Le patient hémiplégique

Morand, Anne de

doi:10.1016/b978-2-294-71091-9.50001-8

Cited by 3 publications

(5 citation statements)

References 35 publications

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“…[2], rehabilitation programs are the most effective method for encouraging functional recovery in these patients. Traditional rehabilitation necessitates a lengthy commitment from a therapist or doctor [2]. Unfortunately, qualified therapists are in short supply.…”

Section: Introductionmentioning

confidence: 99%

Impedance learning adaptive super‐twisting control of a robotic exoskeleton for physical human‐robot interaction

Brahmi

Rahman

Saad

2023

IET Cyber-Syst and Robotics

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This study addresses two issues about the interaction of the upper limb rehabilitation robot with individuals who have disabilities. The first step is to estimate the human's target position (also known as TPH). The second step is to develop a robust adaptive impedance control mechanism. A novel Non‐singular Terminal Sliding Mode Control combined with an adaptive super‐twisting controller is being developed to achieve this goal. This combination's purpose is to provide high reliability, continuous performance tracking of the system's trajectories. The proposed adaptive control strategy reduces matched dynamic uncertainty while also lowering chattering, which is the sliding mode's most glaring issue. The proposed TPH is coupled with adaptive impedance control with the use of a Radial Basis Function Neural Network, which allows a robotic exoskeleton to simply track the desired impedance model. To validate the approach in real‐time, an exoskeleton robot was deployed in controlled experimental circumstances. A comparison study has been set up to show how the adaptive impedance approach proposed is better than other traditional controllers.

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Section: Introductionmentioning

confidence: 99%

Impedance learning adaptive super‐twisting control of a robotic exoskeleton for physical human‐robot interaction

Brahmi

Rahman

Saad

2023

IET Cyber-Syst and Robotics

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“…Stroke is a major public health problem because of its frequency and the resulting physical and cognitive disabilities [1]. More than 150,000 new cases are reported each year in France, including 40,000 deaths and 30,000 cases of severe disability [2,3]. Overall, the consequences of stroke lead to a decrease in the patient's physical capacities.…”

Section: Introductionmentioning

confidence: 99%

Effect of Individualized Coaching at Home on Quality of Life in Subacute Stroke Patients

Telfils,

Gelineau,

Daviet

et al. 2023

IJERPH

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Background: Stroke causes psychological disorders and cognitive impairments that affect activities of daily living and quality of life. Physical activity (PA) in stroke recovery is beneficial. The benefits of PA on quality of life after stroke are less documented. The aim of the study was to evaluate the effect of a home-based PA incentive program at home in post-stroke patients in the subacute phase on quality of life. Methods: This is a prospective, randomized, single-blind, and monocentric clinical trial. Eighty-three patients were randomly assigned to either an experimental group (EG; n = 42) or to a control group (CG; n = 41). The experimental group followed a home-based PA incentive program for 6 months. Three incentive methods were used: daily monitoring with an accelerometer, weekly telephone calls, and home visits every three weeks. Patients were evaluated before intervention (T0) and after intervention (T1) at 6 months. The control group was a non-intervention group receiving usual care. The outcome was the quality of life with the EuroQol EQ-5D-5L evaluated at baseline and 6 months post-intervention. Results: The mean age was 62.2 years ± 13.6 with a post-stroke time of 77.9 ± 45.1 days. The mean values of the utility index (EQ-5D-5L) in the control group and experimental group at T1 were 0.721 ± 0.207 and 0.808 ± 0.193, respectively (p = 0.02). Discussion: Our study shows a significant difference in the Global QOL index (EQ-5D-5L) between the two groups of subacute stroke patients after 6 months of the individualized coaching program, which combined home visits and weekly telephone calls.

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“…Cependant, d'autres facteurs tels que le sur-poids et l'obésité, favorisent également cette augmentation actuelle. Alors que la mortalité de cette pathologie diminue constamment en France, au Canada et en Suisse [4], le nombre de patients présentant des séquelles impactant l'autonomie, est en progression [5]. Suite à un AVC, la proportion de personnes très dépendantes physiquement est de 43.2% à un an [2] et cette pathologie est actuellement la cause la plus fréquente de handicap acquis à l'âge adulte [1].…”

Section: Introductionunclassified

“…Ce contexte évolutif induit une augmentation constante du nombre de patients présentant des séquelles motrices suite à un AVC dans les centres de rééducation et en cabinet libéral de physiothérapie. L'hémiparésie, qui est présente pour environ 51% des patients ayant eu un AVC [6], est définie comme « la perte plus ou moins complète de la motricité volontaire dans une moitié du corps » [5]. Elle est caractérisée par un tableau clinique très variable, hormis le fait qu'elle est habituellement controlatérale à la lésion cérébrale.…”

Section: Introductionunclassified

“…Les patients présentent une association à des degrés divers de troubles moteurs, sensitifs et cognitifs [2]. La fonction motrice est altérée par la spasticité, les syncinésies et les dystonies induisant des troubles de la coordination, des cocontractions et des mouvements involontaires perturbant la stratégie posturo-dynamique des patients [2,5]. En effet, des perturbations lors de l'équilibre assis [7], de l'équilibre debout [8], de l'initiation du pas [9] et de la marche [10] ont pu être associés à l'hémiparésie.…”

Section: Introductionunclassified

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Tests cliniques d’évaluation de l’équilibre assis et des tâches de transfert pour les patients présentant une hémiparésie secondaire à un accident vasculaire cérébral : revue de littérature

Bruyneel

2017

Kinésithérapie, la Revue

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Le patient hémiplégique

Cited by 3 publications

References 35 publications

Impedance learning adaptive super‐twisting control of a robotic exoskeleton for physical human‐robot interaction

Impedance learning adaptive super‐twisting control of a robotic exoskeleton for physical human‐robot interaction

Effect of Individualized Coaching at Home on Quality of Life in Subacute Stroke Patients

Tests cliniques d’évaluation de l’équilibre assis et des tâches de transfert pour les patients présentant une hémiparésie secondaire à un accident vasculaire cérébral : revue de littérature

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