Haptic-Based Neurorehabilitation in Poststroke Patients: A Feasibility Prospective Multicentre Trial for Robotics Hand Rehabilitation
Identifieur interne : 001B33 ( Main/Exploration ); précédent : 001B32; suivant : 001B34Haptic-Based Neurorehabilitation in Poststroke Patients: A Feasibility Prospective Multicentre Trial for Robotics Hand Rehabilitation
Auteurs : Andrea Turolla [Italie, Royaume-Uni] ; Omar A. Daud Albasini [Chili] ; Roberto Oboe [Italie] ; Michela Agostini [Italie] ; Paolo Tonin [Italie] ; Stefano Paolucci [Italie] ; Giorgio Sandrini [Italie] ; Annalena Venneri [Italie, Royaume-Uni] ; Lamberto Piron [Italie]Source :
- Computational and Mathematical Methods in Medicine [ 1748-670X ] ; 2013.
English descriptors
- KwdEn :
- Adult, Aged, Biomechanical Phenomena, Equipment Design, Feasibility Studies, Female, Hand (physiopathology), Humans, Magnetic Resonance Imaging, Male, Middle Aged, Motor Cortex (physiopathology), Motor Skills, Prospective Studies, Robotics, Software, Stroke (physiopathology), Stroke (rehabilitation), User-Computer Interface.
- MESH :
- physiopathology : Hand, Motor Cortex, Stroke.
- rehabilitation : Stroke.
- Adult, Aged, Biomechanical Phenomena, Equipment Design, Feasibility Studies, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Motor Skills, Prospective Studies, Robotics, Software, User-Computer Interface.
Abstract
Url:
DOI: 10.1155/2013/895492
PubMed: 24319496
PubMed Central: 3844272
Affiliations:
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Le document en format XML
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<author><name sortKey="Piron, Lamberto" sort="Piron, Lamberto" uniqKey="Piron L" first="Lamberto" last="Piron">Lamberto Piron</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Biomechanical Phenomena</term>
<term>Equipment Design</term>
<term>Feasibility Studies</term>
<term>Female</term>
<term>Hand (physiopathology)</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Motor Cortex (physiopathology)</term>
<term>Motor Skills</term>
<term>Prospective Studies</term>
<term>Robotics</term>
<term>Software</term>
<term>Stroke (physiopathology)</term>
<term>Stroke (rehabilitation)</term>
<term>User-Computer Interface</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Hand</term>
<term>Motor Cortex</term>
<term>Stroke</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Stroke</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Biomechanical Phenomena</term>
<term>Equipment Design</term>
<term>Feasibility Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Motor Skills</term>
<term>Prospective Studies</term>
<term>Robotics</term>
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<front><div type="abstract" xml:lang="en"><p><italic>Background</italic>
. Haptic
robots allow the exploitation of known motor
learning mechanisms, representing a valuable
option for motor treatment after stroke. The aim
of this feasibility multicentre study was to
test the clinical efficacy of a haptic
prototype, for the recovery of hand function
after stroke. <italic>Methods</italic>
. A
prospective pilot clinical trial was planned on
15 consecutive patients enrolled in 3
rehabilitation centre in Italy. All the
framework features of the haptic robot (e.g.,
control loop, external communication, and graphic
rendering for virtual reality) were implemented
into a real-time MATLAB/Simulink environment,
controlling a five-bar linkage able to provide
forces up to 20 [N] at the end effector, used
for finger and hand rehabilitation therapies.
Clinical (i.e., Fugl-Meyer upper extremity
scale; nine hold pegboard test) and kinematics
(i.e., time; velocity; jerk metric;
normalized jerk of standard movements) outcomes
were assessed before and after treatment to
detect changes in patients' motor performance.
Reorganization of cortical activation was
detected in one patient by fMRI. <italic>Results
and Conclusions</italic>
. All patients showed
significant improvements in both clinical and
kinematic outcomes. Additionally, fMRI results
suggest that the proposed approach may promote a
better cortical activation in the
brain.</p>
</div>
</front>
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