Impairment-Based 3-D Robotic Intervention Improves Upper Extremity Work Area in Chronic Stroke: Targeting Abnormal Joint Torque Coupling With Progressive Shoulder Abduction Loading.

IEEE Transactions on Robotics : a Publication of the IEEE Robotics and Automation Society
Michael D EllisJulius P A Dewald

Abstract

The implementation of a robotic system (ACT(3D)) that allowed for a quantitative measurement of abnormal joint torque coupling in chronic stroke survivors and, most importantly, a quantitative means of initiating and progressing an impairment-based intervention, is described. Individuals with chronic moderate to severe stroke (n = 8) participated in this single-group pretest-posttest design study. Subjects were trained over eight weeks by progressively increasing the level of shoulder abduction loading experienced by the participant during reaching repetitions as performance improved. Reaching work area was evaluated pre- and postintervention for ten different shoulder abduction loading levels along with isometric single-joint strength and a qualitative clinical assessment of impairment. There was a significant effect of session (pre versus post) with an increase in reaching work area, despite no change in single-joint strength. This data suggests that specifically targeting the abnormal joint torque coupling impairment through progressive shoulder abduction loading is an effective strategy for improving reaching work area following hemiparetic stroke. Application of robotics, namely, the ACT(3D), allowed for quantitative contr...Continue Reading

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Citations

Jan 21, 2015·Disability and Rehabilitation. Assistive Technology·Mahdieh BabaiaslMojtaba Yazdani
Jan 24, 2016·Journal of Neuroengineering and Rehabilitation·Elvira PirondiniSilvestro Micera
Nov 6, 2014·IEEE Transactions on Neural Systems and Rehabilitation Engineering : a Publication of the IEEE Engineering in Medicine and Biology Society·Nathaniel MakowskiPatrick Crago
Jan 15, 2013·IEEE Transactions on Neural Systems and Rehabilitation Engineering : a Publication of the IEEE Engineering in Medicine and Biology Society·Elizabeth B BrokawPeter S Lum
Jul 2, 2009·IEEE Transactions on Bio-medical Engineering·Laura C MillerJulius P A Dewald
Mar 7, 2014·Journal of Neuroengineering and Rehabilitation·Martina CosciaPaolo Bonato
May 1, 2016·Journal of Neuroengineering and Rehabilitation·David J ReinkensmeyerNicolas Schweighofer
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Nov 26, 2013·Neurorehabilitation and Neural Repair·Nathaniel S MakowskiPatrick E Crago
Feb 20, 2018·The Journal of Physiology·Jacob G McPhersonJulius P A Dewald
Mar 4, 2018·Journal of Neuroengineering and Rehabilitation·Ji Chen, Peter S Lum
Oct 28, 2015·Journal of Neuroengineering and Rehabilitation·Keith D RunnallsWinston D Byblow
May 1, 2018·Journal of Healthcare Engineering·E D OñaA Jardón
Feb 7, 2020·Journal of Neuroengineering and Rehabilitation·Fabian JustGeorg Rauter
Mar 25, 2020·Journal of Rehabilitation and Assistive Technologies Engineering·Azeemsha T PoyilFarshid Amirabdollahian

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