Tuesday, April 17, 2018

Chapter 13 – Twenty + years of robotics for upper-extremity rehabilitation following a stroke

Ask your doctor which of these robotics will get you recovered and which ones they have available for your use.  You shouldn't have to do this because your doctor should come to you with the therapy you need and the efficacy of that therapy. But until stroke doctors and hospitals stop being incompetent, YOU will have to do that research and bring it to their attention.

Chapter 13 – Twenty + years of robotics for upper-extremity rehabilitation following a stroke


Abstract

This chapter provides an overview of 28 + years of efforts at MIT's Newman Laboratory for Biomechanics and Human Rehabilitation developing robotic tools to assist in the neurorecovery process. I will discuss a few basic principles that are core for successful rehabilitation robotic technology, present a snapshot of a few of MIT's rehabilitation robots, discuss the results of meta-analyses for upper-extremity robotics, and finish by discussing two of our research group's exciting examples for acute and chronic stroke. The material covered in this chapter should suffice to highlight to the reader that poststroke robotic therapy for the upper extremity that involves an interactive high-intensity, intention-driven therapy based on motor learning principles and assist-as-needed principle leads to better outcomes than usual care in both acute/subacute and chronic stroke and hence, it has been recognized in many health-care associations' clinical guidelines.

Keywords

  • Robot neurorehabilitation;
  • Motor learning;
  • Motor recovery;
  • Upper-limb stroke

Acknowledgements

Acknowledgment
Dr. H. I. Krebs is a coinventor in several MIT-held patents for the robotic technology. He was the founder of Interactive Motion Technologies and 4Motion Robotics.
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