Download or read book Robot assisted Therapy for Upper Limb Rehabilitation in Individuals with Stroke written by Nahid Norouzi Gheidari and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "In order to determine the effectiveness of robot-assisted therapy (RT) in upper limb (UL) rehabilitation of stroke patients, we first systematically reviewed and analyzed the literature. We found that when the duration/intensity of conventional therapy (CT) is matched with that of the RT, no difference exists between the intensive CT and RT groups in terms of motor recovery, activities of daily living, strength, and motor control. However, depending on the stage of recovery, extra sessions of RT in addition to regular CT are more beneficial than regular CT alone in motor recovery of the hemiparetic shoulder and elbow of patients with stroke; the gains are similar to those that have been observed in intensive CT. It has been shown that stroke patients with mild-to-moderate UL motor impairment benefit from training with a virtual reality rehabilitation system. However, during robot-assisted movements, it remains to be determined whether movements made in a virtual environment are similar to those made in a physical environment. Thus, we examined the role of training environment, whether virtual or physical, on robot-assisted reaching movements in chronic stroke and healthy individuals, within a single session. Fifteen subjects participated in this study divided into three groups: 5 chronic stroke individuals able to perform a reaching task with no need for the robot assistance, 5 chronic stroke individuals who needed the robot assistance to complete the reaching task, and 5 healthy individuals. The task was to reach for six target buttons in two identical physical and virtual environments. The outcomes consisted of kinematic measures and a custom questionnaire to assess how participants perceived and experienced the reaching task in both environments. We found no differences between the two environments in terms of the outcome measures in any of the groups. We concluded that the choice of environment, whether physical or virtual, is not a key factor in designing a robot-assisted reaching protocol for stroke survivors. Finally, we conducted a proof-of-concept study to identify clinical benefits and potential adverse effects of a novel, custom-developed RT protocol, named "Assist-As-Asked", aiming at improving arm function of chronic stroke subjects with moderate-to-severe UL motor impairment and to investigate whether practicing in a physical or virtual environment would make any difference in the outcomes of interest. Four chronic stroke subjects participated in 10 half-hour sessions to practice reaching six targets in both virtual and physical environments. The robotic arm provided gravity support, and with the "Assist-As-Asked" paradigm, helped subjects to complete movements when they requested it. Kinematics of the reaching movements and the subjects' perception about the reaching practice in both environments were the primary outcome measures of interest. Change in scores of FMA-UE was the secondary outcome measure. Following the RT sessions, all the subjects noticeably improved their reaching performance, which was accompanied by 3-5 points improvement in FMA-UE score. There were no differences between the two environments in terms of kinematic measures even though subjects had different opinions about environment preference. We concluded that moderate-to-severe chronic stroke survivors may benefit from RT using the "Assist-As-Asked" paradigm. In designing an RT platform for moderate-to-severe chronic stroke survivors, the choice of environment, either physical or virtual, does not necessarily influence the outcome of therapy sessions." --
Download or read book Integration of Assistive Technology in the Information Age written by Mounir Mokhtari and published by IOS Press. This book was released on 2001 with total page 370 pages. Available in PDF, EPUB and Kindle. Book excerpt: The goal of this book is to close the gap between high technology and accessibility for people having lost their independence due to the loss of physical and/or cognitive capabilities. Robots and mechatronic devices bring the opportunity to improve the autonomy of disabled people and facilitate their social and professional integration by assisting them to perform daily living tasks. Technical topics of interest include, but are not limited to: Communication and learning applications in SCI an CP, Interface and Internet-based designs, Issues in human-machine interaction, Personal robotics, Hardware and control, Evaluation methods, Clinical experience, Orthotics and prosthetics, Robotics for older adults, Service robotics, Movement physiology and motor control.
Download or read book Stroke Rehabilitation written by Leeanne M. Carey and published by Oxford University Press. This book was released on 2012-06-28 with total page 277 pages. Available in PDF, EPUB and Kindle. Book excerpt: Stroke Rehabilitation: Insights from Neuroscience and Imaging informs and challenges neurologists, rehabilitation therapists, imagers, and stroke specialists to adopt more restorative and scientific approaches to stroke rehabilitation based on new evidence from neuroscience and neuroimaging literatures. The fields of cognitive neuroscience and neuroimaging are advancing rapidly and providing new insights into human behavior and learning. Similarly, improved knowledge of how the brain processes information after injury and recovers over time is providing new perspectives on what can be achieved through rehabilitation. Stroke Rehabilitation explores the potential to shape and maximize neural plastic changes in the brain after stroke from a multimodal perspective. Active skill based learning is identified as a central element of a restorative approach to rehabilitation. The evidence behind core learning principles as well as specific learning strategies that have been applied to retrain lost functions of movement, sensation, cognition and language are also discussed. Current interventions are evaluated relative to this knowledge base and examples are given of how active learning principles have been successfully applied in specific interventions. The benefits and evidence behind enriched environments is reviewed with examples of potential application in stroke rehabilitation. The capacity of adjunctive therapies, such as transcranial magnetic stimulation, to modulate receptivity of the damaged brain to benefit from behavioral interventions is also discussed in the context of this multimodal approach. Focusing on new insights from neuroscience and imaging, the book explores the potential to tailor interventions to the individual based on viable brain networks.
Download or read book Recovery After Stroke written by Michael P. Barnes and published by Cambridge University Press. This book was released on 2005-03-10 with total page 672 pages. Available in PDF, EPUB and Kindle. Book excerpt: Covering neuroscience and rehabilitation strategies, an essential handbook and reference for multidisciplinary stroke rehabilitation teams.
Download or read book Rehabilitation Robotics written by Roberto Colombo and published by Academic Press. This book was released on 2018-03-08 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rehabilitation Robotics gives an introduction and overview of all areas of rehabilitation robotics, perfect for anyone new to the field. It also summarizes available robot technologies and their application to different pathologies for skilled researchers and clinicians. The editors have been involved in the development and application of robotic devices for neurorehabilitation for more than 15 years. This experience using several commercial devices for robotic rehabilitation has enabled them to develop the know-how and expertise necessary to guide those seeking comprehensive understanding of this topic. Each chapter is written by an expert in the respective field, pulling in perspectives from both engineers and clinicians to present a multi-disciplinary view. The book targets the implementation of efficient robot strategies to facilitate the re-acquisition of motor skills. This technology incorporates the outcomes of behavioral studies on motor learning and its neural correlates into the design, implementation and validation of robot agents that behave as ‘optimal’ trainers, efficiently exploiting the structure and plasticity of the human sensorimotor systems. In this context, human-robot interaction plays a paramount role, at both the physical and cognitive level, toward achieving a symbiotic interaction where the human body and the robot can benefit from each other’s dynamics. Provides a comprehensive review of recent developments in the area of rehabilitation robotics Includes information on both therapeutic and assistive robots Focuses on the state-of-the-art and representative advancements in the design, control, analysis, implementation and validation of rehabilitation robotic systems
Download or read book Clinical Pathways in Stroke Rehabilitation written by Thomas Platz and published by Springer Nature. This book was released on 2021-01-14 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book focuses on practical clinical problems that are frequently encountered in stroke rehabilitation. Consequences of diseases, e.g. impairments and activity limitations, are addressed in rehabilitation with the overall goal to reduce disability and promote participation. Based on the available best external evidence, clinical pathways are described for stroke rehabilitation bridging the gap between clinical evidence and clinical decision-making. The clinical pathways answer the questions which rehabilitation treatment options are beneficial to overcome specific impairment constellations and activity limitations and are well acceptable to stroke survivors, as well as when and in which settings to provide rehabilitation over the course of recovery post stroke. Each chapter starts with a description of the clinical problem encountered. This is followed by a systematic, but concise review of the evidence (RCTs, systematic reviews and meta-analyses) that is relevant for clinical decision-making, and comments on assessment, therapy (training, technology, medication), and the use of technical aids as appropriate. Based on these summaries, clinical algorithms / pathways are provided and the main clinical-decision situations are portrayed. The book is invaluable for all neurorehabilitation team members, clinicians, nurses, and therapists in neurology, physical medicine and rehabilitation, and related fields. It is a World Federation for NeuroRehabilitation (WFNR) educational initiative, bridging the gap between the rapidly expanding clinical research in stroke rehabilitation and clinical practice across societies and continents. It can be used for both clinical decision-making for individuals and as well as clinical background knowledge for stroke rehabilitation service development initiatives.
Download or read book Human Robotics written by Etienne Burdet and published by MIT Press. This book was released on 2013-09-13 with total page 291 pages. Available in PDF, EPUB and Kindle. Book excerpt: A synthesis of biomechanics and neural control that draws on recent advances in robotics to address control problems solved by the human sensorimotor system. This book proposes a transdisciplinary approach to investigating human motor control that synthesizes musculoskeletal biomechanics and neural control. The authors argue that this integrated approach—which uses the framework of robotics to understand sensorimotor control problems—offers a more complete and accurate description than either a purely neural computational approach or a purely biomechanical one. The authors offer an account of motor control in which explanatory models are based on experimental evidence using mathematical approaches reminiscent of physics. These computational models yield algorithms for motor control that may be used as tools to investigate or treat diseases of the sensorimotor system and to guide the development of algorithms and hardware that can be incorporated into products designed to assist with the tasks of daily living. The authors focus on the insights their approach offers in understanding how movement of the arm is controlled and how the control adapts to changing environments. The book begins with muscle mechanics and control, progresses in a logical manner to planning and behavior, and describes applications in neurorehabilitation and robotics. The material is self-contained, and accessible to researchers and professionals in a range of fields, including psychology, kinesiology, neurology, computer science, and robotics.
Download or read book Neurological Rehabilitation written by H.I. Krebs and published by Elsevier Inc. Chapters. This book was released on 2013-01-10 with total page 49 pages. Available in PDF, EPUB and Kindle. Book excerpt: This chapter focuses on rehabilitation robotics which can be used to augment the clinician's toolbox in order to deliver meaningful restorative therapy for an aging population, as well as on advances in orthotics to augment an individual's functional abilities beyond neurorestoration potential. The interest in rehabilitation robotics and orthotics is increasing steadily with marked growth in the last 10 years. This growth is understandable in view of the increased demand for caregivers and rehabilitation services escalating apace with the graying of the population. We provide an overview on improving function in people with a weak limb due to a neurological disorder who cannot properly control it to interact with the environment (orthotics); we then focus on tools to assist the clinician in promoting rehabilitation of an individual so that s/he can interact with the environment unassisted (rehabilitation robotics). We present a few clinical results occurring immediately poststroke as well as during the chronic phase that demonstrate superior gains for the upper extremity when employing rehabilitation robotics instead of usual care. These include the landmark VA-ROBOTICS multisite, randomized clinical study which demonstrates clinical gains for chronic stroke that go beyond usual care at no additional cost.
Download or read book Functional and Robust Human machine Interface for Robotic assisted Therapy of the Shoulder After Stroke written by Liliana Patricia Paredes Calderon and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The majority of individuals with stroke experience problems with the upper extremity, of which paresis is most common. The use of robotics in upper limb therapy is increasingly popular, as it can deliver intensive and functional arm rehabilitation. This thesis describes the development of a functional and robust myoelectric control interface for the pneumatic shoulder RehaARM robot, using electromyographic biofeedback, and the design of a therapeutic approach for shoulder treatment after stroke with this technology. The therapeutic approach has been evaluated in a phase II clinical trial . ...
Download or read book Advanced Technologies in Rehabilitation written by Andrea Gaggioli and published by IOS Press. This book was released on 2009 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: Intends to examine the focus and aims that drive rehabilitation intervention and technology development. This book addresses the questions of what research is taking place to develop rehabilitation, applied technology and how we have been able to modify and measure responses in both healthy and clinical populations using these technologies.
Download or read book Stroke Rehabilitation written by Richard Wilson and published by Elsevier Health Sciences. This book was released on 2018-09-12 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: Practical and concise, Stroke Rehabilitation provides everyday clinical guidance on current methods, techniques, evidence, and controversies in this important area. This focused resource by Drs. Richard Wilson and Preeti Raghavan consolidates today’s available information in an easy-to-navigate format for today’s practicing and trainee physiatrists, as well as other members of the rehabilitation team.
Download or read book Neurorehabilitation Technology written by David J. Reinkensmeyer and published by Springer Nature. This book was released on 2022-11-15 with total page 771 pages. Available in PDF, EPUB and Kindle. Book excerpt: This revised, updated, and substantially expanded third edition provides an accessible, practical overview of major areas of research, technical development and clinical application in the field of neurorehabilitation movement therapy. The initial section provides the basic framework and a rationale for technology application in movement therapy by summarizing recent findings in neuroplasticity and motor learning. The following section provides a detailed overview of the movement physiology of various neurologic conditions, illustrating how this knowledge has been used to design various neurorehabilitation technologies. The third section then explains the principles of human-machine interaction for movement rehabilitation. The fourth section provides an overview of assessment technology and predictive modeling in neurorehabilitation. The fifth section provides a survey of technological approaches to neurorehabilitation, including spinal cord stimulation, functional electrical stimulation, virtual reality, wearable sensing, brain computer interfaces, mobile technologies, and telerehabilitation. The final two sections examine in greater detail the ongoing revolution in robotic therapy for upper extremity movement and walking, respectively. The promises and limitations of these technologies in neurorehabilitation are discussed, including an Epilogue which debates the impact and utility of robotics for neurorehabilitation. Throughout the book the chapters provide detailed practical information on state-of-the-art clinical applications of these devices following stroke, spinal cord injury, and other neurologic disorders and future developments in the field. The text is illustrated throughout with photographs and schematic diagrams which serve to clarify the information for the reader. Neurorehabilitation Technology, Third Edition is a valuable resource for neurologists, biomedical engineers, roboticists, rehabilitation specialists, physiotherapists, occupational therapists and those training in these fields. Chapter “Spinal Cord Stimulation to Enable Leg Motor Control and Walking in People with Spinal Cord Injury is available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.
Download or read book EQ 5D concepts and methods written by Paul Kind and published by Springer Science & Business Media. This book was released on 2005-10-24 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: Science today makes progress through the imaginative harvesting of knowledge g- erated by the many, rather than as the result of the isolated endeavours of the lone researcher. Innovations in the physical sciences from the development of nuclear te- nologies to the laser, have involved research teams working collectively. Collabo- tion is the rule rather than the exception. In the social sciences this model is all but reversed. Here it is not uncommon to encounter the solitary enthusiast, relishing an independence of spirit and pursuing their own private research agenda. All the more surprising then that a group of researchers from several different disciplines, should have come together in the late 1980s with nothing more substantial on the agenda than that they share their thoughts on the topic of measuring the value of health, or more specifically, on the way that the value of health might vary across different countries. Few scientific enterprises can have begun as cautiously or uncertainly. Few can have developed a cohesion and dynamism that lasted decades and continues to drive ahead after long years of scientific endeavour. Such is the good fortune that befell those of us who came together to form what was later to be known as the Euro- Qol Group. The Group's creation is principally due to the shared professional asso- ation of its members with one man, an economist by training and a visionary academic by inclination and temperament - Alan Williams.
Download or read book Hand Function written by Mehmet Tuncay Duruöz and published by Springer Science & Business Media. This book was released on 2014-03-29 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: Accurate assessment of hand function is critical to any treatment regimen of the hand compromised patient. Hand Function is a practical, clinical book which provides the knowledge needed to distinguish the different dimensions of hand function, particularly impairment, disability and handicap. Beginning with an overview of basic principles and examination, subsequent chapters evaluate the hand function in specific afflicted populations, including the rheumatoid patient, the stroke patient, the trauma patient, the geriatric patient and the pediatric patient, as well as special populations such as diabetes mellitus patients and musicians. An appendix containing hand function scales essential to the assessment of disability is also included. Rheumatologists, physiatrists, hand surgeons, orthopedists, occupational therapists and physical therapists will all find Hand Function a useful and valuable addition to their clinical references.
Download or read book Upper Motor Neurone Syndrome and Spasticity written by Michael P. Barnes and published by Cambridge University Press. This book was released on 2001-02 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a thorough, practical reference and guide for all health professionals involved in the management of spasticity.
Download or read book Textbook of Stroke Medicine written by Michael Brainin and published by Cambridge University Press. This book was released on 2014-09-11 with total page 425 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fully revised throughout, the new edition of this concise textbook is aimed at doctors preparing to specialize in stroke care.
Download or read book Life Habits Shortened Version LIFE H 3 0 written by Patrick Fougeyrollas and published by Lac St-Charles, Québec : INDCP. This book was released on 2002 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt:
