Comput Math Methods Med - Haptic-based neurorehabilitation in poststroke patients: a feasibility prospective multicentre trial for robotics hand rehabilitation.


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Background. Haptic robots allow the exploitation of known motor learning mechanisms, representing a valuable option for motor treatment after stroke. The aim of this feasibility multicentre study was to test the clinical efficacy of a haptic prototype, for the recovery of hand function after stroke. Methods. A prospective pilot clinical trial was planned on 15 consecutive patients enrolled in 3 rehabilitation centre in Italy. All the framework features of the haptic robot (e.g., control loop, external communication, and graphic rendering for virtual reality) were implemented into a real-time MATLAB/Simulink environment, controlling a five-bar linkage able to provide forces up to 20[N] at the end effector, used for finger and hand rehabilitation therapies. Clinical (i.e., Fugl-Meyer upper extremity scale; nine hold pegboard test) and kinematics (i.e., time; velocity; jerk metric; normalized jerk of standard movements) outcomes were assessed before and after treatment to detect changes in patients' motor performance. Reorganization of cortical activation was detected in one patient by fMRI. Results and Conclusions. All patients showed significant improvements in both clinical and kinematic outcomes. Additionally, fMRI results suggest that the proposed approach may promote a better cortical activation in the brain.

Resumo Limpo

background haptic robot allow exploit known motor learn mechan repres valuabl option motor treatment stroke aim feasibl multicentr studi test clinic efficaci haptic prototyp recoveri hand function stroke method prospect pilot clinic trial plan consecut patient enrol rehabilit centr itali framework featur haptic robot eg control loop extern communic graphic render virtual realiti implement realtim matlabsimulink environ control fivebar linkag abl provid forc n end effector use finger hand rehabilit therapi clinic ie fuglmey upper extrem scale nine hold pegboard test kinemat ie time veloc jerk metric normal jerk standard movement outcom assess treatment detect chang patient motor perform reorgan cortic activ detect one patient fmri result conclus patient show signific improv clinic kinemat outcom addit fmri result suggest propos approach may promot better cortic activ brain

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