Robot therapy for stroke survivors: proprioceptive training and regulation of assistance.
Identifieur interne : 000F68 ( Main/Merge ); précédent : 000F67; suivant : 000F69Robot therapy for stroke survivors: proprioceptive training and regulation of assistance.
Auteurs : Vittorio Sanguineti [Italie] ; Maura Casadio ; Elena Vergaro ; Valentina Squeri ; Psiche Giannoni ; Pietro G. MorassoSource :
- Studies in health technology and informatics [ 0926-9630 ] ; 2009.
Descripteurs français
- KwdFr :
- MESH :
- physiologie : Performance psychomotrice, Proprioception.
- rééducation et réadaptation : Accident vasculaire cérébral.
- Humains, Italie, Robotique.
- Wicri :
- geographic : Italie.
English descriptors
- KwdEn :
- MESH :
- geographic : Italy.
- physiology : Proprioception, Psychomotor Performance.
- rehabilitation : Stroke.
- Humans, Robotics.
Abstract
Robot therapy seems promising with stroke survivors, but it is unclear which exercises are most effective, and whether other pathologies may benefit from this technique. In general, exercises should exploit the adaptive nature of the nervous system, even in chronic patients. Ideally, exercise should involve multiple sensory modalities and, to promote active subject participation, the level of assistance should be kept to a minimum. Moreover, exercises should be tailored to the different degrees of impairment, and should adapt to changing performance. To this end, we designed three tasks: (i) a hitting task, aimed at improving the ability to perform extension movements; (ii) a tracking task, aimed at improving visuo-motor control; and (iii) a bimanual task, aimed at fostering inter-limb coordination. All exercises are conducted on a planar manipulandum with two degrees of freedom, and involve alternating blocks of exercises performed with and without vision. The degree of assistance is kept to a minimum, and adjusted to the changing subject's performance. All three exercises were tested on chronic stroke survivors with different levels of impairment. During the course of each exercise, movements became faster, smoother, more precise, and required decreasing levels of assistive force. These results point to the potential benefit of that assist-as-needed training with a proprioceptive component in a variety of clinical conditions.
PubMed: 19592791
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pubmed:19592791Le document en format XML
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Morasso</name></author></analytic><series><title level="j">Studies in health technology and informatics</title><idno type="ISSN">0926-9630</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Humans</term><term>Italy</term><term>Proprioception (physiology)</term><term>Psychomotor Performance (physiology)</term><term>Robotics</term><term>Stroke (rehabilitation)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accident vasculaire cérébral (rééducation et réadaptation)</term><term>Humains</term><term>Italie</term><term>Performance psychomotrice (physiologie)</term><term>Proprioception (physiologie)</term><term>Robotique</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Italy</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Performance psychomotrice</term><term>Proprioception</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Proprioception</term><term>Psychomotor Performance</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Stroke</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Accident vasculaire cérébral</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Robotics</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Humains</term><term>Italie</term><term>Robotique</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Italie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Robot therapy seems promising with stroke survivors, but it is unclear which exercises are most effective, and whether other pathologies may benefit from this technique. In general, exercises should exploit the adaptive nature of the nervous system, even in chronic patients. Ideally, exercise should involve multiple sensory modalities and, to promote active subject participation, the level of assistance should be kept to a minimum. Moreover, exercises should be tailored to the different degrees of impairment, and should adapt to changing performance. To this end, we designed three tasks: (i) a hitting task, aimed at improving the ability to perform extension movements; (ii) a tracking task, aimed at improving visuo-motor control; and (iii) a bimanual task, aimed at fostering inter-limb coordination. All exercises are conducted on a planar manipulandum with two degrees of freedom, and involve alternating blocks of exercises performed with and without vision. The degree of assistance is kept to a minimum, and adjusted to the changing subject's performance. All three exercises were tested on chronic stroke survivors with different levels of impairment. During the course of each exercise, movements became faster, smoother, more precise, and required decreasing levels of assistive force. These results point to the potential benefit of that assist-as-needed training with a proprioceptive component in a variety of clinical conditions.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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