scholarly journals Temporarily Abled: How Exoskeleton Experience Reinvents Bodies in Spinal Cord Injury and Cerebrovascular Accidents

NanoEthics ◽  
2021 ◽  
Author(s):  
Denisa Butnaru

AbstractRecent achievements in rehabilitative robotics modify essential parameters of the human body, such as motility. Exoskeletons used for persons with neurological impairments like spinal cord injury and stroke enter this category by rehabilitating and assisting damaged motor patterns, achievements thought impossible until not long ago. Unlike other examples leading to similar dysfunctions, such as diseases or tumors, the experience of an accident causing a spinal cord injury or the occurrence of a cerebrovascular accident is sudden and perceived as a radical event. This often leads to deep consequences for one’s own body capacities. Exoskeletons attempt to alter this condition, contributing to forge a temporary abled body, although this currently happens in the restricted space of a clinic or a lab and under very controlled conditions for the predominance of users. Using qualitative empirical material from an ongoing study in sociology, including expert and narrative interviews as well as ethnographic visits in labs and centers that design and test exoskeletons, this article addresses the challenges and gains that people with stroke and spinal cord injury experience during their training with exoskeletons. The discussed cases contribute to reassess categories from the phenomenological paradigm, disability studies, and the role medical technologies play in contemporary body worlds.

2021 ◽  
pp. 1357034X2110256
Author(s):  
Denisa Butnaru

Motility impairments resulting from spinal cord injuries and cerebrovascular accidents are increasingly prevalent in society, leading to the growing development of rehabilitative robotic technologies, among them exoskeletons. This article outlines how bodies with neurological conditions such as spinal cord injury and stroke engage in processes of re-appropriation while using exoskeletons and some of the challenges they face. The main task of exoskeletons in rehabilitative environments is either to rehabilitate or ameliorate anatomic functions of impaired bodies. In these complex processes, they also play a crucial role in recasting specific corporeal phenomenologies. For the accomplishment of these forms of corporeal re-appropriation, the role of experts is crucial. This article explores how categories such as bodily resistance, techno-inter-corporeal co-production of bodies and machines, as well as body work mark the landscape of these contemporary forms of impaired corporeality. While defending corporeal extension rather than incorporation, I argue against the figure of the ‘cyborg’ and posit the idea of ‘residual subjectivity’.


Author(s):  
Jennie Burch ◽  
Brigitte Collins

The bowel care chapter explores two commonly encountered issues that are both explored in depth: these are constipation and incontinence. Both conditions are examined in respect of treatment options that include conservative treatment, treatment with diet, and medication. These conditions can be compared to how defaecation works in health. Additionally there is an in-depth discussion on neurogenic bowel dysfunction related to spinal cord injury, spina bifida, multiple sclerosis, cerebrovascular accident, and Parkinson’s disease. There are many therapies that can be used that have not been explored in other chapters and these will be encompassed within this chapter. Treatment can include manual evacuation for constipation or other therapies such as biofeedback to potentially treat constipation or evacuation disorders. Succinct explanation of gastrointestinal emergencies within this chapter can be used within clinical practice by the nurse.


2004 ◽  
Vol 16 (01) ◽  
pp. 15-21 ◽  
Author(s):  
CHENG-LIANG LIU ◽  
CHUNG-HUANG YU ◽  
SHIH-CHING CHEN ◽  
WEN-SHAN WU

This work presents a five-segment biomechanical model of the human body for paraplegics of spinal cord injury (SCI) with thoracic nerve injury. When the functional electrical stimulation (FES) system is used to restore sit-to-stand function, the biomechanical model can be used to analyze the position, force, and moment of the human body at every joint through inverse dynamics. A series of data taking from SCI patient under FES of restoring sit-to-stand function are implemented on the model. The results help realize the role of each joint and muscle in the sit-to-stand process so as to improve the rehabilitation in the future plan.


2020 ◽  
Vol 34 (S1) ◽  
pp. 1-1
Author(s):  
Kimberly Iceman ◽  
Courtney Strecker ◽  
Clint Greene ◽  
Dena Howland ◽  
Teresa Pitts

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