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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Daud Albasini</name><affiliation wicri:level="1"><nlm:aff id="I3">AMTC, Universidad de Chile, Avenida Tupper 2007, Edificio AMTC, Santiago, Chile</nlm:aff><country xml:lang="fr">Chili</country><wicri:regionArea>AMTC, Universidad de Chile, Avenida Tupper 2007, Edificio AMTC, Santiago</wicri:regionArea><wicri:noRegion>Santiago</wicri:noRegion></affiliation></author><author><name sortKey="Oboe, Roberto" sort="Oboe, Roberto" uniqKey="Oboe R" first="Roberto" last="Oboe">Roberto Oboe</name><affiliation wicri:level="1"><nlm:aff id="I1">Laboratory of Kinematics and Robotics, Fondazione IRCCS, Ospedale San Camillo, Via Alberoni, Venezia Lido, 30126 Venice, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Laboratory of Kinematics and Robotics, Fondazione IRCCS, Ospedale San Camillo, Via Alberoni, Venezia Lido, 30126 Venice</wicri:regionArea><wicri:noRegion>30126 Venice</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I4">Dipartimento di Tecnica e Gestione dei Sistemi Industriali, Università di Padova Stradella S. Nicola, 36100 Vicenza, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Dipartimento di Tecnica e Gestione dei Sistemi Industriali, Università di Padova Stradella S. Nicola, 36100 Vicenza</wicri:regionArea><wicri:noRegion>36100 Vicenza</wicri:noRegion></affiliation></author><author><name sortKey="Agostini, Michela" sort="Agostini, Michela" uniqKey="Agostini M" first="Michela" last="Agostini">Michela Agostini</name><affiliation wicri:level="1"><nlm:aff id="I1">Laboratory of Kinematics and Robotics, Fondazione IRCCS, Ospedale San Camillo, Via Alberoni, Venezia Lido, 30126 Venice, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Laboratory of Kinematics and Robotics, Fondazione IRCCS, Ospedale San Camillo, Via Alberoni, Venezia Lido, 30126 Venice</wicri:regionArea><wicri:noRegion>30126 Venice</wicri:noRegion></affiliation></author><author><name sortKey="Tonin, Paolo" sort="Tonin, Paolo" uniqKey="Tonin P" first="Paolo" last="Tonin">Paolo Tonin</name><affiliation wicri:level="1"><nlm:aff id="I1">Laboratory of Kinematics and Robotics, Fondazione IRCCS, Ospedale San Camillo, Via Alberoni, Venezia Lido, 30126 Venice, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Laboratory of Kinematics and Robotics, Fondazione IRCCS, Ospedale San Camillo, Via Alberoni, Venezia Lido, 30126 Venice</wicri:regionArea><wicri:noRegion>30126 Venice</wicri:noRegion></affiliation></author><author><name sortKey="Paolucci, Stefano" sort="Paolucci, Stefano" uniqKey="Paolucci S" first="Stefano" last="Paolucci">Stefano Paolucci</name><affiliation wicri:level="1"><nlm:aff id="I5">Movement and Brain Laboratory, U.O.F. IRCCS Santa Lucia Foundation, Via Ardeatina, 00142 Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Movement and Brain Laboratory, U.O.F. IRCCS Santa Lucia Foundation, Via Ardeatina, 00142 Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Sandrini, Giorgio" sort="Sandrini, Giorgio" uniqKey="Sandrini G" first="Giorgio" last="Sandrini">Giorgio Sandrini</name><affiliation wicri:level="1"><nlm:aff id="I6">IRCCS Casimiro Mondino Institute of Neurology Foundation, University of Pavia, Via Mondino, 27100 Pavia, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>IRCCS Casimiro Mondino Institute of Neurology Foundation, University of Pavia, Via Mondino, 27100 Pavia</wicri:regionArea><wicri:noRegion>27100 Pavia</wicri:noRegion></affiliation></author><author><name sortKey="Venneri, Annalena" sort="Venneri, Annalena" uniqKey="Venneri A" first="Annalena" last="Venneri">Annalena Venneri</name><affiliation wicri:level="1"><nlm:aff id="I1">Laboratory of Kinematics and Robotics, Fondazione IRCCS, Ospedale San Camillo, Via Alberoni, Venezia Lido, 30126 Venice, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Laboratory of Kinematics and Robotics, Fondazione IRCCS, Ospedale San Camillo, Via Alberoni, Venezia Lido, 30126 Venice</wicri:regionArea><wicri:noRegion>30126 Venice</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Department of Neuroscience, University of Sheffield and Sheffield Teaching Hospital NHS Foundation Trust, Beech Hill Road, S10 2RX, Sheffield, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>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="Piron, Lamberto" sort="Piron, Lamberto" uniqKey="Piron L" first="Lamberto" last="Piron">Lamberto Piron</name><affiliation wicri:level="1"><nlm:aff id="I1">Laboratory of Kinematics and Robotics, Fondazione IRCCS, Ospedale San Camillo, Via Alberoni, Venezia Lido, 30126 Venice, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Laboratory of Kinematics and Robotics, Fondazione IRCCS, Ospedale San Camillo, Via Alberoni, Venezia Lido, 30126 Venice</wicri:regionArea><wicri:noRegion>30126 Venice</wicri:noRegion></affiliation></author></analytic><series><title level="j">Computational and Mathematical Methods in Medicine</title><idno type="ISSN">1748-670X</idno><idno type="eISSN">1748-6718</idno><imprint><date when="2013">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"><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><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Flynn, Rwv" uniqKey="Flynn R">RWV Flynn</name></author><author><name sortKey="Macwalter, Rsm" uniqKey="Macwalter R">RSM MacWalter</name></author><author><name sortKey="Doney, Asf" uniqKey="Doney A">ASF Doney</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Prabhakaran, S" uniqKey="Prabhakaran S">S Prabhakaran</name></author><author><name sortKey="Zarahn, E" uniqKey="Zarahn E">E Zarahn</name></author><author><name sortKey="Riley, C" uniqKey="Riley C">C Riley</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Peppen, Rps" uniqKey="Van Peppen R">RPS Van Peppen</name></author><author><name sortKey="Kwakkel, G" uniqKey="Kwakkel G">G Kwakkel</name></author><author><name sortKey="Wood Dauphinee, S" uniqKey="Wood Dauphinee S">S Wood-Dauphinee</name></author><author><name sortKey="Hendriks, 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R">RR Motiwala</name></author><author><name sortKey="Cramer, Sc" uniqKey="Cramer S">SC Cramer</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Chili</li><li>Italie</li><li>Royaume-Uni</li></country><region><li>Latium</li></region><settlement><li>Rome</li></settlement></list><tree><country name="Italie"><noRegion><name sortKey="Turolla, Andrea" sort="Turolla, Andrea" uniqKey="Turolla A" first="Andrea" last="Turolla">Andrea Turolla</name></noRegion><name sortKey="Agostini, Michela" sort="Agostini, Michela" uniqKey="Agostini M" first="Michela" last="Agostini">Michela Agostini</name><name sortKey="Oboe, Roberto" sort="Oboe, Roberto" uniqKey="Oboe R" first="Roberto" last="Oboe">Roberto Oboe</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></country><country name="Royaume-Uni"><noRegion><name sortKey="Turolla, Andrea" sort="Turolla, Andrea" uniqKey="Turolla A" first="Andrea" last="Turolla">Andrea Turolla</name></noRegion><name sortKey="Venneri, Annalena" sort="Venneri, Annalena" uniqKey="Venneri A" first="Annalena" last="Venneri">Annalena Venneri</name></country><country name="Chili"><noRegion><name sortKey="Daud Albasini, Omar A" sort="Daud Albasini, Omar A" uniqKey="Daud Albasini O" first="Omar A." last="Daud Albasini">Omar A. 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