13 years, I have seen very little that is useful in proprioception recovery. What is your doctor's protocol to recover proprioception?
2009, Studies in health technology and informatics
Vittorio SANGUINETI a,1,
Maura CASADIO a,b,
Elena VERGARO a,
Valentina SQUERI a,b,
Psiche GIANNONI c and
Pietro G. MORASSO a,b
a Department of Informatics, Systems and Telematics, University of Genoa, Genoa, Italy
b Italian Institute of Technology, Genoa, Italy
c ART Education and Rehabilitation Center, Genoa, Italy
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.
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