Robotic approaches for rehabilitation of hand function after stroke. [Review]

MedStar author(s):
Citation: American Journal of Physical Medicine & Rehabilitation. 91(11 Suppl 3):S242-54, 2012 Nov.PMID: 23080040Institution: MedStar National Rehabilitation NetworkForm of publication: Journal ArticleMedline article type(s): Journal Article | Research Support, U.S. Gov't, Non-P.H.S. | ReviewSubject headings: *Hand/pp [Physiopathology] | *Recovery of Function | *Robotics/is [Instrumentation] | *Stroke/pp [Physiopathology] | *Stroke/rh [Rehabilitation] | Algorithms | Equipment Design | Finger Joint/pp [Physiopathology] | Humans | Range of Motion, Articular | Recovery of Function/ph [Physiology] | Robotics/mt [Methods] | Treatment OutcomeLocal holdings: Available online from MWHC library: 1996 - presentISSN:
  • 0894-9115
Name of journal: American journal of physical medicine & rehabilitation / Association of Academic PhysiatristsAbstract: 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.All authors: Brokaw EB, Godfrey SB, Holley RJ, Lum PS, Nichols DDigital Object Identifier: Date added to catalog: 2013-09-17
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article Available 23080040

Available online from MWHC library: 1996 - present

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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