Functional impacts of exoskeleton-based rehabilitation in chronic stroke: multi-joint versus single-joint robotic training

Journal of Neuroengineering and Rehabilitation
Giuliana Grimaldi, Mario Manto

Abstract

Stroke is a major cause of disability in the world. The activities of upper limb segments are often compromised following a stroke, impairing most daily tasks. Robotic training is now considered amongst the rehabilitation methods applied to promote functional recovery. However, the implementation of robotic devices remains a major challenge for the bioengineering and clinical community. Latest exoskeletons with multiple degrees of freedom (DOF) may become particularly attractive, because of their low apparent inertia, the multiple actuators generating large torques, and the fact that patients can move the arm in the normal wide workspace. A recent study published in JNER by Milot and colleagues underlines that training with a 6-DOF exoskeleton impacts positively on motor function in patients being in stable phase of recovery after a stroke. Also, multi-joint robotic training was not found to be superior to single-joint robotic training. Although it is often considered that rehabilitation should start from simple movements to complex functional movements as the recovery evolves, this study challenges this widespread notion whose scientific basis has remained uncertain.

References

Apr 10, 2004·Stroke; a Journal of Cerebral Circulation·Silvia M A A EversGeertrudis A M van den Bos
Dec 25, 2007·Brain : a Journal of Neurology·Craig D TakahashiSteven C Cramer
Jan 5, 2008·Topics in Stroke Rehabilitation·Bambi R BrewerLise C Worthen-Chaudhari
Dec 19, 2009·Journal of Neuroengineering and Rehabilitation·Patricia StaubliRobert Riener
Jan 30, 2010·Journal of Rehabilitation Medicine·Beverley FrenchCaroline Watkins
Sep 21, 2010·Current Opinion in Neurology·Sivakumar BalasubramanianEtienne Burdet
Jul 10, 2012·Journal of Rehabilitation Research and Development·Nahid Norouzi-GheidariJoyce Fung
Oct 25, 2012·American Journal of Physical Medicine & Rehabilitation·Nicolas SchweighoferJames Gordon
Jul 12, 2013·JAMA : the Journal of the American Medical Association·Christopher J L MurrayUNKNOWN U.S. Burden of Disease Collaborators
Nov 16, 2013·Journal of Neurologic Physical Therapy : JNPT·Paul CordoElliot Roth

❮ Previous
Next ❯

Citations

Mar 27, 2018·Disability and Rehabilitation. Assistive Technology·Silvia L Chaparro-CárdenasAntonio Hernández-Zavala
May 16, 2017·IEEE Transactions on Neural Systems and Rehabilitation Engineering : a Publication of the IEEE Engineering in Medicine and Biology Society·Kai GuiDingguo Zhang
Mar 10, 2021·Computer Methods in Biomechanics and Biomedical Engineering·Umesh K, Vidhyapriya R

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Conference Proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Diana R Bueno, L Montano
IEEE Transactions on Neural Systems and Rehabilitation Engineering : a Publication of the IEEE Engineering in Medicine and Biology Society
Nathanael JarrasséGuillaume Morel
Conference Proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Zhi LiJacob Rosen
Conference Proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society
He Huang, He Jiping
© 2021 Meta ULC. All rights reserved