Robot-Aided Neurorehabilitation: A Robot for Wrist Rehabilitation

 What the fuck has your stroke hospital done in the 13 years since this came out to implement wrist rehab that works? ANYTHING AT ALL?  Or just standard incompetence?

Do you prefer your hospital incompetence NOT KNOWING? OR NOT DOING?

Robot-Aided Neurorehabilitation: A Robot for Wrist Rehabilitation

2007, IEEE Transactions on Neural Systems and Rehabilitation Engineering
 Hermano Igo Krebs [Senior Member, IEEE]
,Department of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge, MA02139 USA, and with the Neurology Department, Weill Medical College, Cornell University, BurkeMedical Research Institute, White Plains, NY 10605 USA, and also with the Neurology Department,University of Maryland School of Medicine, Baltimore, MD 21201 USA (e-mail: hikrebs@mit.edu).
Bruce T. Volpe
,Neurology Department, Weill Medical College, Cornell University, Burke Medical Research Institute,White Plains, NY 10605 USA and with the Department of Mechanical Engineering, MassachusettsInstitute of Technology, Cambridge, MA 02139 USA.
Dustin Williams
,Department of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge, MA02139 USA. He is now with Interactive Motion Technologies, Inc., Cambridge, MA 02138 USA.
James Celestino
,Department of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge, MA02139 USA. He is also with Shelhigh, Inc., Union, NJ 07083 USA.
Steven K. Charles
,Harvard-MIT Division of Health Sciences and Technology, Cambridge, MA 02139 USA.
Daniel Lynch
, andBurke Medical Research Institute, White Plains, NY 10605 USA.
Neville Hogan
Department of Mechanical Engineering and the Brain and Cognitive Sciences Department,Massachusetts Institute of Technology, Cambridge, MA 02139 USA.

 Abstract

In 1991, a novel robot, MIT-MANUS, was introduced to study the potential that robots might assist in and quantify the neuro-rehabilitation of motor function. MIT-MANUS proved an excellent tool for shoulder and elbow rehabilitation in stroke patients, showing in clinical trials a reduction of impairment in movements confined to the exercised joints. This successful proof of principle as to additional targeted and intensive movement treatment prompted a test of robot training examining other limb segments. This paper focuses on a robot for wrist rehabilitation designed to provide three rotational degrees-of-freedom. The first clinical trial of the device will enroll 200 stroke survivors.Ultimately 160 stroke survivors will train with both the proximal shoulder and elbow MIT-MANUSrobot, as well as with the novel distal wrist robot, in addition to 40 stroke survivor controls. So far 52 stroke patients have completed the robot training (ongoing protocol). Here, we report on the initial results on 36 of these volunteers. These results demonstrate that further improvement should be expected by adding additional training to other limb segments.
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 NIH Public Access
Author Manuscript
 IEEE Trans Neural Syst Rehabil Eng
. Author manuscript; available in PMC 2009 August 27.
Published in final edited form as:
 IEEE Trans Neural Syst Rehabil Eng
. 2007 September ; 15(3): 327–335. doi:10.1109/TNSRE.2007.903899.