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The Efficacity of the NeuroAssist Robotic System for Motor Rehabilitation of the Upper Limb—Promising Results from a Pilot Study

The research aimed to evaluate the efficacy of the NeuroAssist, a parallel robotic system comprised of three robotic modules equipped with human–robot interaction capabilities, an internal sensor system for torque monitoring, and an external sensor system for real-time patient monitoring for the mot...

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Autores principales: Tohanean, Nicoleta, Tucan, Paul, Vanta, Oana-Maria, Abrudan, Cristian, Pintea, Sebastian, Gherman, Bogdan, Burz, Alin, Banica, Alexandru, Vaida, Calin, Neguran, Deborah Alice, Ordog, Andreea, Tarnita, Daniela, Pisla, Doina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9866490/
https://www.ncbi.nlm.nih.gov/pubmed/36675354
http://dx.doi.org/10.3390/jcm12020425
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author Tohanean, Nicoleta
Tucan, Paul
Vanta, Oana-Maria
Abrudan, Cristian
Pintea, Sebastian
Gherman, Bogdan
Burz, Alin
Banica, Alexandru
Vaida, Calin
Neguran, Deborah Alice
Ordog, Andreea
Tarnita, Daniela
Pisla, Doina
author_facet Tohanean, Nicoleta
Tucan, Paul
Vanta, Oana-Maria
Abrudan, Cristian
Pintea, Sebastian
Gherman, Bogdan
Burz, Alin
Banica, Alexandru
Vaida, Calin
Neguran, Deborah Alice
Ordog, Andreea
Tarnita, Daniela
Pisla, Doina
author_sort Tohanean, Nicoleta
collection PubMed
description The research aimed to evaluate the efficacy of the NeuroAssist, a parallel robotic system comprised of three robotic modules equipped with human–robot interaction capabilities, an internal sensor system for torque monitoring, and an external sensor system for real-time patient monitoring for the motor rehabilitation of the shoulder, elbow, and wrist. The study enrolled 10 consecutive patients with right upper limb paresis caused by stroke, traumatic spinal cord disease, or multiple sclerosis admitted to the Neurology I Department of Cluj-Napoca Emergency County Hospital. The patients were evaluated clinically and electrophysiologically before (T1) and after the intervention (T2). The intervention consisted of five consecutive daily sessions of 30–45 min each of 30 passive repetitive movements performed with the robot. There were significant differences (Wilcoxon signed-rank test) between baseline and end-point clinical parameters, specifically for the Barthel Index (53.00 ± 37.72 vs. 60.50 ± 36.39, p = 0.016) and Activities of Daily Living Index (4.70 ± 3.43 vs. 5.50 ± 3.80, p = 0.038). The goniometric parameters improved: shoulder flexion (70.00 ± 56.61 vs. 80.00 ± 63.59, p = 0.026); wrist flexion/extension (34.00 ± 28.75 vs. 42.50 ± 33.7, p = 0.042)/(30.00 ± 22.97 vs. 41.00 ± 30.62, p = 0.042); ulnar deviation (23.50 ± 19.44 vs. 33.50 ± 24.15, p = 0.027); and radial deviation (17.50 ± 18.14 vs. 27.00 ± 24.85, p = 0.027). There was a difference in muscle activation of the extensor digitorum communis muscle (1.00 ± 0.94 vs. 1.40 ± 1.17, p = 0.046). The optimized and dependable NeuroAssist Robotic System improved shoulder and wrist range of motion and functional scores, regardless of the cause of the motor deficit. However, further investigations are necessary to establish its definite role in motor recovery.
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spelling pubmed-98664902023-01-22 The Efficacity of the NeuroAssist Robotic System for Motor Rehabilitation of the Upper Limb—Promising Results from a Pilot Study Tohanean, Nicoleta Tucan, Paul Vanta, Oana-Maria Abrudan, Cristian Pintea, Sebastian Gherman, Bogdan Burz, Alin Banica, Alexandru Vaida, Calin Neguran, Deborah Alice Ordog, Andreea Tarnita, Daniela Pisla, Doina J Clin Med Article The research aimed to evaluate the efficacy of the NeuroAssist, a parallel robotic system comprised of three robotic modules equipped with human–robot interaction capabilities, an internal sensor system for torque monitoring, and an external sensor system for real-time patient monitoring for the motor rehabilitation of the shoulder, elbow, and wrist. The study enrolled 10 consecutive patients with right upper limb paresis caused by stroke, traumatic spinal cord disease, or multiple sclerosis admitted to the Neurology I Department of Cluj-Napoca Emergency County Hospital. The patients were evaluated clinically and electrophysiologically before (T1) and after the intervention (T2). The intervention consisted of five consecutive daily sessions of 30–45 min each of 30 passive repetitive movements performed with the robot. There were significant differences (Wilcoxon signed-rank test) between baseline and end-point clinical parameters, specifically for the Barthel Index (53.00 ± 37.72 vs. 60.50 ± 36.39, p = 0.016) and Activities of Daily Living Index (4.70 ± 3.43 vs. 5.50 ± 3.80, p = 0.038). The goniometric parameters improved: shoulder flexion (70.00 ± 56.61 vs. 80.00 ± 63.59, p = 0.026); wrist flexion/extension (34.00 ± 28.75 vs. 42.50 ± 33.7, p = 0.042)/(30.00 ± 22.97 vs. 41.00 ± 30.62, p = 0.042); ulnar deviation (23.50 ± 19.44 vs. 33.50 ± 24.15, p = 0.027); and radial deviation (17.50 ± 18.14 vs. 27.00 ± 24.85, p = 0.027). There was a difference in muscle activation of the extensor digitorum communis muscle (1.00 ± 0.94 vs. 1.40 ± 1.17, p = 0.046). The optimized and dependable NeuroAssist Robotic System improved shoulder and wrist range of motion and functional scores, regardless of the cause of the motor deficit. However, further investigations are necessary to establish its definite role in motor recovery. MDPI 2023-01-04 /pmc/articles/PMC9866490/ /pubmed/36675354 http://dx.doi.org/10.3390/jcm12020425 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Tohanean, Nicoleta
Tucan, Paul
Vanta, Oana-Maria
Abrudan, Cristian
Pintea, Sebastian
Gherman, Bogdan
Burz, Alin
Banica, Alexandru
Vaida, Calin
Neguran, Deborah Alice
Ordog, Andreea
Tarnita, Daniela
Pisla, Doina
The Efficacity of the NeuroAssist Robotic System for Motor Rehabilitation of the Upper Limb—Promising Results from a Pilot Study
title The Efficacity of the NeuroAssist Robotic System for Motor Rehabilitation of the Upper Limb—Promising Results from a Pilot Study
title_full The Efficacity of the NeuroAssist Robotic System for Motor Rehabilitation of the Upper Limb—Promising Results from a Pilot Study
title_fullStr The Efficacity of the NeuroAssist Robotic System for Motor Rehabilitation of the Upper Limb—Promising Results from a Pilot Study
title_full_unstemmed The Efficacity of the NeuroAssist Robotic System for Motor Rehabilitation of the Upper Limb—Promising Results from a Pilot Study
title_short The Efficacity of the NeuroAssist Robotic System for Motor Rehabilitation of the Upper Limb—Promising Results from a Pilot Study
title_sort efficacity of the neuroassist robotic system for motor rehabilitation of the upper limb—promising results from a pilot study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9866490/
https://www.ncbi.nlm.nih.gov/pubmed/36675354
http://dx.doi.org/10.3390/jcm12020425
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