Robots integrated with virtual reality simulations for customized motor training in a person with upper extremity hemiparesis: a case report
Identifieur interne : 002029 ( Ncbi/Merge ); précédent : 002028; suivant : 002030Robots integrated with virtual reality simulations for customized motor training in a person with upper extremity hemiparesis: a case report
Auteurs : Gerard G. Fluet [États-Unis] ; Alma S. Merians [États-Unis] ; Qinyin Qiu ; Ian Lafond ; Soha Saleh ; Viviana Ruano ; Andrea R. Delmonico ; Sergei V. Adamovich [États-Unis]Source :
- Journal of neurologic physical therapy : JNPT [ 1557-0576 ] ; 2012.
Abstract
A majority of studies examining repetitive task practice facilitated by robots for the treatment of upper extremity paresis utilize standardized protocols applied to large groups. Others utilize interventions tailored to patients but don't describe the clinical decision making process utilized to develop and modify interventions. This case report will describe a robot-based intervention customized to match the goals and clinical presentation of a gentleman with upper extremity hemiparesis secondary to stroke.
PM is an 85 year-old man with left hemiparesis secondary to an intracerebral hemorrhage five years prior to examination. Outcomes were measured before and after a one month period of home therapy and after a one month robotic intervention. The intervention was designed to address specific impairments identified during his PT examination. When necessary, activities were modified based on the patient's response to his first week of treatment.
PM trained twelve sessions using six virtually simulated activities. Modifications to original configurations of these activities resulted in performance improvements in five of these activities. PM demonstrated a 35 second improvement in Jebsen Test of Hand Function time and a 44 second improvement in Wolf Motor Function Test time subsequent to the robotic training intervention. Reaching kinematics, 24 hour activity measurement and the Hand and Activities of Daily Living scales of the Stroke Impact Scale all improved as well.
A customized program of robotically facilitated rehabilitation resulted in large short-term improvements in several measurements of upper extremity function in a patient with chronic hemiparesis.
Url:
DOI: 10.1097/NPT.0b013e3182566f3f
PubMed: 22592063
PubMed Central: 4195597
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<author><name sortKey="Lafond, Ian" sort="Lafond, Ian" uniqKey="Lafond I" first="Ian" last="Lafond">Ian Lafond</name>
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<author><name sortKey="Saleh, Soha" sort="Saleh, Soha" uniqKey="Saleh S" first="Soha" last="Saleh">Soha Saleh</name>
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<author><name sortKey="Ruano, Viviana" sort="Ruano, Viviana" uniqKey="Ruano V" first="Viviana" last="Ruano">Viviana Ruano</name>
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<wicri:noCountry code="subfield">Midland Park NJ</wicri:noCountry>
</affiliation>
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<author><name sortKey="Adamovich, Sergei V" sort="Adamovich, Sergei V" uniqKey="Adamovich S" first="Sergei V." last="Adamovich">Sergei V. Adamovich</name>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background and Purpose</title>
<p id="P1">A majority of studies examining repetitive task practice facilitated by robots for the treatment of upper extremity paresis utilize standardized protocols applied to large groups. Others utilize interventions tailored to patients but don't describe the clinical decision making process utilized to develop and modify interventions. This case report will describe a robot-based intervention customized to match the goals and clinical presentation of a gentleman with upper extremity hemiparesis secondary to stroke.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">PM is an 85 year-old man with left hemiparesis secondary to an intracerebral hemorrhage five years prior to examination. Outcomes were measured before and after a one month period of home therapy and after a one month robotic intervention. The intervention was designed to address specific impairments identified during his PT examination. When necessary, activities were modified based on the patient's response to his first week of treatment.</p>
</sec>
<sec id="S3"><title>Outcomes</title>
<p id="P3">PM trained twelve sessions using six virtually simulated activities. Modifications to original configurations of these activities resulted in performance improvements in five of these activities. PM demonstrated a 35 second improvement in Jebsen Test of Hand Function time and a 44 second improvement in Wolf Motor Function Test time subsequent to the robotic training intervention. Reaching kinematics, 24 hour activity measurement and the Hand and Activities of Daily Living scales of the Stroke Impact Scale all improved as well.</p>
</sec>
<sec id="S4"><title>Discussion</title>
<p id="P4">A customized program of robotically facilitated rehabilitation resulted in large short-term improvements in several measurements of upper extremity function in a patient with chronic hemiparesis.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">101193365</journal-id>
<journal-id journal-id-type="pubmed-jr-id">32636</journal-id>
<journal-id journal-id-type="nlm-ta">J Neurol Phys Ther</journal-id>
<journal-id journal-id-type="iso-abbrev">J Neurol Phys Ther</journal-id>
<journal-title-group><journal-title>Journal of neurologic physical therapy : JNPT</journal-title>
</journal-title-group>
<issn pub-type="ppub">1557-0576</issn>
<issn pub-type="epub">1557-0584</issn>
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<article-meta><article-id pub-id-type="pmid">22592063</article-id>
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<article-id pub-id-type="doi">10.1097/NPT.0b013e3182566f3f</article-id>
<article-id pub-id-type="manuscript">NIHMS372106</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Robots integrated with virtual reality simulations for customized motor training in a person with upper extremity hemiparesis: a case report</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Fluet</surname>
<given-names>Gerard G.</given-names>
</name>
<degrees>DPT</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Merians</surname>
<given-names>Alma S.</given-names>
</name>
<degrees>PT, PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Qiu</surname>
<given-names>Qinyin</given-names>
</name>
<degrees>MS</degrees>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lafond</surname>
<given-names>Ian</given-names>
</name>
<degrees>MS</degrees>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Saleh</surname>
<given-names>Soha</given-names>
</name>
<degrees>MS</degrees>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ruano</surname>
<given-names>Viviana</given-names>
</name>
<degrees>DPT</degrees>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Delmonico</surname>
<given-names>Andrea R.</given-names>
</name>
<degrees>OTR-L</degrees>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Adamovich</surname>
<given-names>Sergei V.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Rehabilitation and Movement Sciences, University of Medicine and Dentistry of New Jersey, Newark, NJ</aff>
<aff id="A2"><label>2</label>
Department of Biomedical Engineering, New Jersey Institute of Technology, Newark NJ</aff>
<aff id="A3"><label>3</label>
Ruano Therapy Associates, Morris Plains NJ</aff>
<aff id="A4"><label>4</label>
Abilities Therapy Network, Midland Park NJ</aff>
<author-notes><corresp id="CR1">Corresponding Author: Gerard G. Fluet, DPT Phone: (973) 972-1550 Fax: (973) 596-5222 <email>fluetge@umdnj.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>20</day>
<month>9</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="ppub"><month>6</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>13</day>
<month>10</month>
<year>2014</year>
</pub-date>
<volume>36</volume>
<issue>2</issue>
<fpage>79</fpage>
<lpage>86</lpage>
<pmc-comment>elocation-id from pubmed: 10.1097/NPT.0b013e3182566f3f</pmc-comment>
<abstract><sec id="S1"><title>Background and Purpose</title>
<p id="P1">A majority of studies examining repetitive task practice facilitated by robots for the treatment of upper extremity paresis utilize standardized protocols applied to large groups. Others utilize interventions tailored to patients but don't describe the clinical decision making process utilized to develop and modify interventions. This case report will describe a robot-based intervention customized to match the goals and clinical presentation of a gentleman with upper extremity hemiparesis secondary to stroke.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">PM is an 85 year-old man with left hemiparesis secondary to an intracerebral hemorrhage five years prior to examination. Outcomes were measured before and after a one month period of home therapy and after a one month robotic intervention. The intervention was designed to address specific impairments identified during his PT examination. When necessary, activities were modified based on the patient's response to his first week of treatment.</p>
</sec>
<sec id="S3"><title>Outcomes</title>
<p id="P3">PM trained twelve sessions using six virtually simulated activities. Modifications to original configurations of these activities resulted in performance improvements in five of these activities. PM demonstrated a 35 second improvement in Jebsen Test of Hand Function time and a 44 second improvement in Wolf Motor Function Test time subsequent to the robotic training intervention. Reaching kinematics, 24 hour activity measurement and the Hand and Activities of Daily Living scales of the Stroke Impact Scale all improved as well.</p>
</sec>
<sec id="S4"><title>Discussion</title>
<p id="P4">A customized program of robotically facilitated rehabilitation resulted in large short-term improvements in several measurements of upper extremity function in a patient with chronic hemiparesis.</p>
</sec>
</abstract>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>New Jersey</li>
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<tree><noCountry><name sortKey="Delmonico, Andrea R" sort="Delmonico, Andrea R" uniqKey="Delmonico A" first="Andrea R." last="Delmonico">Andrea R. Delmonico</name>
<name sortKey="Lafond, Ian" sort="Lafond, Ian" uniqKey="Lafond I" first="Ian" last="Lafond">Ian Lafond</name>
<name sortKey="Qiu, Qinyin" sort="Qiu, Qinyin" uniqKey="Qiu Q" first="Qinyin" last="Qiu">Qinyin Qiu</name>
<name sortKey="Ruano, Viviana" sort="Ruano, Viviana" uniqKey="Ruano V" first="Viviana" last="Ruano">Viviana Ruano</name>
<name sortKey="Saleh, Soha" sort="Saleh, Soha" uniqKey="Saleh S" first="Soha" last="Saleh">Soha Saleh</name>
</noCountry>
<country name="États-Unis"><region name="New Jersey"><name sortKey="Fluet, Gerard G" sort="Fluet, Gerard G" uniqKey="Fluet G" first="Gerard G." last="Fluet">Gerard G. Fluet</name>
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<name sortKey="Adamovich, Sergei V" sort="Adamovich, Sergei V" uniqKey="Adamovich S" first="Sergei V." last="Adamovich">Sergei V. Adamovich</name>
<name sortKey="Merians, Alma S" sort="Merians, Alma S" uniqKey="Merians A" first="Alma S." last="Merians">Alma S. Merians</name>
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