MedStar Authors catalog › Details for: Robotic approaches for rehabilitation of hand function after stroke. [Review]
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Robotic approaches for rehabilitation of hand function after stroke. [Review]

by Lum, Peter S; Godfrey, Sasha B; Brokaw, Elizabeth B; Holley, Rahsaan J; Nichols, Diane.
Citation: American Journal of Physical Medicine & Rehabilitation. 91(11 Suppl 3):S242-54, 2012 Nov..Journal: American journal of physical medicine & rehabilitation / Association of Academic Physiatrists.ISSN: 0894-9115.Full author list: Lum PS; Godfrey SB; Brokaw EB; Holley RJ; Nichols D.UI/PMID: 23080040.Subject(s): Algorithms | Equipment Design | Finger Joint/pp [Physiopathology] | *Hand/pp [Physiopathology] | Humans | Range of Motion, Articular | Recovery of Function/ph [Physiology] | *Recovery of Function | *Robotics/is [Instrumentation] | Robotics/mt [Methods] | *Stroke/pp [Physiopathology] | *Stroke/rh [Rehabilitation] | Treatment OutcomeInstitution(s): MedStar National Rehabilitation NetworkActivity type: Journal Article.Medline article type(s): Journal Article | Research Support, U.S. Gov't, Non-P.H.S | ReviewOnline resources: Click here to access online Digital Object Identifier: http://dx.doi.org/10.1097/PHM.0b013e31826bcedb (Click here) Abbreviated citation: Am J Phys Med Rehabil. 91(11 Suppl 3):S242-54, 2012 Nov.Local Holdings: Available online from MWHC library: 1996 - present.Abstract: The goal of this review was to discuss the impairments in hand function after stroke and present previous work on robot-assisted approaches to movement neurorehabilitation. Robotic devices offer a unique training environment that may enhance outcomes beyond what is possible with conventional means. Robots apply forces to the hand, allowing completion of movements while preventing inappropriate movement patterns. Evidence from the literature is emerging that certain characteristics of the human-robot interaction are preferable. In light of this evidence, the robotic hand devices that have undergone clinical testing are reviewed, highlighting the authors' work in this area. Finally, suggestions for future work are offered. The ability to deliver therapy doses far higher than what has been previously tested is a potentially key advantage of robotic devices that needs further exploration. In particular, more efforts are needed to develop highly motivating home-based devices, which can increase access to high doses of assisted movement therapy.

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