Robotic wrist training after stroke: Adaptive modulation of assistance in pediatric rehabilitation

So send your doctor after the protocol and equipment used. Each individual doctor wouldn't have to do this if we had a great stroke association keeping track of all research and protocols in a publicly available database.
http://www.sciencedirect.com/science/article/pii/S0921889016303268

• Francesca Marini^a,
• Charmayne M.L. Hughes^b,
• Valentina Squeri^a,
• Luca Doglio^c,
• Paolo Moretti^c,
• Pietro Morasso^a,
• Lorenzo Masia^{d, ,}

 Show more

Choose an option to locate/access this article:

Check if you have access through your login credentials or your institution

Check access

Purchase $35.95

• 

http://dx.doi.org/10.1016/j.robot.2017.01.006

Get rights and content

---

Highlights

•

Pediatric stroke leads to limb hemiparesis, sensory impairments, and spasticity.

•

A 14-year old stroke patient completed in a 3-month wrist robotic training program.

•

The robot provided online adaptive modulation of assistance instantaneously during each trial.

•

Robot therapy led to positive changes in upper limb motor coordination and function.

•

In addition, the patient needed less robot assistance to complete each trial.

---

Abstract

In this paper we present a case study in which a 14-year-old, right-handed stroke patient with severe weakness, spasticity, and motor dysfunction of the left upper extremity participated in a three-month distal robotic training program. The robotic device was compliant to the patients’ movements and was able to modulate the level of assistance continuously throughout the trial (i.e., online adaptive modulation). Standard clinical and robotic evaluations of upper extremity motor performance were conducted before and after robotic training. There were improvements in upper extremity spasticity and motor functions. In addition, robotic training lead to positive changes in wrist active range of motion and kinematics: movements were smoother and there was a noticeable decrease in the level of robotic intervention required to complete each trial. In sum, results of the present case study demonstrate that distal upper extremity robotic rehabilitation that features the proposed adaptive control algorithm promoted positive changes in upper limb motor coordination and function after pediatric stroke.