Effects of the Alternate Combination of “Error-Enhancing” and “Active Assistive” Robot-Mediated Treatments on Stroke Patients
Identifieur interne : 001C32 ( Main/Merge ); précédent : 001C31; suivant : 001C33Effects of the Alternate Combination of “Error-Enhancing” and “Active Assistive” Robot-Mediated Treatments on Stroke Patients
Auteurs : Peppino Tropea ; Benedetta Cesqui ; Vito Monaco ; Sara Aliboni ; Federico Posteraro ; Silvestro MiceraSource :
- IEEE Journal of Translational Engineering in Health and Medicine [ 2168-2372 ] ; 2013.
Abstract
This paper aimed at investigating the effects of a novel robotic-aided rehabilitation treatment for the recovery of the upper limb related capabilities in chronic post stroke patients. Eighteen post-stroke patients were enrolled in a six-week therapy program and divided into two groups. They were all required to perform horizontal pointing movements both in the presence of a robot-generated divergent force field (DF) that pushed their hands proportional to the trajectory error and perpendicular to the direction of motion, and according to the typical active assistive (AA) approach used in robotic therapy. We used a crossover experimental paradigm where the two groups switched from one therapy treatment to the other. The hypothesis underlying this paper was that the use of the destabilizing scenario forced the patient to keep the end-point position as close as possible to the ideal path, hence requiring a more active control of the arm with respect to the AA approach. Our findings confirmed this hypothesis. In addition, when the DF treatment was provided in the first therapy cycle, patients also showed straighter and smoother paths during the subsequent AA therapy cycle, while this was not true in the opposite case. In conclusion, the results herein reported provide evidence that the use of an unstable DF field can lead to better recovery outcomes, and therefore it potentially more effective than solely active assistance therapy alone.
Url:
DOI: 10.1109/JTEHM.2013.2271898
PubMed: 27170850
PubMed Central: 4819227
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Effects of the Alternate Combination of “Error-Enhancing” and “Active Assistive” Robot-Mediated Treatments on Stroke Patients</title><author><name sortKey="Tropea, Peppino" sort="Tropea, Peppino" uniqKey="Tropea P" first="Peppino" last="Tropea">Peppino Tropea</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Cesqui, Benedetta" sort="Cesqui, Benedetta" uniqKey="Cesqui B" first="Benedetta" last="Cesqui">Benedetta Cesqui</name><affiliation><nlm:aff id="aff2"></nlm:aff></affiliation></author><author><name sortKey="Monaco, Vito" sort="Monaco, Vito" uniqKey="Monaco V" first="Vito" last="Monaco">Vito Monaco</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Aliboni, Sara" sort="Aliboni, Sara" uniqKey="Aliboni S" first="Sara" last="Aliboni">Sara Aliboni</name><affiliation><nlm:aff id="aff3"></nlm:aff></affiliation></author><author><name sortKey="Posteraro, Federico" sort="Posteraro, Federico" uniqKey="Posteraro F" first="Federico" last="Posteraro">Federico Posteraro</name><affiliation><nlm:aff id="aff4"></nlm:aff></affiliation></author><author><name sortKey="Micera, Silvestro" sort="Micera, Silvestro" uniqKey="Micera S" first="Silvestro" last="Micera">Silvestro Micera</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation><affiliation><nlm:aff id="aff5"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27170850</idno><idno type="pmc">4819227</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4819227</idno><idno type="RBID">PMC:4819227</idno><idno type="doi">10.1109/JTEHM.2013.2271898</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">001247</idno><idno type="wicri:Area/Pmc/Curation">001247</idno><idno type="wicri:Area/Pmc/Checkpoint">001283</idno><idno type="wicri:Area/Ncbi/Merge">004228</idno><idno type="wicri:Area/Ncbi/Curation">004228</idno><idno type="wicri:Area/Ncbi/Checkpoint">004228</idno><idno type="wicri:Area/Main/Merge">001C32</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Effects of the Alternate Combination of “Error-Enhancing” and “Active Assistive” Robot-Mediated Treatments on Stroke Patients</title><author><name sortKey="Tropea, Peppino" sort="Tropea, Peppino" uniqKey="Tropea P" first="Peppino" last="Tropea">Peppino Tropea</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Cesqui, Benedetta" sort="Cesqui, Benedetta" uniqKey="Cesqui B" first="Benedetta" last="Cesqui">Benedetta Cesqui</name><affiliation><nlm:aff id="aff2"></nlm:aff></affiliation></author><author><name sortKey="Monaco, Vito" sort="Monaco, Vito" uniqKey="Monaco V" first="Vito" last="Monaco">Vito Monaco</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Aliboni, Sara" sort="Aliboni, Sara" uniqKey="Aliboni S" first="Sara" last="Aliboni">Sara Aliboni</name><affiliation><nlm:aff id="aff3"></nlm:aff></affiliation></author><author><name sortKey="Posteraro, Federico" sort="Posteraro, Federico" uniqKey="Posteraro F" first="Federico" last="Posteraro">Federico Posteraro</name><affiliation><nlm:aff id="aff4"></nlm:aff></affiliation></author><author><name sortKey="Micera, Silvestro" sort="Micera, Silvestro" uniqKey="Micera S" first="Silvestro" last="Micera">Silvestro Micera</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation><affiliation><nlm:aff id="aff5"></nlm:aff></affiliation></author></analytic><series><title level="j">IEEE Journal of Translational Engineering in Health and Medicine</title><idno type="eISSN">2168-2372</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>This paper aimed at investigating the effects of a novel robotic-aided rehabilitation treatment for the recovery of the upper limb related capabilities in chronic post stroke patients. Eighteen post-stroke patients were enrolled in a six-week therapy program and divided into two groups. They were all required to perform horizontal pointing movements both in the presence of a robot-generated divergent force field (DF) that pushed their hands proportional to the trajectory error and perpendicular to the direction of motion, and according to the typical active assistive (AA) approach used in robotic therapy. We used a crossover experimental paradigm where the two groups switched from one therapy treatment to the other. The hypothesis underlying this paper was that the use of the destabilizing scenario forced the patient to keep the end-point position as close as possible to the ideal path, hence requiring a more active control of the arm with respect to the AA approach. Our findings confirmed this hypothesis. In addition, when the DF treatment was provided in the first therapy cycle, patients also showed straighter and smoother paths during the subsequent AA therapy cycle, while this was not true in the opposite case. In conclusion, the results herein reported provide evidence that the use of an unstable DF field can lead to better recovery outcomes, and therefore it potentially more effective than solely active assistance therapy alone.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Dobkin, B H" uniqKey="Dobkin B">B. H. Dobkin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sathian, K" uniqKey="Sathian K">K. Sathian</name></author><author><name sortKey="Buxbaum, L J" uniqKey="Buxbaum L">L. J. Buxbaum</name></author><author><name sortKey="Cohen, L G" uniqKey="Cohen L">L. G. Cohen</name></author><author><name sortKey="Krakauer, J W" uniqKey="Krakauer J">J. W. 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