Effects of digital smart glove system on motor recovery of upper extremity in subacute stroke patients

Kim, Hyungtak; Lee, A.; Shin, Yong‐Il; Chang, Won Hyuk; Koo, Kyo-man; Seong, Hyun Yong; Kim, Y.H.

doi:10.1016/j.rehab.2018.05.061

Cited by 9 publications

(5 citation statements)

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“…Besides, the improvement of these parameters of participants in the VR rehabilitation program was incredibly greater than that of the control group. Kim et al [52] focused on the effect of the new rehabilitation system Rapael smart gloves [53] on the upper limb recovery of patients with subacute stroke. They recruited 41 subacute stroke patients with hemiplegia to receive 40 treatments over four weeks, five times a week for one hour a day.…”

Section: Effect Of Vr On the Functional Recovery Of Upper Limbs After...mentioning

confidence: 99%

Virtual Reality Neurorehabilitation

Lv¹,

Guo²

2022

International Journal of Mental Health Promotion

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The present work investigates the application of virtual reality (VR) technology to neurorehabilitation. By consulting a wealth of data, the advantages of VR in neurorehabilitation are introduced, followed by the application status of VR in the rehabilitation of stroke patients, Parkinson's patients, mental and psychological diseases. Besides, many research experiments on the application of VR technology in rehabilitation medicine at the present stage are investigated. The results indicate that compared with traditional balance training, the VR-based neurological rehabilitation training method can more effectively ease the tilt degree and strengthen the trunk control ability and balance function of patients with post-stroke tilt syndrome. When the effect of traditional rehabilitation training on the gait and balance of Parkinson's patients is not good enough, VR-based rehabilitation training can at least be used as an alternative therapy. Moreover, VR games have made great breakthroughs in promoting limb rehabilitation and brain injury rehabilitation, which is of incredible benefit to those with motor and activity disorders. It is also beneficial to the treatment and recovery of mental disorders of patients with nerve injury. Although VR still has limitations such as high cost and technical breakthrough bottleneck, it has great advantages in relieving pain, enhancing interest, and recovering patients' mental health in neurological rehabilitation training.

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Section: Effect Of Vr On the Functional Recovery Of Upper Limbs After...mentioning

confidence: 99%

Virtual Reality Neurorehabilitation

Lv¹,

Guo²

2022

International Journal of Mental Health Promotion

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“…Movement-related cortical activity, including both the area and magnitude of activations, can be quantified with fNIRS by placing multiple light-emitters and detectors on the scalp around the motor cortex. Previous studies have evaluated the effectiveness of robotic and/or sensorized gloves using fNIRS and observed increased cortical activation [ 18 , 19 ]. By spatial analysis of fNIRS previous studies have also identified the correlation between the variation of functional recovery of MT among subjects and the shift of cortical activation on the precuneus region [ 20 ], and analyzed the functional laterality according to the time after a stroke [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Increasing motor cortex activation during grasping via novel robotic mirror hand therapy: a pilot fNIRS study

Kim

Lee

Bulea

et al. 2022

J NeuroEngineering Rehabil

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Background Mirror therapy (MT) has been used for functional recovery of the affected hand by providing the mirrored image of the unaffected hand movement, which induces neural activation of the cortical hemisphere contralateral to the affected hand. Recently, many wearable robots assisting the movement of the hand have been developed, and several studies have proposed robotic mirror therapy (RMT) that uses a robot to provide mirrored movements of the unaffected hand to the affected hand with the robot controlled by measuring electromyography or posture of the unaffected hand. In some cases of RMT a mirror is placed to allow the person to observe only the unaffected hand but in others users simply observe the robotically assisted hand performing the mirrored movements, as was the case in this study. There have been limited evaluations of the cortical activity during RMT compared to MT and robotic therapy (RT) providing passive movements despite the difference in the modality of sensory feedback and the involvement of motor intention, respectively. Methods This paper analyzes bilateral motor cortex activation in nine healthy subjects and five chronic stroke survivors during a pinching task performed in MT, RT, and RMT conditions using functional near infrared spectroscopy (fNIRS). In the MT condition, the person moved the unaffected hand and observed it in a mirror while the affected hand remained still. In RT condition passive movements were provided to the affected hand with a cable-driven soft robotic glove, while, in RMT condition, the posture of the unaffected hand was measured by a sensing glove and the soft robotic glove mirrored its movement on the affected hand. Results For both groups, the RMT condition showed the greatest mean cortical activation on the motor cortex contralateral to the affected (non-dominant for the healthy group) hand compared to other conditions. Individual results indicate that RMT induces similar or greater neural activation on the motor cortex compared to MT and RT conditions. The interhemispheric activations of both groups were balanced in RMT condition. In MT condition, significantly greater activation was shown on the hemisphere ipsilateral to the affected (dominant for the healthy group) hand for both subject groups, while the contralateral side showed significantly greater activation for the healthy group in RT condition. Conclusion The experimental results indicate that combining visual feedback, somatosensory feedback, and motor intention are important for greater stimulation on the contralateral motor cortex of the affected hand. RMT that includes these factors is hypothesized to achieve a more effective functional rehabilitation due to greater and more balanced cortical activation.

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“…Authors in [46] suggest 180 minutes per week, while authors in [39] determine that 30 minutes per day over the course of 20 sessions is necessary for a positive sizable impact on the impaired hand. Furthermore, to achieve a successful rehabilitation program, patients should combine 30 minutes of SEG training with 30 minutes on occupational therapy per day [47].…”

Section: Seg Design Criteriamentioning

confidence: 99%

Design Criteria of Soft Exogloves for Hand Rehabilitation-Assistance Tasks

Dávila-Vilchis

Ávila-Vilchis

Vilchis-González

et al. 2020

Applied Bionics and Biomechanics

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This paper establishes design criteria for soft exogloves (SEG) to be used as rehabilitation or assistance devices. This research consists in identifying, selecting, and grouping SEG features based on the analysis of 91 systems that have been proposed during the last decade. Thus, function, mobility, and usability criteria are defined and explicitly discussed to highlight SEG design guidelines. Additionally, this study provides a detailed description of each system that was analysed including application, functional task, palm design, actuation type, assistance mode, degrees of freedom (DOF), target fingers, motions, material, weight, force, pressure (only for fluids), control strategy, and assessment. Such characteristics have been reported according to specific design methodologies and operating principles. Technological trends are contemplated in this contribution with emphasis on SEG design opportunity areas. In this review, suggestions, limitations, and implications are also discussed in order to enhance future SEG developments aimed at stroke survivors or people with hand disabilities.

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Effects of digital smart glove system on motor recovery of upper extremity in subacute stroke patients

Cited by 9 publications

References 0 publications

Virtual Reality Neurorehabilitation

Virtual Reality Neurorehabilitation

Increasing motor cortex activation during grasping via novel robotic mirror hand therapy: a pilot fNIRS study

Design Criteria of Soft Exogloves for Hand Rehabilitation-Assistance Tasks

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