Effects of Intensity of Rehabilitation After Stroke

Kwakkel, Gert; Wagenaar, Robert; Koelman, Tim W.; Lankhorst, Gustaaf J.; Koetsier, J.C.

doi:10.1161/01.str.28.8.1550

Cited by 526 publications

(318 citation statements)

References 30 publications

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“…The MIT-MANUS results showed that subacute patients who received robotic therapy in addition to their regular therapy improved more than patients who did not receive this added robot therapy. However, several meta-analyses have concluded that greater intensity of conventional therapy is also effective, resulting in decreased levels of impairment, disability, 17,18 and reduced mortality. 19 For robotic manipulation to gain clinical acceptance, it must first be shown that it offers advantages to conventional therapy or at least is no less effective than conventional therapy.…”

mentioning

confidence: 99%

Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after stroke

Lum

Burgar

Shor

et al. 2002

Archives of Physical Medicine and Rehabilitation

1,011

521

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mentioning

confidence: 99%

Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after stroke

Lum

Burgar

Shor

et al. 2002

Archives of Physical Medicine and Rehabilitation

1,011

521

View full text Add to dashboard Cite

“…In general, studies in humans have demonstrated that greater intensity of rehabilitation leads to better outcomes [95][96][97][98].…”

Section: Better Treatment Planmentioning

confidence: 99%

“…Practically, the large volume of literature supporting the effectiveness of increased intensity and duration of rehabilitation [89,[95][96][97] serves to highlight the importance of seeking potential alternatives to the traditional one-onone approach taken in stroke rehabilitation. Robots can deliver treatment with a therapy aide or technician supervising the operation of the device, thus allowing for a potential increase in the total dose of treatment received and optimizing use of the therapist's time.…”

Section: Rationale For Using Robots For Treatmentmentioning

confidence: 99%

Potential of robots as next-generation technology for clinical assessment of neurological disorders and upper-limb therapy

Scott¹,

Dukelow²

2011

JRRD

167

118

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Abstract-Robotic technologies have profoundly affected the identification of fundamental properties of brain function. This success is attributable to robots being able to control the position of or forces applied to limbs, and their inherent ability to easily, objectively, and reliably quantify sensorimotor behavior. Our general hypothesis is that these same attributes make robotic technologies ideal for clinically assessing sensory, motor, and cognitive impairments in stroke and other neurological disorders. Further, they provide opportunities for novel therapeutic strategies. The present opinionated review describes how robotic technologies combined with virtual/augmented reality systems can support a broad range of behavioral tasks to objectively quantify brain function. This information could potentially be used to provide more accurate diagnostic and prognostic information than is available from current clinical assessment techniques. The review also highlights the potential benefits of robots to provide upper-limb therapy. Although the capital cost of these technologies is substantial, it pales in comparison with the potential cost reductions to the overall healthcare system that improved assessment and therapeutic interventions offer.

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“…Several studies prove that arm therapy has positive effects on the rehabilitation progress of stroke patients [1][2][3][4][5][6][7]. So, the interested in using the robotic device to help rehabilitation therapy is increasing.…”

Section: Introductionmentioning

confidence: 99%

“…And because the population of the stroke patient is increasing and the number of therapists is insufficient, affecting the quality of rehabilitation and daily care. Basic neurological research suggests that the intensive and task-specific movement training can improve muscle strength and motor recovery in stroke patient [1,2]. The conventional rehabilitation by the therapist has several limitations such as personnel shortage and fatigue of therapists.…”

Section: Introductionmentioning

confidence: 99%

A Novel Design and Implementation of a 4-DOF Upper Limb Exoskeleton for Stroke Rehabilitation with Active Assistive Control Strategy

Sutapun¹,

Sangveraphunsiri²

2017

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Abstract. We developed a robot, CUREs (Chulalongkorn University Rehabilitation Robotic Exoskeleton system), for upper extremity rehabilitation. The active assistive control strategy based on the impedance force control is developed and implemented to obtain assistive-resistive paths tracking for rehabilitation activities. The desired trajectory or rehabilitated training pattern for each specific patient need to be assigned first by a medical doctor and a physical therapy. The therapist can program the desired trajectory by guiding the patient arm based on the assigned path pattern and the set of via points will be stored and used for generating the desired trajectory. The desired trajectory will be stored specific for the patient and can be called back anytime. During the rehabilitation, the robot can assist and resist the patient's arm to follow the desired trajectory. If the patient has difficulty moving his arm to track the desired path, the robot will help by adding more torque to help the patient to move his arm to reduce the error between the desired path and the actual posture. And if the patient himself can move his arm tracking the desired path, the robot will not apply any more force to assist or resist. The necessary state variables such as angular position and torque can be recorded during the training. The main purpose of the experiment, follow the medical ethic, is to assure that there is no side effect for using this rehabilitation robot. Five subacute stroke patients participated in this pilot study. All patients have severe upper extremity weakness. The medical doctor will assign the training pattern based on patient condition. The result showed that the Fugl-Meyer Assessment Upper Extremity Scale was improved after 10 days of training in all participants without any sign of side effect.

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Effects of Intensity of Rehabilitation After Stroke

Cited by 526 publications

References 30 publications

Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after stroke

Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after stroke

Potential of robots as next-generation technology for clinical assessment of neurological disorders and upper-limb therapy

A Novel Design and Implementation of a 4-DOF Upper Limb Exoskeleton for Stroke Rehabilitation with Active Assistive Control Strategy

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