Wrist rehabilitation in chronic stroke patients by means of adaptive, progressive robot-aided therapy.
Identifieur interne : 000C55 ( Main/Curation ); précédent : 000C54; suivant : 000C56Wrist rehabilitation in chronic stroke patients by means of adaptive, progressive robot-aided therapy.
Auteurs : V. Squeri ; L. Masia ; P. Giannoni ; G. Sandini ; P. MorassoSource :
- IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society [ 1558-0210 ] ; 2014.
English descriptors
- KwdEn :
- Adult, Aged, Algorithms, Chronic Disease, Equipment Design, Female, Functional Laterality (physiology), Humans, Male, Middle Aged, Motor Skills (physiology), Movement, Pilot Projects, Range of Motion, Articular, Recovery of Function, Robotics (methods), Stroke (rehabilitation), Survivors, Treatment Outcome, Wrist (physiology).
- MESH :
- methods : Robotics.
- physiology : Functional Laterality, Motor Skills, Wrist.
- rehabilitation : Stroke.
- Adult, Aged, Algorithms, Chronic Disease, Equipment Design, Female, Humans, Male, Middle Aged, Movement, Pilot Projects, Range of Motion, Articular, Recovery of Function, Survivors, Treatment Outcome.
Abstract
Despite distal arm impairment after brain injury is an extremely disabling consequence of neurological damage, most studies on robotic therapy are mainly focused on recovery of proximal upper limb motor functions, routing the major efforts in rehabilitation to shoulder and elbow joints. In the present study we developed a novel therapeutic protocol aimed at restoring wrist functionality in chronic stroke patients. A haptic three DoFs (degrees of freedom) robot has been used to quantify motor impairment and assist wrist and forearm articular movements: flexion/extension (FE), abduction/adduction (AA), pronation/supination (PS). This preliminary study involved nine stroke patients, from a mild to severe level of impairment. Therapy consisted in ten 1-hour sessions over a period of five weeks. The novelty of the approach was the adaptive control scheme which trained wrist movements with slow oscillatory patterns of small amplitude and progressively increasing bias, in order to maximize the recovery of the active range of motion. The primary outcome was a change in the active RoM (range of motion) for each DoF and a change of motor function, as measured by the Fugl-Meyer assessment of arm physical performance after stroke (FMA). The secondary outcome was the score on the Wolf Motor Function Test (WOLF). The FMA score reported a significant improvement (average of 9.33±1.89 points), revealing a reduction of the upper extremity motor impairment over the sessions; moreover, a detailed component analysis of the score hinted at some degree of motor recovery transfer from the distal, trained parts of the arm to the proximal untrained parts. WOLF showed an improvement of 8.31±2.77 points, highlighting an increase in functional capability for the whole arm. The active RoM displayed a remarkable improvement. Moreover, a three-months follow up assessment reported long lasting benefits in both distal and proximal arm functionalities. The experimental results of th- s preliminary clinical study provide enough empirical evidence for introducing the novel progressive, adaptive, gentle robotic assistance of wrist movements in the clinical practice, consolidating the evaluation of its efficacy by means of a controlled clinical trial.
DOI: 10.1109/TNSRE.2013.2250521
PubMed: 23508271
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000988
- to stream PubMed, to step Curation: Pour aller vers cette notice dans l'étape Curation :000988
- to stream PubMed, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :000467
- to stream Ncbi, to step Merge: Pour aller vers cette notice dans l'étape Curation :002586
- to stream Ncbi, to step Curation: Pour aller vers cette notice dans l'étape Curation :002586
- to stream Ncbi, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :002586
- to stream Main, to step Merge: Pour aller vers cette notice dans l'étape Curation :000C54
Links to Exploration step
pubmed:23508271Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Wrist rehabilitation in chronic stroke patients by means of adaptive, progressive robot-aided therapy.</title>
<author><name sortKey="Squeri, V" sort="Squeri, V" uniqKey="Squeri V" first="V" last="Squeri">V. Squeri</name>
</author>
<author><name sortKey="Masia, L" sort="Masia, L" uniqKey="Masia L" first="L" last="Masia">L. Masia</name>
</author>
<author><name sortKey="Giannoni, P" sort="Giannoni, P" uniqKey="Giannoni P" first="P" last="Giannoni">P. Giannoni</name>
</author>
<author><name sortKey="Sandini, G" sort="Sandini, G" uniqKey="Sandini G" first="G" last="Sandini">G. Sandini</name>
</author>
<author><name sortKey="Morasso, P" sort="Morasso, P" uniqKey="Morasso P" first="P" last="Morasso">P. Morasso</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2014">2014</date>
<idno type="doi">10.1109/TNSRE.2013.2250521</idno>
<idno type="RBID">pubmed:23508271</idno>
<idno type="pmid">23508271</idno>
<idno type="wicri:Area/PubMed/Corpus">000988</idno>
<idno type="wicri:Area/PubMed/Curation">000988</idno>
<idno type="wicri:Area/PubMed/Checkpoint">000467</idno>
<idno type="wicri:Area/Ncbi/Merge">002586</idno>
<idno type="wicri:Area/Ncbi/Curation">002586</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">002586</idno>
<idno type="wicri:Area/Main/Merge">000C54</idno>
<idno type="wicri:Area/Main/Curation">000C55</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en">Wrist rehabilitation in chronic stroke patients by means of adaptive, progressive robot-aided therapy.</title>
<author><name sortKey="Squeri, V" sort="Squeri, V" uniqKey="Squeri V" first="V" last="Squeri">V. Squeri</name>
</author>
<author><name sortKey="Masia, L" sort="Masia, L" uniqKey="Masia L" first="L" last="Masia">L. Masia</name>
</author>
<author><name sortKey="Giannoni, P" sort="Giannoni, P" uniqKey="Giannoni P" first="P" last="Giannoni">P. Giannoni</name>
</author>
<author><name sortKey="Sandini, G" sort="Sandini, G" uniqKey="Sandini G" first="G" last="Sandini">G. Sandini</name>
</author>
<author><name sortKey="Morasso, P" sort="Morasso, P" uniqKey="Morasso P" first="P" last="Morasso">P. Morasso</name>
</author>
</analytic>
<series><title level="j">IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society</title>
<idno type="eISSN">1558-0210</idno>
<imprint><date when="2014" type="published">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Algorithms</term>
<term>Chronic Disease</term>
<term>Equipment Design</term>
<term>Female</term>
<term>Functional Laterality (physiology)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Motor Skills (physiology)</term>
<term>Movement</term>
<term>Pilot Projects</term>
<term>Range of Motion, Articular</term>
<term>Recovery of Function</term>
<term>Robotics (methods)</term>
<term>Stroke (rehabilitation)</term>
<term>Survivors</term>
<term>Treatment Outcome</term>
<term>Wrist (physiology)</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Robotics</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Functional Laterality</term>
<term>Motor Skills</term>
<term>Wrist</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>Algorithms</term>
<term>Chronic Disease</term>
<term>Equipment Design</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Movement</term>
<term>Pilot Projects</term>
<term>Range of Motion, Articular</term>
<term>Recovery of Function</term>
<term>Survivors</term>
<term>Treatment Outcome</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Despite distal arm impairment after brain injury is an extremely disabling consequence of neurological damage, most studies on robotic therapy are mainly focused on recovery of proximal upper limb motor functions, routing the major efforts in rehabilitation to shoulder and elbow joints. In the present study we developed a novel therapeutic protocol aimed at restoring wrist functionality in chronic stroke patients. A haptic three DoFs (degrees of freedom) robot has been used to quantify motor impairment and assist wrist and forearm articular movements: flexion/extension (FE), abduction/adduction (AA), pronation/supination (PS). This preliminary study involved nine stroke patients, from a mild to severe level of impairment. Therapy consisted in ten 1-hour sessions over a period of five weeks. The novelty of the approach was the adaptive control scheme which trained wrist movements with slow oscillatory patterns of small amplitude and progressively increasing bias, in order to maximize the recovery of the active range of motion. The primary outcome was a change in the active RoM (range of motion) for each DoF and a change of motor function, as measured by the Fugl-Meyer assessment of arm physical performance after stroke (FMA). The secondary outcome was the score on the Wolf Motor Function Test (WOLF). The FMA score reported a significant improvement (average of 9.33±1.89 points), revealing a reduction of the upper extremity motor impairment over the sessions; moreover, a detailed component analysis of the score hinted at some degree of motor recovery transfer from the distal, trained parts of the arm to the proximal untrained parts. WOLF showed an improvement of 8.31±2.77 points, highlighting an increase in functional capability for the whole arm. The active RoM displayed a remarkable improvement. Moreover, a three-months follow up assessment reported long lasting benefits in both distal and proximal arm functionalities. The experimental results of th- s preliminary clinical study provide enough empirical evidence for introducing the novel progressive, adaptive, gentle robotic assistance of wrist movements in the clinical practice, consolidating the evaluation of its efficacy by means of a controlled clinical trial.</div>
</front>
</TEI>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Ticri/CIDE/explor/HapticV1/Data/Main/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000C55 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Curation/biblio.hfd -nk 000C55 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Ticri/CIDE |area= HapticV1 |flux= Main |étape= Curation |type= RBID |clé= pubmed:23508271 |texte= Wrist rehabilitation in chronic stroke patients by means of adaptive, progressive robot-aided therapy. }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Curation/RBID.i -Sk "pubmed:23508271" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Curation/biblio.hfd \ | NlmPubMed2Wicri -a HapticV1
![]() | This area was generated with Dilib version V0.6.23. | ![]() |