Haptic-based neurorehabilitation in poststroke patients: a feasibility prospective multicentre trial for robotics hand rehabilitation.
Identifieur interne : 000889 ( PubMed/Checkpoint ); précédent : 000888; suivant : 000890Haptic-based neurorehabilitation in poststroke patients: a feasibility prospective multicentre trial for robotics hand rehabilitation.
Auteurs : Andrea Turolla [Royaume-Uni] ; Omar A. Daud Albasini ; Roberto Oboe ; Michela Agostini ; Paolo Tonin ; Stefano Paolucci ; Giorgio Sandrini ; Annalena Venneri ; Lamberto PironSource :
- Computational and mathematical methods in medicine [ 1748-6718 ] ; 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
Background. 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. Methods. 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. Results and Conclusions. 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.
DOI: 10.1155/2013/895492
PubMed: 24319496
Affiliations:
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Links to Exploration step
pubmed:24319496Le document en format XML
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Daud Albasini</name></author><author><name sortKey="Oboe, Roberto" sort="Oboe, Roberto" uniqKey="Oboe R" first="Roberto" last="Oboe">Roberto Oboe</name></author><author><name sortKey="Agostini, Michela" sort="Agostini, Michela" uniqKey="Agostini M" first="Michela" last="Agostini">Michela Agostini</name></author><author><name sortKey="Tonin, Paolo" sort="Tonin, Paolo" uniqKey="Tonin P" first="Paolo" last="Tonin">Paolo Tonin</name></author><author><name sortKey="Paolucci, Stefano" sort="Paolucci, Stefano" uniqKey="Paolucci S" first="Stefano" last="Paolucci">Stefano Paolucci</name></author><author><name sortKey="Sandrini, Giorgio" sort="Sandrini, Giorgio" uniqKey="Sandrini G" first="Giorgio" last="Sandrini">Giorgio Sandrini</name></author><author><name sortKey="Venneri, Annalena" sort="Venneri, Annalena" uniqKey="Venneri A" first="Annalena" last="Venneri">Annalena Venneri</name></author><author><name sortKey="Piron, Lamberto" sort="Piron, Lamberto" uniqKey="Piron L" first="Lamberto" last="Piron">Lamberto Piron</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="doi">10.1155/2013/895492</idno><idno type="RBID">pubmed:24319496</idno><idno type="pmid">24319496</idno><idno type="wicri:Area/PubMed/Corpus">000794</idno><idno type="wicri:Area/PubMed/Curation">000794</idno><idno type="wicri:Area/PubMed/Checkpoint">000889</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Haptic-based neurorehabilitation in poststroke patients: a feasibility prospective multicentre trial for robotics hand rehabilitation.</title><author><name sortKey="Turolla, Andrea" sort="Turolla, Andrea" uniqKey="Turolla A" first="Andrea" last="Turolla">Andrea Turolla</name><affiliation wicri:level="1"><nlm:affiliation>Laboratory of Kinematics and Robotics, Fondazione IRCCS, Ospedale San Camillo, Via Alberoni, Venezia Lido, 30126 Venice, Italy ; Department of Neuroscience, University of Sheffield and Sheffield Teaching Hospital NHS Foundation Trust, Beech Hill Road, S10 2RX, Sheffield, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Laboratory of Kinematics and Robotics, Fondazione IRCCS, Ospedale San Camillo, Via Alberoni, Venezia Lido, 30126 Venice, Italy ; Department of Neuroscience, University of Sheffield and Sheffield Teaching Hospital NHS Foundation Trust, Beech Hill Road, S10 2RX, Sheffield</wicri:regionArea><wicri:noRegion>Sheffield</wicri:noRegion></affiliation></author><author><name sortKey="Daud Albasini, Omar A" sort="Daud Albasini, Omar A" uniqKey="Daud Albasini O" first="Omar A" last="Daud Albasini">Omar A. Daud Albasini</name></author><author><name sortKey="Oboe, Roberto" sort="Oboe, Roberto" uniqKey="Oboe R" first="Roberto" last="Oboe">Roberto Oboe</name></author><author><name sortKey="Agostini, Michela" sort="Agostini, Michela" uniqKey="Agostini M" first="Michela" last="Agostini">Michela Agostini</name></author><author><name sortKey="Tonin, Paolo" sort="Tonin, Paolo" uniqKey="Tonin P" first="Paolo" last="Tonin">Paolo Tonin</name></author><author><name sortKey="Paolucci, Stefano" sort="Paolucci, Stefano" uniqKey="Paolucci S" first="Stefano" last="Paolucci">Stefano Paolucci</name></author><author><name sortKey="Sandrini, Giorgio" sort="Sandrini, Giorgio" uniqKey="Sandrini G" first="Giorgio" last="Sandrini">Giorgio Sandrini</name></author><author><name sortKey="Venneri, Annalena" sort="Venneri, Annalena" uniqKey="Venneri A" first="Annalena" last="Venneri">Annalena Venneri</name></author><author><name sortKey="Piron, Lamberto" sort="Piron, Lamberto" uniqKey="Piron L" first="Lamberto" last="Piron">Lamberto Piron</name></author></analytic><series><title level="j">Computational and mathematical methods in medicine</title><idno type="eISSN">1748-6718</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><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><term>Software</term><term>User-Computer Interface</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background. 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. Methods. 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. Results and Conclusions. 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.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">24319496</PMID><DateCreated><Year>2013</Year><Month>12</Month><Day>09</Day></DateCreated><DateCompleted><Year>2014</Year><Month>04</Month><Day>03</Day></DateCompleted><DateRevised><Year>2015</Year><Month>04</Month><Day>22</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1748-6718</ISSN><JournalIssue CitedMedium="Internet"><Volume>2013</Volume><PubDate><Year>2013</Year></PubDate></JournalIssue><Title>Computational and mathematical methods in medicine</Title><ISOAbbreviation>Comput Math Methods Med</ISOAbbreviation></Journal><ArticleTitle>Haptic-based neurorehabilitation in poststroke patients: a feasibility prospective multicentre trial for robotics hand rehabilitation.</ArticleTitle><Pagination><MedlinePgn>895492</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1155/2013/895492</ELocationID><Abstract><AbstractText>Background. 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. Methods. 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. Results and Conclusions. 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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Turolla</LastName><ForeName>Andrea</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Laboratory of Kinematics and Robotics, Fondazione IRCCS, Ospedale San Camillo, Via Alberoni, Venezia Lido, 30126 Venice, Italy ; Department of Neuroscience, University of Sheffield and Sheffield Teaching Hospital NHS Foundation Trust, Beech Hill Road, S10 2RX, Sheffield, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Daud Albasini</LastName><ForeName>Omar A</ForeName><Initials>OA</Initials></Author><Author ValidYN="Y"><LastName>Oboe</LastName><ForeName>Roberto</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Agostini</LastName><ForeName>Michela</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Tonin</LastName><ForeName>Paolo</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Paolucci</LastName><ForeName>Stefano</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Sandrini</LastName><ForeName>Giorgio</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Venneri</LastName><ForeName>Annalena</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Piron</LastName><ForeName>Lamberto</ForeName><Initials>L</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016430">Clinical Trial</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>11</Month><Day>12</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Comput Math Methods Med</MedlineTA><NlmUniqueID>101277751</NlmUniqueID><ISSNLinking>1748-670X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Brain. 2000 May;123 ( Pt 5):940-53</RefSource><PMID Version="1">10775539</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Neurosci. 1994 May;14(5 Pt 2):3208-24</RefSource><PMID Version="1">8182467</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Neurosci. 2002 Sep 15;22(18):8297-304</RefSource><PMID Version="1">12223584</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Arch Phys Med Rehabil. 2003 Apr;84(4):477-82</RefSource><PMID Version="1">12690583</PMID></CommentsCorrections><CommentsCorrections 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UI="D005240">Feasibility Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006225">Hand</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000503">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008279">Magnetic Resonance Imaging</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D009044">Motor Cortex</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000503">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D009048">Motor Skills</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011446">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D012371">Robotics</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012984">Software</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D020521">Stroke</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000503">physiopathology</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000534">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014584">User-Computer Interface</DescriptorName></MeshHeading></MeshHeadingList><OtherID Source="NLM">PMC3844272</OtherID></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>7</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>9</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="epublish"><Year>2013</Year><Month>11</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>12</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>12</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>4</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="doi">10.1155/2013/895492</ArticleId><ArticleId IdType="pubmed">24319496</ArticleId><ArticleId IdType="pmc">PMC3844272</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Royaume-Uni</li></country></list><tree><noCountry><name sortKey="Agostini, Michela" sort="Agostini, Michela" uniqKey="Agostini M" first="Michela" last="Agostini">Michela Agostini</name><name sortKey="Daud Albasini, Omar A" sort="Daud Albasini, Omar A" uniqKey="Daud Albasini O" first="Omar A" last="Daud Albasini">Omar A. Daud Albasini</name><name sortKey="Oboe, Roberto" sort="Oboe, Roberto" uniqKey="Oboe R" first="Roberto" last="Oboe">Roberto Oboe</name><name sortKey="Paolucci, Stefano" sort="Paolucci, Stefano" uniqKey="Paolucci S" first="Stefano" last="Paolucci">Stefano Paolucci</name><name sortKey="Piron, Lamberto" sort="Piron, Lamberto" uniqKey="Piron L" first="Lamberto" last="Piron">Lamberto Piron</name><name sortKey="Sandrini, Giorgio" sort="Sandrini, Giorgio" uniqKey="Sandrini G" first="Giorgio" last="Sandrini">Giorgio Sandrini</name><name sortKey="Tonin, Paolo" sort="Tonin, Paolo" uniqKey="Tonin P" first="Paolo" last="Tonin">Paolo Tonin</name><name sortKey="Venneri, Annalena" sort="Venneri, Annalena" uniqKey="Venneri A" first="Annalena" last="Venneri">Annalena Venneri</name></noCountry><country name="Royaume-Uni"><noRegion><name sortKey="Turolla, Andrea" sort="Turolla, Andrea" uniqKey="Turolla A" first="Andrea" last="Turolla">Andrea Turolla</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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