Abstract:This
paper investigates robot-assisted rehabilitation after stroke using the
haptic knob, a 2 degree-of-freedom end-effector based robotic device to
train grasping and wrist pronation/supination. Nine chronic stroke
subjects trained over a period of 6 weeks, with 3 one-hour sessions of
robot-assisted therapy per week, consisting of two exercises requiring
active participation promoted by therapeutic games. Results of standard
clinical assessments demonstrate the positive effects of robot-assisted
therapy with the haptic knob. Subjects improved by a mean of 4.3 points
in the Fugl-Meyer assessment scale, together with a decrease in hand
impairments such as abnormal muscle tone frequently observed in stroke
subjects. Significant improvements were also observed in motor function
of the upper arm as a result of the robot-assisted therapy, suggesting
homogeneous improvement of upper limb function as a result of distal
training.
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