http://www.jneuroengrehab.com/content/10/1/113/abstract
Journal of NeuroEngineering and Rehabilitation 2013, 10:113
doi:10.1186/1743-0003-10-113
Published: 19 December 2013
Published: 19 December 2013
Abstract
Stroke is a major cause of disability in the world. The activities of upper limb segments
are often compromised following a stroke, impairing most daily tasks. Robotic training
is now considered amongst the rehabilitation methods applied to promote functional
recovery. However, the implementation of robotic devices remains a major challenge
for the bioengineering and clinical community. Latest exoskeletons with multiple degrees
of freedom (DOF) may become particularly attractive, because of their low apparent
inertia, the multiple actuators generating large torques, and the fact that patients
can move the arm in the normal wide workspace. A recent study published in JNER by Milot and colleagues underlines that training with a 6-DOF exoskeleton impacts
positively on motor function in patients being in stable phase of recovery after a
stroke. Also, multi-joint robotic training was not found to be superior to single-joint
robotic training. Although it is often considered that rehabilitation should start
from simple movements to complex functional movements as the recovery evolves, this
study challenges this widespread notion whose scientific basis has remained uncertain.
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