Assessment of movement quality in robot- assisted upper limb rehabilitation after stroke: a review

This is mainly for your therapist but you can look at table 2 on page 8 which lists a whole bunch of upper limb robots, some I haven't even heard of. This is rather appalling that robot rehabilitation is being used with no knowledge of the best way to apply it. Once again stroke survivors are guinea pigs.
https://www.google.com/url?rct=j&sa=t&url=http://www.jneuroengrehab.com/content/pdf/1743-0003-11-137.pdf&ct=ga&cd=CAEYACoTMzYyNDczNzg0MjQwNjIwMTA3NzIaY2NlMGE1MDc2NjBiNDZhODpjb206ZW46VVM&usg=AFQjCNGh1uk_UJO6IGcsZibJGjoPo4-T9Q
Corresponding author
Email: nurdiana@utem.edu.my
Sheng Quan Xie

Email: s.xie@auckland.ac.nz
Burkhard Wünsche

Email: burkhard@cs.auckland.ac.nz
Department of Mechanical Engineering, The University of Auckland, 2
0 Symonds Street,
Auckland, New Zealand

Department of Computer Science, The University of Auckland, 23 Symond
s Street,
Auckland, New Zealand

Faculty of Electrical Engineering, Universiti Teknikal Malaysia Melaka,
Hang Tuah Jaya,
Melaka, Malaysia
State Key Laboratory of Digital Equipment and Technology, Huazhong Un
iversity of
Science & Technology, Wuhan, China
Abstract

Studies of stroke patients undergoing robot-assisted rehabilitation have re
vealed various kinematic parameters describing movement quality of the upper limb. However, due to the different level of stroke impairment and different assessment criteria and interventions, the evaluation of the
effectiveness of rehabilitation program is undermined.This paper prese
nts a systematic review of kinematic assessments of movement quality of the upper limb and identifies the suitable parameters describing impairments in stroke patients. A total of 41 different clinical and pilot studies on different phases of stroke recovery utilizing kinematic parameters are evaluated. Kinematic parameters describing movement accuracy are mostly reported for chronic patients with statistically significant outcomes and correlate strongly with clinical assessments. Meanwhile, parameters describing feed-forward sensorimotor control are the most frequently reported in studies on sub-acute patients
with significant outcomes albeit without correlation to any clinical assessments. However, lack of measures in coordinated movement and proximal component of upper limb enunciate the difficulties to distinguish the exploitation of joint redundancies exhibited by stroke patients in completing the movement. A further study on overall measures of coordinated movement is recommended.