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Báo cáo khoa hoc:" Robotically facilitated virtual rehabilitation of arm transport integrated with finger movement in persons with hemiparesis"
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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Robotically facilitated virtual rehabilitation of arm transport integrated with finger movement in persons with hemiparesis | Merians et al. Journal of NeuroEngineering and Rehabilitation 2011 8 27 http www.jneuroengrehab.eom content 8 1 27 Iril JOURNAL OF NEUROENGINEERING NCR AND REHABILITATION RESEARCH Open Access Robotically facilitated virtual rehabilitation of arm transport integrated with finger movement in persons with hemiparesis 1 1 3 3 3 2 Alma S Merians Gerard G Fluet Qinyin Qiu Soha Saleh Ian Lafond Amy Davidow and Sergei V Adamovich1 3 Abstract Background Recovery of upper extremity function is particularly recalcitrant to successful rehabilitation. Robotic-assisted arm training devices integrated with virtual targets or complex virtual reality gaming simulations are being developed to deal with this problem. Neural control mechanisms indicate that reaching and hand-object manipulation are interdependent suggesting that training on tasks requiring coordinated effort of both the upper arm and hand may be a more effective method for improving recovery of real world function. However most robotic therapies have focused on training the proximal rather than distal effectors of the upper extremity. This paper describes the effects of robotically-assisted integrated upper extremity training. Methods Twelve subjects post-stroke were trained for eight days on four upper extremity gaming simulations using adaptive robots during 2-3 hour sessions. Results The subjects demonstrated improved proximal stability smoothness and efficiency of the movement path. This was in concert with improvement in the distal kinematic measures of finger individuation and improved speed. Importantly these changes were accompanied by a robust 16-second decrease in overall time in the Wolf Motor Function Test and a 24-second decrease in the Jebsen Test of Hand Function. Conclusions Complex gaming simulations interfaced with adaptive robots requiring integrated control of shoulder elbow forearm wrist and finger movements appear to have a substantial effect on improving hemiparetic hand function. We believe .