How to gain evidence in neurorehabilitation: a personal view

Luft, Andreas R.

doi:10.1515/bmt-2011-0135

Cited by 4 publications

(6 citation statements)

References 60 publications

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“…We propose to compare robotic training with MHRI against robotic training without MHRI [21]. In addition, specific objective and subjective assessment tools must be addressed in order to build a novel rehabilitation strategy [22][23][24][25].…”

Section: Discussionmentioning

confidence: 99%

Can robotic-based top-down rehabilitation therapies improve motor control in children with cerebral palsy? A perspective on the CPWalker project

Lara¹,

Caballero²,

Bayón³

et al. 2016

Biomed Res Clin Prac

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Cerebral Palsy (CP) is one of the most severe disabilities in childhood, and it demands important costs in health, education, and social services. CP is caused by damage to or abnormalities inside the developing brain that disrupt the brain's ability to control movement and maintain posture. Furthermore, CP is often associated with sensory deficits, cognition impairments, communication and motor disabilities, behavior issues, seizure disorder, pain, and secondary musculoskeletal problems. According to the literature, motor modules are peripheral measurements related to automatic motor control. There is a lack of evidence of change in motor modules in children with CP when different treatment approaches have been evaluated. Thus, new strategies are needed to improve motor control in this population.Robotic-based therapies are emerging as an effective intervention for gait rehabilitation in motor disorders such as stroke, spinal cord injury, and CP. There is vast clinical evidence that neural plasticity is the central core of motor recovery and development, and on-going studies suggest that robot-mediated intensive therapy could be beneficial for improved functional recovery. However, current robotic strategies are focused on the peripheral neural system (PNS) facilitating the performance of repetitive movements (a bottom-up approach). Since CP affects primarily brain structures, both the PNS and the central nervous system (CNS) should to be integrated in a physical and cognitive rehabilitation therapy (a top-down approach). This paper discusses perspectives of the top-down approach based on a novel robot-assisted rehabilitative system. Accordingly, the CPWalker robotic platform was developed to support novel therapies for CP rehabilitation. This robotic platform (Smart Walker + exoskeleton) is controlled by a multimodal interface enabling the interaction of CP infants with robot-based therapies. The aim of these therapies is to improve the physical skills of infants with CP using a top-down approach, in which motor related brain activity is used to drive robotic physical rehabilitation therapies. Our hypothesis is that the CPWalker concept will promote motor learning and this improvement will lead to significant improvements in automatic motor control.

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Section: Discussionmentioning

confidence: 99%

Can robotic-based top-down rehabilitation therapies improve motor control in children with cerebral palsy? A perspective on the CPWalker project

Lara¹,

Caballero²,

Bayón³

et al. 2016

Biomed Res Clin Prac

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“…Aufgrund der großen Spannbreite an Be einträchtigungen und Ausprägungen existiert eine Vielzahl an Behandlungsoptionen [3]. Ein Großteil dieser Behand lungsmethoden hat einen wissenschaftlich belegten positiven Effekt; sie reduzieren den Schweregrad der Be einträchtigungen, aber die Effekte sind häufig klein und unterscheiden sich kaum zwischen den verschiedenen Therapieansätzen [4]. Der Behandlungserfolg und die Ver besserung des Gesundheitszustands variieren außerdem stark zwischen Patienten, und klinische Studien zeigen häufig nur bei einem Teil der Patienten alltagsrelevante Verbesserungen und einen Gewinn an Lebensqualität.…”

Section: Was Ist Präzisionsrehabilitation?unclassified

“…Der Behandlungserfolg und die Ver besserung des Gesundheitszustands variieren außerdem stark zwischen Patienten, und klinische Studien zeigen häufig nur bei einem Teil der Patienten alltagsrelevante Verbesserungen und einen Gewinn an Lebensqualität. Dies liegt daran, dass eine komplexe Interaktion verschiedener Faktoren existiert, die alle einen Einfluss auf die Wirksam keit der Behandlung haben [4].…”

Section: Was Ist Präzisionsrehabilitation?unclassified

Präzisionsrehabilitation im Neuroreha-Alltag

Bannwart

2023

neuroreha

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“…B. täglicher Behandlung durch einen Physiotherapeuten nicht flächendeckend finanzierbar [80]. Eigentraining des Patienten scheitert oftmals an einer mangelnden Motivation [81]. Welche Konzepte könnten Patienten durch Verbesserung der Motivation zu mehr Eigentraining anregen und gleichzeitig eine Dokumentation der Übungen und funktionellen Verbesserungen ermöglichen?…”

Section: Zukünftige Therapie Im Ambulanten Rahmenunclassified

Neurorehabilitation nach Schlaganfall: Überblick über die gegenwärtigen Konzepte und Ausblick in die Zukunft

Liepert

2013

Klin Neurophysiol

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How to gain evidence in neurorehabilitation: a personal view

Cited by 4 publications

References 60 publications

Can robotic-based top-down rehabilitation therapies improve motor control in children with cerebral palsy? A perspective on the CPWalker project

Can robotic-based top-down rehabilitation therapies improve motor control in children with cerebral palsy? A perspective on the CPWalker project

Präzisionsrehabilitation im Neuroreha-Alltag

Neurorehabilitation nach Schlaganfall: Überblick über die gegenwärtigen Konzepte und Ausblick in die Zukunft

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