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Functional impacts of exoskeleton-based rehabilitation in chronic stroke: multi-joint versus single-joint robotic training
Stroke is a major cause of disability in the world. The activities of upper limb segments are often compromised following a stroke, impairing most daily tasks. Robotic training is now considered amongst the rehabilitation methods applied to promote functional recovery. However, the implementation of...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3878345/ https://www.ncbi.nlm.nih.gov/pubmed/24354518 http://dx.doi.org/10.1186/1743-0003-10-113 |
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author | Grimaldi, Giuliana Manto, Mario |
author_facet | Grimaldi, Giuliana Manto, Mario |
author_sort | Grimaldi, Giuliana |
collection | PubMed |
description | Stroke is a major cause of disability in the world. The activities of upper limb segments are often compromised following a stroke, impairing most daily tasks. Robotic training is now considered amongst the rehabilitation methods applied to promote functional recovery. However, the implementation of robotic devices remains a major challenge for the bioengineering and clinical community. Latest exoskeletons with multiple degrees of freedom (DOF) may become particularly attractive, because of their low apparent inertia, the multiple actuators generating large torques, and the fact that patients can move the arm in the normal wide workspace. A recent study published in JNER by Milot and colleagues underlines that training with a 6-DOF exoskeleton impacts positively on motor function in patients being in stable phase of recovery after a stroke. Also, multi-joint robotic training was not found to be superior to single-joint robotic training. Although it is often considered that rehabilitation should start from simple movements to complex functional movements as the recovery evolves, this study challenges this widespread notion whose scientific basis has remained uncertain. |
format | Online Article Text |
id | pubmed-3878345 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-38783452014-01-03 Functional impacts of exoskeleton-based rehabilitation in chronic stroke: multi-joint versus single-joint robotic training Grimaldi, Giuliana Manto, Mario J Neuroeng Rehabil Commentary Stroke is a major cause of disability in the world. The activities of upper limb segments are often compromised following a stroke, impairing most daily tasks. Robotic training is now considered amongst the rehabilitation methods applied to promote functional recovery. However, the implementation of robotic devices remains a major challenge for the bioengineering and clinical community. Latest exoskeletons with multiple degrees of freedom (DOF) may become particularly attractive, because of their low apparent inertia, the multiple actuators generating large torques, and the fact that patients can move the arm in the normal wide workspace. A recent study published in JNER by Milot and colleagues underlines that training with a 6-DOF exoskeleton impacts positively on motor function in patients being in stable phase of recovery after a stroke. Also, multi-joint robotic training was not found to be superior to single-joint robotic training. Although it is often considered that rehabilitation should start from simple movements to complex functional movements as the recovery evolves, this study challenges this widespread notion whose scientific basis has remained uncertain. BioMed Central 2013-12-19 /pmc/articles/PMC3878345/ /pubmed/24354518 http://dx.doi.org/10.1186/1743-0003-10-113 Text en Copyright © 2013 Grimaldi and Manto; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Commentary Grimaldi, Giuliana Manto, Mario Functional impacts of exoskeleton-based rehabilitation in chronic stroke: multi-joint versus single-joint robotic training |
title | Functional impacts of exoskeleton-based rehabilitation in chronic stroke: multi-joint versus single-joint robotic training |
title_full | Functional impacts of exoskeleton-based rehabilitation in chronic stroke: multi-joint versus single-joint robotic training |
title_fullStr | Functional impacts of exoskeleton-based rehabilitation in chronic stroke: multi-joint versus single-joint robotic training |
title_full_unstemmed | Functional impacts of exoskeleton-based rehabilitation in chronic stroke: multi-joint versus single-joint robotic training |
title_short | Functional impacts of exoskeleton-based rehabilitation in chronic stroke: multi-joint versus single-joint robotic training |
title_sort | functional impacts of exoskeleton-based rehabilitation in chronic stroke: multi-joint versus single-joint robotic training |
topic | Commentary |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3878345/ https://www.ncbi.nlm.nih.gov/pubmed/24354518 http://dx.doi.org/10.1186/1743-0003-10-113 |
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