partly due to the lack of effective devices and protocols suitable for early in-bed rehabilitation. Considering the first few months post stroke is critical in stroke recovery, there is a strong need to start motor rehabilitation early, mobilize the ankle, and conduct movement therapy. This study seeks to address the need and deliver intensive passive and active movement training in acute stroke using a wearable ankle robotic device...
June 22, 2016: IEEE Transactions on Neural Systems and Rehabilitation Engineering
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