Combining Upper Limb Robotic Rehabilitation with Other Therapeutic Approaches after Stroke: Current Status, Rationale, and Challenges

Mazzoleni, Stefano; Duret, Christophe; Grosmaire, Anne Gaelle; Battini, Elena

doi:10.1155/2017/8905637

Cited by 52 publications

(43 citation statements)

References 141 publications

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“…VR is an interactive and individualized treatment modality, which can provide sensorimotor training in enriched environments, so as to maximize patients engagement [17]. Several systematic reviews have shown the superiority of VR training with respect to usual care in improving motor function and ADL independence, mainly when VR is exploited to increase the time spent in therapy [14].…”

Section: Virtual Realitymentioning

confidence: 99%

Upper-Limb Exoskeletons for Stroke Rehabilitation

et al. 2019

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Upper-limb exoskeletons provide high-intensity, repetitive, task-specific, interactive and individualized training, making effective use of neuroplasticity for functional recovery in neurological patients. Most exoskeletons have robot axes aligned with the anatomical axes of the subject and provide direct control of individual joints. Recently, novel mechanical structures and actuation mechanisms have been proposed, but still result in bulky and heavy exoskeletons, limiting their applicability into clinical practice. Technological efforts are needed to promote light and wearable exoskeletons that implement active-assistive controllers, providing "assisted-as-needed" rehabilitation therapy, towards patient's motivation and self-esteem. An overview of upper-limb exoskeletons, including mechanical design and control algorithms, will be provided. Special focus will be put on the current evidence about the efficacy of wearable robotic technologies on motor recovery and about other therapies that can be combined with exoskeletons to improve their therapeutic effects.

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Section: Virtual Realitymentioning

confidence: 99%

Upper-Limb Exoskeletons for Stroke Rehabilitation

et al. 2019

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“…After treatment sessions, both hemorrhagic and ischemic stroke subjects showed significant improvements in lower limb and gait function [21]. Robot-aided therapy in the active-assisted mode offer highly repetitive, reproducible, interactive forms of training for the paretic upper limb, allowing easy and objective assessment of motor performance of the patient by recording biomechanical data [22]. Robotic devices significantly improve motor function in patients with long-term upper-limb deficits after stroke.…”

Section: Assistive Device or Modality In Patients With Hemorrhagic Stmentioning

confidence: 99%

Importance of specific rehabilitation methods for patients with intracerebral hemorrage

Stănescu¹,

Cluj-Napoca²,

Dogaru³

et al. 2018

Balneo

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Intracerebral hemorrhage (ICH) is a severe type of stroke which causes bleeding in the brain parenchyma, accounting for 10-15% of all strokes. Prognosis of patients with ICH remains very poor despite new advances in management strategies, and has not improved in the last decades. Disability remains important in ICH survivors, only a small proportion of patients live an independent life after ICH. Development of new strategies in rehabilitation care is expected to improve survival and outcome after intracerebral hemorrhage. The main neurological sequellae after ICH are similar to those seen after ischemic stroke. Given the clinical and pathological differences between the two types of stroke, clinical recovery is expected to be different. Comparisons between rehabilitation results in hemorrhagic versus ischemic stroke have offered mixed results, but all of them agreed that rehabilitation is highly effective after hemorrhagic strokes. There are no standard recommendations regarding the specific procedures used in the rehabilitation program of ICH patients. In the absence of clinical data to guide specific practice, the rehabilitation of ICH patients is largely based on general principles learned from ischemic stroke recovery. Physical therapy, task-specific training, sensory stimulation, use of assistive devices for upper limb or gait functions, speech and language therapy, physiotherapy and balnear therapy are methods used in rehabilitation of patients with hemorrhagic stroke, with improvement in patients functional outcome. There is a need for further development of specific rehabilitation techniques to enhance recovery in ICH patients.

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“…For these patients, exercise therapy can improve not only the impairment but also the patients' daily activities and quality of life 1,2) . Recent studies have reported the effectiveness of robotic rehabilitation of paralyzed upper limbs in patients with stroke [3][4][5][6][7] . For example, Saita et al demonstrated that the Single-Joint Hybrid Assistive Limb (HAL-SJ; HAL-FS01, CYBERDYNE, Inc., Tsukuba, Japan) improved upper limb impairment in stroke patients 7) .…”

Section: Introductionmentioning

confidence: 99%

Robotic rehabilitation of the paralyzed upper limb for a stroke patient using the single-joint hybrid assistive limb: a case study assessed by accelerometer on the wrist

et al. 2020

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Recent studies have reported the effectiveness of robotic rehabilitation of paralyzed upper limbs in stroke patients. For example, the Single-Joint Hybrid Assistive Limb has been shown to improve upper limb impairments. However, limited data are available on the effectiveness of robotic rehabilitation of the upper limb with regards to daily living. In this case study, an accelerometer was adopted to examine whether rehabilitation using the Single-Joint Hybrid Assistive Limb improved upper limb activity during daily living in a stroke patient. [Participant and Methods] The participant was a 69-year-old male diagnosed with stroke and left hemiparesis. The Single-Joint Hybrid Assistive Limb was applied to the participant's elbow on the paralyzed side. The participant wore an accelerometer on each wrist to measure the activities of the upper limbs. Clinical tests of the paralyzed upper limb were also performed. [Results] The activity of the paralytic limb was significantly higher after Single-Joint Hybrid Assistive Limb intervention than before the intervention. On the other hand, none of the results of the clinical tests changed beyond a clinically important difference. [Conclusion] The Single-Joint Hybrid Assistive Limb could be useful for promoting active use of a paralyzed upper limb in daily living. In addition, an accelerometer could be especially useful for evaluating the effects of robotic rehabilitation.

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Combining Upper Limb Robotic Rehabilitation with Other Therapeutic Approaches after Stroke: Current Status, Rationale, and Challenges

Cited by 52 publications

References 141 publications

Upper-Limb Exoskeletons for Stroke Rehabilitation

Upper-Limb Exoskeletons for Stroke Rehabilitation

Importance of specific rehabilitation methods for patients with intracerebral hemorrage

Robotic rehabilitation of the paralyzed upper limb for a stroke patient using the single-joint hybrid assistive limb: a case study assessed by accelerometer on the wrist

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