Technological Advancements in Cerebral Palsy Rehabilitation

Reyes, Fabiola; Niedzwecki, Christian; Gaebler‐Spira, Deborah

doi:10.1016/j.pmr.2019.09.002

Cited by 19 publications

(14 citation statements)

References 48 publications

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“…Other possible fields of application could be multiples sclerosis or cerebral palsy. While rigid exoskeletons were already applied in these fields [50,51], exosuits were not evaluated with users affected by these impairments in the reviewed studies. As exosuits work in close synchronicity with the human body and are worn over large periods of time, they change load distributions on the musculoskeletal system of the user [52].…”

Section: Clinical Studiesmentioning

confidence: 99%

Lower-Limb Exosuits for Rehabilitation or Assistance of Human Movement: A Systematic Review

Koch

Font-Llagunes

2021

Applied Sciences

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Background: The aim of this review is to provide a comprehensive overview of the technological state-of-the-art of exosuits and the clinical results obtained when applied to users with mobility impairment. Methods: Searches are carried out in the COCHRANE, PubMed, IEEE Xplore and MEDLINE databases. Titles, abstracts and full texts are screened for inclusion criteria. Technological and clinical data are extracted. The quality of the studies is evaluated via a study quality assessment tool. Results: 19 studies are identified as relevant. Active (47%) and passive exosuits (53%) are used. Most are used untethered (84%), accommodating the demand of mobility. No study reports power consumption, which is important for dimensioning power systems. Fields of applications are post-stroke (79%), osteoarthritis (16%) and post-trauma (5%). Mostly the ankle joint is addressed (57%), while less studies address multiple joints (21%). The outcomes of clinical evaluations of lower-limb exosuits with patients suffering from mobility impairments are positive in the correction of gait pattern and reducing metabolic energy consumption during hemiparetic walking. Conclusions: Lower-limb exosuits for clinical applications are still facing technological challenges. Fields of application are limited to stroke, osteoarthritis and trauma. While clinical outcomes are overall positive, improvements in the study protocols are suggested.

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Section: Clinical Studiesmentioning

confidence: 99%

Lower-Limb Exosuits for Rehabilitation or Assistance of Human Movement: A Systematic Review

Koch

Font-Llagunes

2021

Applied Sciences

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“…Children can interact with the systems performing problem-solving activities, receiving rewards and maximizing their engagement. Indeed, robotic devices have been reported to provide a means of emotional expression for individuals with cognitive, physical, communication, or social impairments [61]. Above all, the interactive modalities provided by some devices and the combination of robotic tasks with VR environments may promote higher focus and attention, fun, and challenge.…”

Section: Treatment Interventionsmentioning

confidence: 99%

“…Above all, the interactive modalities provided by some devices and the combination of robotic tasks with VR environments may promote higher focus and attention, fun, and challenge. All these characteristics are of paramount importance in paediatric rehabilitation, and, all together, maximize cognitive engagement, thus stimulating the child's active, voluntary participation and neuroplasticity [33,61].…”

Section: Treatment Interventionsmentioning

confidence: 99%

Electromechanical and Robotic Devices for Gait and Balance Rehabilitation of Children with Neurological Disability: A Systematic Review

Valè

Gandolfi

Vignoli³

et al. 2021

Applied Sciences

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In the last two decades, a growing interest has been focused on gait and balance robot-assisted rehabilitation in children with neurological disabilities. Robotic devices allow the implementation of intensive, task-specific training fostering functional recovery and neuroplasticity phenomena. However, limited attention has been paid to the protocols used in this research framework. This systematic review aims to provide an overview of the existing literature on robotic systems for the rehabilitation of gait and balance in children with neurological disabilities and their rehabilitation applications. The literature search was carried out independently and synchronously by three authors on the following databases: MEDLINE, Cochrane Library, PeDro, Institute of Electrical and Electronics Engineers, ScienceDirect, and Google Scholar. The data collected included three subsections referring to clinical, technical, and regulatory aspects. Thirty-one articles out of 81 found on the primary literature search were included in the systematic review. Most studies involved children with cerebral palsy. Only one-third of the studies were randomized controlled trials. Overall, 17 devices (nine end-effector systems and eight exoskeletons) were investigated, among which only 4 (24%) were bore the CE mark. Studies differ on rehabilitation protocols duration, intensity, and outcome measures. Future research should improve both rehabilitation protocols’ and devices’ descriptions.

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“…Taşınabilir ve kişinin üzerine giyilebilir olması nedeniyle dış ortamlarda serbestçe hastaların dolaşımına izin verir. [26] Giyilebilen robotik teknolojili cihazlara ileri ortezler de diyebiliriz. Bu cihazların daha küçük, taşınabilir ve daha hafif materyallerin kullanılarak yapılması ile gelecekte yaygın kullanımları klasik ortezlerin yerine geçmesini sağlar mı?…”

Section: Ortezlemede Yeni̇li̇kler: Roboti̇k Ortezlerunclassified

Serebral palsi tedavisinde ortezlemede yenilikler

Ofluoğlu¹

2021

TOTBID

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Technological Advancements in Cerebral Palsy Rehabilitation

Cited by 19 publications

References 48 publications

Lower-Limb Exosuits for Rehabilitation or Assistance of Human Movement: A Systematic Review

Lower-Limb Exosuits for Rehabilitation or Assistance of Human Movement: A Systematic Review

Electromechanical and Robotic Devices for Gait and Balance Rehabilitation of Children with Neurological Disability: A Systematic Review

Serebral palsi tedavisinde ortezlemede yenilikler

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