Electromechanical and robot-assisted arm training for improving activities of daily living, arm function, and arm muscle strength after stroke

Mehrholz, Jan; Pohl, Marcus; Platz, Thomas; Kügler, Joachim; Elsner, Bernhard

doi:10.1002/14651858.cd006876.pub4

Cited by 385 publications

(166 citation statements)

References 88 publications

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“…Однако уровень доказательности в сравнении с другими реабилитационными мероприятиями оказался низким. Авторы пришли к выводу, что преимущества изолированной роботизированной терапии не могут быть клинически значимыми [43].…”

Section: мировой опыт применения роботизированных комплексовunclassified

“…Устройство HandSOME (Hand Spring Operated Movement Enhancer, США), обеспечивающее захват кистью как мелких, так и крупных предметов, доказало свою ýффективность в качестве реабилитационного метода после инсульта, а также ортопедического комплекса у пациентов с полной утратой функций верхней конечности (рис. 1) [43].…”

Section: мировой опыт применения роботизированных комплексовunclassified

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Principles and global experience of applying robotic rehabilitation technologies in patients after stroke

et al. 2019

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This literature review is devoted to the study of recent advances in the field of neurorehabilitation using robotic technologies. Objective: to study best practices of applying robotic rehabilitation technologies in stroke patients, its clinical efficacy and influence on the molecular mechanisms of neuroplasticity. Keywords were searched in the Web of Science, Core Collection, Scopus and PubMed databases.Results.Robotic neurorehabilitation occupies a certain place in the comprehensive rehabilitation of patients with motor deficiency after stroke. An interdisciplinary patient-oriented approach and consistency at all stages of medical rehabilitation are especially important when using rehabilitation methods that implement advances in robotics and information technologies in patients after stroke. Rehabilitation with the use of high-tech computerized rehabilitation systems operating in the biofeedback mode is one of the promising areas and requires further neurophysiological and laboratory studies to create scientifically based methodological approaches. It will have great social significance and tangible economic effects from improving the quality of neurorehabilitation and reducing its duration.

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Section: мировой опыт применения роботизированных комплексовunclassified

Principles and global experience of applying robotic rehabilitation technologies in patients after stroke

et al. 2019

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“…Two recent meta-analyses looking at upper limb training found that robotic interventions have a small, but positive effect on motor control and muscle strength post-stroke (Mehrholz, Pohl, Platz, Kugler, & Elsner, 2015;Veerbeek, Langbroek-Amersfoort, van Wegen, Meskers, & Kwakkel, 2017). The impact of these interventions on activities of daily living remains unclear, with authors reporting conflicting conclusions.…”

Section: Considerations On Efficacymentioning

confidence: 99%

The use of robots in stroke rehabilitation: A narrative review

Weber

Stein

2018

NRE

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“…Robot-mediated therapy after upper limb impairment, because of neurological or orthopedic diseases, is emerging in the rehabilitation field. A recent Cochrane review highlighted a potential benefit of the electromechanical and robot-assisted upper limb training in stroke patients [2]. In addition, robotic therapy can increase the efficiency of therapy, and therefore the accessibility to treatment [3].…”

Section: Introductionmentioning

confidence: 99%

Improving the Efficiency of Robot-Mediated Rehabilitation by Using a New Organizational Model: An Observational Feasibility Study in an Italian Rehabilitation Center

et al. 2019

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Featured Application: By using new organizational models, robotic rehabilitation can be sustainable; therefore, it is possible to provide high technological upper limb treatment to a high number of patients.Abstract: Robotic rehabilitation is a promising way to restore upper limb function, but new organizational models are crucial in order to improve its sustainability. We aimed to analyze the feasibility of a robot-Assisted REhabilitation Area (robotAREA) equipped with four devices, using a new organizational model in which one physiotherapist supervises up to four patients. In 33 days, 60 patients were treated in the robotAREA. Two hundred fifty-five rehabilitation sessions were analyzed, each including two, three, or four patients supervised by one physiotherapist (the R2, R3, and R4 group, respectively). For each session, the duration of (a) setup, (b) training, (c) supervision, (d) session closure, and participant satisfaction were measured. For each patient, upper limb impairment, disability, mobility, and comorbidity were recorded. The time of training in the R4 group was lower by only 2 and 3 min compared to the R2 and R3 groups, respectively, while the supervision significantly changed between the R2, R3, and R4 groups. No differences were observed in satisfaction. Moreover, according to the logistic regression analysis, when the mean disability of the group is moderate, four patients can be supervised by one physiotherapist. These results suggest that the proposed model is feasible, and the mean disability of the group could influence the proper physiotherapist/patient ratio.

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Electromechanical and robot-assisted arm training for improving activities of daily living, arm function, and arm muscle strength after stroke

Cited by 385 publications

References 88 publications

Principles and global experience of applying robotic rehabilitation technologies in patients after stroke

Principles and global experience of applying robotic rehabilitation technologies in patients after stroke

The use of robots in stroke rehabilitation: A narrative review

Improving the Efficiency of Robot-Mediated Rehabilitation by Using a New Organizational Model: An Observational Feasibility Study in an Italian Rehabilitation Center

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