Systematic review of the effect of robot-aided therapy on recovery of the hemiparetic arm after stroke

Roessingh Research and Development, PO Box 310, 7500 AH Enschede, the Netherlands.
The Journal of Rehabilitation Research and Development (Impact Factor: 1.43). 01/2006; 43(2):171-84. DOI: 10.1682/JRRD.2005.04.0076
Source: PubMed


A limited number of clinical studies have examined the effect of poststroke rehabilitation with robotic devices on hemiparetic arm function. We systematically reviewed the literature to assess the effect of robot-aided therapy on stroke patients' upper-limb motor control and functional abilities. Eight clinical trials were identified and reviewed. For four of these studies, we also pooled short-term mean changes in Fugl-Meyer scores before and after robot-aided therapy. We found that robot-aided therapy of the proximal upper limb improves short- and long-term motor control of the paretic shoulder and elbow in subacute and chronic patients; however, we found no consistent influence on functional abilities. In addition, robot-aided therapy appears to improve motor control more than conventional therapy.

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Available from: Maarten Ijzerman, Oct 06, 2015
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    • "In recent years, design methodologies for rehabilitation robots have matured and robotic systems for rehabilitation have become ubiquitous. Clinical trials on robotic rehabilitation provide evidence that robotic therapy is effective for motor recovery and possesses high potential for improving the functional independence of patients [1]–[3]. To increase the efficacy of robot assisted therapies, there is still a pressing need for evidence based therapy protocols and novel systematic approaches to safely deliver these therapies. "
    International Conference on Rehabilitation Robotics; 08/2015
    • "However, the exercises should be meaningful, personalised and goal-directed [3]. Robotic technology has the potential to provide people with stroke with the opportunity to independently perform intensive and repetitive exercises [4] [5]. One of the major advantages of technology-supported rehabilitation interventions such as those provided through robotics is that the technology enables users to perform exercises in their own homes thereby assisting them to have more active roles in their care. "
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    ABSTRACT: We drew on an interdisciplinary research design to examine stroke survivors' experiences of living with stroke and with technology in order to provide technology developers with insight into values, thoughts and feelings of the potential users of a to-be-designed robotic technology for home-based rehabilitation of the hand and wrist. Ten stroke survivors and their family carers were purposefully selected. On the first home visit, they were introduced to cultural probe. On the second visit, the content of the probe packs were used as prompt to conduct one-to-one interviews with them. The data generated was analysed using thematic analysis. A third home visit was conducted to evaluate the early prototype. User requirements were categorised into their network of relationships, their attitude towards technology, their skills, their goals and motivations. The user requirements were used to envision the requirements of the system including providing feedback on performance, motivational aspects and usability of the system. Participants' views on the system requirements were obtained during a participatory evaluation. This study showed that prior to the development of technology, it is important to engage with potential users to identify user requirements and subsequently envision system requirements based on users' views. Implications for Rehabilitation An understanding of how stroke survivors make sense of their experiences of living with stroke is needed to design home-based rehabilitation technologies. Linking stroke survivors' goals, motivations, behaviour, feelings and attitude to user requirements prior to technology development has a significant impact on improving the design.
    Disability and rehabilitation. Assistive technology 04/2015; DOI:10.3109/17483107.2015.1036469
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    • "Recent studies have shown that physical rehabilitation performed with robotic devices can enhance arm-movement recovery following stroke [16]. In these studies, it was found that robot-aided therapy of the proximal upper limb improves short-and long-term motor control of the paretic shoulder and elbow in sub-acute and chronic stroke patients; however, no consistent improvement on functional abilities in daily living was found after robot-assisted motor training [16] "
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    ABSTRACT: Several rehabilitation robots for upper limbs have been introduced so far, and their clinical effectiveness has been reported in many studies on recovery of motor abilities in the aged or poststroke patients. These studies, however, found little evidence of improving the functional abilities of patients. Moreover, it has been identified that the main problem of robot-assisted stroke rehabilitation is the lack of motivating and versatile robot-assisted exercises. In this article, we discuss the development of a novel upper limb rehabilitation robot integrated with video games. Our solution is operated via a novel human–computer interface, which stimulates shoulder, elbow movements, and fine finger movements. It is capable to train patients with partially recovered motor control ability. The interface enables therapists to select motivating and engaging motor training exercises represented as video games and specify rehabilitation exercises for patients using a grasping and upper limb interface. The paper presents concept of this novel interface, discusses the implementation issues and demonstrates technical and practical feasibility of our concept through a number of application examples.
    International Journal of Robotics and Automation 10/2014; 29(4):359-368. DOI:10.2316/Journal.206.2014.4.206-3984) · 0.41 Impact Factor
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