Robot-assisted arm training for treating adult patients with distal radius fracture: a proof-of-concept pilot study

Picelli, Alessandro; Munari, Daniele; Modenese, Angela; Filippetti, Mirko; Saggioro, Gabriele; Gandolfi, Marialuisa; Corain, Massimo; Smania, Nicola

doi:10.23736/s1973-9087.20.06112-2

Cited by 13 publications

(13 citation statements)

References 22 publications

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“…Most of the studies were done in Italy (n = 19, 34.55%) [ 26 – 28 , 31 , 33 , 36 , 37 , 43 , 46 – 49 , 57 , 62 , 63 , 68 , 76 , 79 ]. After Italy, 14.24% and 8.9% of the studies were conducted in the USA (n = 8) [ 29 , 42 , 50 , 51 , 56 , 60 , 61 , 72 ] and China (n = 5) [ 32 , 54 , 59 , 65 , 73 ], respectively.…”

Section: Resultsmentioning

confidence: 99%

“…(More details in Table 1 ). Also, most of the studies were RCT (n = 26) [ 28 – 31 , 35 , 36 , 40 – 42 , 47 , 48 , 50 , 53 – 55 , 63 , 66 , 68 , 70 , 72 , 73 , 75 , 76 , 78 – 80 ].…”

Section: Resultsmentioning

confidence: 99%

“…As shown in Fig. 2 , most articles on robots for upper limb rehabilitation were published in 2017 (n = 9) [ 33 – 35 , 60 , 61 , 67 , 72 , 79 , 80 ], 2020 (n = 7) [ 46 – 50 , 63 , 64 , 69 ], and 2021 (n = 7) [ 51 – 55 , 65 , 73 ]. (More details in Table 1 )…”

Section: Resultsmentioning

confidence: 99%

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Overview of the role of robots in upper limb disabilities rehabilitation: a scoping review

Moulaei,

Bahaadinbeigy,

Haghdoostd

et al. 2023

Arch Public Health

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Background Neuromotor rehabilitation and improvement of upper limb functions are necessary to improve the life quality of patients who have experienced injuries or have pathological outcomes. Modern approaches, such as robotic-assisted rehabilitation can help to improve rehabilitation processes and thus improve upper limb functions. Therefore, the aim of this study was to investigate the role of robots in upper limb disability improvement and rehabilitation. Methods This scoping review was conducted by search in PubMed, Web of Science, Scopus, and IEEE (January 2012– February 2022). Articles related to upper limb rehabilitation robots were selected. The methodological quality of all the included studies will be appraised using the Mixed Methods Appraisal Tool (MMAT). We used an 18-field data extraction form to extract data from articles and extracted the information such as study year, country, type of study, purpose, illness or accident leading to disability, level of disability, assistive technologies, number of participants in the study, sex, age, rehabilitated part of the upper limb using a robot, duration and frequency of treatment, methods of performing rehabilitation exercises, type of evaluation, number of participants in the evaluation process, duration of intervention, study outcomes, and study conclusions. The selection of articles and data extraction was made by three authors based on inclusion and exclusion criteria. Disagreements were resolved through consultation with the fifth author. Inclusion criteria were articles involving upper limb rehabilitation robots, articles about upper limb disability caused by any illness or injury, and articles published in English. Also, articles involving other than upper limb rehabilitation robots, robots related to rehabilitation of diseases other than upper limb, systematic reviews, reviews, and meta-analyses, books, book chapters, letters to the editor, and conference papers were also excluded. Descriptive statistics methods (frequency and percentage) were used to analyses the data. Results We finally included 55 relevant articles. Most of the studies were done in Italy (33.82%). Most robots were used to rehabilitate stroke patients (80%). About 60.52% of the studies used games and virtual reality rehabilitate the upper limb disabilities using robots. Among the 14 types of applied evaluation methods, “evaluation and measurement of upper limb function and dexterity” was the most applied evaluation method. “Improvement in musculoskeletal functions”, “no adverse effect on patients”, and “Safe and reliable treatment” were the most cited outcomes, respectively. Conclusions Our findings show that robots can improve musculoskeletal functions (musculoskeletal strength, sensation, perception, vibration, muscle coordination, less spasticity, flexibility, and range of motion) and empower people by providing a variety of rehabilitation capabilities.

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Section: Resultsmentioning

confidence: 99%

“…(More details in Table 1 ). Also, most of the studies were RCT (n = 26) [ 28 – 31 , 35 , 36 , 40 – 42 , 47 , 48 , 50 , 53 – 55 , 63 , 66 , 68 , 70 , 72 , 73 , 75 , 76 , 78 – 80 ].…”

Section: Resultsmentioning

confidence: 99%

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Overview of the role of robots in upper limb disabilities rehabilitation: a scoping review

Moulaei,

Bahaadinbeigy,

Haghdoostd

et al. 2023

Arch Public Health

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“…For example, minimally invasive pedicular screw grafting has been widely used to treat vertebral fracture [4,5]. Robot-assisted techniques have also been effectively used in the field of trauma orthopaedics for the post-operative rehabilitation of femoral neck fracture, pelvic fracture, and distal radius fracture [6][7][8]. Moreover, the use of robot-assisted technology in scaphoid fracture and nonunion has achieved good clinical results [3,9].…”

Section: Introductionmentioning

confidence: 99%

Robot-assisted vs traditional percutaneous freehand for the scaphoid fracture treatment: a retrospective study

Xiao

Wei

Zhu

et al. 2022

International Orthopaedics (SICOT)

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Purpose The purpose of this study was to assess the efficiency, safety, and accuracy of cannulated screw fixation using a robot-assisted method compared with a traditional percutaneous freehand method. Methods This retrospective clinical study included 18 patients with scaphoid fracture who underwent cannulated screw fixation by robot-assisted technique or traditional percutaneous freehand technique from June 2018 to June 2020. All patients were divided into the robot-assisted group (9 patients) or the traditional surgery group (9 patients). The operation time, blood loss, number of intra-operative fluoroscopies, fracture healing time, Mayo wrist function score, and screw implantation accuracy were recorded in the two groups. Results The average age of the robot-assisted group was 37.9 ± 10.6 years (with a range of 30 to 52 years), there were eight males and one female, and there were six cases of scaphoid fracture on the right side and three on the left side. The average pre-operative time was 2.8 ± 0.7 days (ranging from 1 to 3 days). The average age of the traditional surgery group was 31.6 ± 6.8 years (with a range of 20 to 45 years), there were eight males and one female, and there were five cases of scaphoid fracture on the right side and four on the left side. The average pre-operative time was 2.1 ± 0.8 days (with a range of 2 to 4 days). The number of intra-operative fluoroscopies was 24.4 ± 3.5 in the traditional surgery group, whereas it was only 10.1 ± 1.9 in the robot-assisted group, which was significantly lower (P < 0.05). The average operation time of the traditional operation group was 48.4 ± 12.2 min, and that of the robot-assisted group was 32.6 ± 4.2 minutes, which was significantly shorter (P < 0.05). The angles between the actual screw position and the central axis of the scaphoid on both the coronal and sagittal post-operative CT images were 8.3° ± 2.3° and 8.8° ± 1.6° for the traditional operation group and 3.8° ± 0.8° and 4.3° ± 1.2° for the robot-assisted group, so the accuracy of the robot-assisted group was significantly higher (P < 0.05). There were no significant differences between the two groups in wrist function recovery or fracture healing time. Conclusion Robot-assisted treatment of scaphoid fracture is more accurate than traditional freehand technology, with shorter operation time and fewer intra-operative fluoroscopies. There is no difference between the two surgical techniques in intra-operative bleeding, post-operative fracture healing, or functional recovery. Robot-assisted surgery is a safe, effective, and accurate method for treating scaphoid fracture.

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“…A meta-analysis by Chen et al [20] showed that robot-assisted training provided better outcomes for motor impairment disability compared to therapist-assisted training and no inferior outcomes for upper limb capacity, activity of daily living and social participation after stroke. Other studies using robotic-assisted devices for the rehabilitation of humerus [26,27] or radius fractures [27] have shown promising results. So as to reinforce the benefits of a robotic-assisted program for the upper limb [28], electromyography (EMG) activity biofeedback has been combined to help the patient to reach a target through visual feedback and to adjust the level of assistance [29].…”

Section: Introductionmentioning

confidence: 99%

Shoulder Musculoskeletal Disorder Rehabilitation Using a Robotic Device Based on Emg Biofeedback: A Retrospective Cohort Study

Lavallière¹,

Tremblay²,

Ojardias³

et al. 2022

Preprint

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While shoulder injuries represent the musculoskeletal disorders (MSDs) most encountered in physical therapy, there is no consensus on their management. As attempts to provide standardized and personalized treatment, a robot-ic-assisted device combined with EMG biofeedback specifically dedicated to shoulder MSDs has been developed. The aim of this study was to determine the efficacy of an 8-week rehabilitation program (≈3 sessions a week) using a ro-botic-assisted device combined with EMG biofeedback (RA-EMG group) in comparison with a conventional program (CONV group) in patients presenting with shoulder MSDs. This study is a retrospective cohort study including data from 2010 to 2013 on patients initially involved in a physical rehabilitation program in a private clinic of Chicoutimi (Canada) for shoulder MSDs. Shoul-der flexion strength and range of motion were collected before and after the rehabilitation program. Forty-four patients participated in a conventional pro-gram using dumbbell (CONV group) while 72 of them completed a program on robot-assisted device with EMG and visual biofeedback (RA-EMG group), whereby both programs consisted in 2 sets of 20 repetitions at 60% of maximal capacity. Results showed that the RA-EMG had significantly greater benefits than the Conv group for shoulder flexion strength (+103.1% vs 67%, p = 0.016) and range of motion (+14.4% vs 6.1%, p = 0.046). The current retrospective co-hort study showed that a specific and tailored rehabilitation program with constant effort by automatic adjustment of the level of resistance was able to potentiate strength and range of motion shoulder flexion after an 8-week reha-bilitation period in comparison with a conventional approach in patients with shoulder MSDs. This study provides new insight on shoulder MSD rehabilita-tion and future research should be pursued to determine the added potential of this approach for abduction and external rotation with a randomized controlled design.

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Robot-assisted arm training for treating adult patients with distal radius fracture: a proof-of-concept pilot study

Cited by 13 publications

References 22 publications

Overview of the role of robots in upper limb disabilities rehabilitation: a scoping review

Overview of the role of robots in upper limb disabilities rehabilitation: a scoping review

Robot-assisted vs traditional percutaneous freehand for the scaphoid fracture treatment: a retrospective study

Shoulder Musculoskeletal Disorder Rehabilitation Using a Robotic Device Based on Emg Biofeedback: A Retrospective Cohort Study

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