A novel motor function training assisted system for upper limbs rehabilitation

Author(s):  
Shuxiang Guo ◽  
Zhibin Song
Keyword(s):  
Author(s):  
Ayaka MORI ◽  
Ken’ichi KOYANAGI ◽  
Yuka MISUMI ◽  
Singo TERAMAE ◽  
Kei SAWAI ◽  
...  

1984 ◽  
Vol 47 (5) ◽  
pp. 147-150 ◽  
Author(s):  
Ann M Hamilton ◽  
Surya K Shah

Hand dysfunction has been reported to be present in myelomeningocele children, yet the type, extent, and cause of such dysfunction have remained unclear. This study was undertaken to discover whether motor dysfunction was present in the upper limbs of children with the diagnosis spina bifida myelomeningocele with lesions below the spinal level T4. Tests of manual muscle strength and grip strength indicated that spina bifida children have inferior motor function when compared with a control group of individually matched normal children. When the spina bifida group was divided on the basis of presence or absence of hydrocephalus it was apparent that the hydrocephalic children had poorer muscle power. The non-hydrocephalic children, however, did not have normal motor function. Thus the level of the lesion, and the presence of hydrocephalus, could not be identified as the prime cause of hand dysfunction discovered in the sample studied.


2021 ◽  
Author(s):  
Silvia Guillén-Climent ◽  
Ainara Garzo ◽  
María Nieves Muñoz-Alcaraz ◽  
Pablo Casado-Adam ◽  
Javier Arcas Ruiz-Ruano ◽  
...  

Abstract Background: Neuroscience and neurotechnology are transforming stroke rehabilitation. Robotic devices, in addition to telerehabilitation, are increasingly being used to train the upper limbs after stroke, and their use at home allows us to extend institutional rehabilitation by increasing and prolonging therapy. The aim of this study is to assess the usability of the MERLIN robotic system based on serious games for upper limb rehabilitation in people with stroke in the home environment.Methods: 9 participants with a stroke in three different stages of recovery (subacute, short-term chronic and long-term chronic) with impaired arm/hand function, were recruited to use the MERLIN system for 3 weeks: one week training at the Maimonides Biomedical Research Institute of Cordoba (IMIBIC), and 2 weeks at the patients’ homes. To evaluate usability, the System Usability Scale (SUS), Adapted Intrinsic Motivation Inventory (IMI), Quebec User Evaluation of Satisfaction with assistive Technology (QUEST), and the ArmAssist Usability Assessment Questionnaire were used in the post-intervention. Clinical outcomes for upper limb motor function were assessed pre- and post-intervention.Results: 9 patients participated in and completed the study. The usability assessment reported a high level of satisfaction: mean SUS score 71.94 % (SD=16.38), mean QUEST scale 3.81 (SD=0.38), and mean Adapted IMI score 6.12 (SD=1.36). The results of the ArmAssist Questionnaire showed an average of 6 out of 7, which indicates that MERLIN is extremely intuitive, easy to learn and easy to use. Regarding clinical assessment, the Fugl-Meyer scores showed moderate improvements from pre- to post-intervention in the total score of motor function (p = 0.002). There were no significant changes in the Modified Ashworth scale outcomes (p = 0.169).Conclusions: This usability study indicates that home-based rehabilitation for upper limbs with the MERLIN system is safe, useful, feasible and motivating. Telerehabilitation constitutes a major step forward in the use of intensive rehabilitation at home.Trial registration: ClinicalTrials.gov, NCT04405609. Registered 06 January 2020 - Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT04405609


Author(s):  
Shweta Parwe

Pain is the most complicated area of human experience. An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.  In this disease severe and throbbing type of pain which radiates from neck, shoulder, arm, forearm, & digits is experienced. It is also associated with numbness and emaciation of upper limbs and its muscles. Pain from posterior part of finger and anterior side of prakoshtha and kandara affect motor function. Disease spreading from posterior part of fingers and anterior part of prakoshtha and kandara and which affects the nerve in hand and by affecting the motor function known as vishwachi. . Thus Nasya, Abyanga,  Swedana , Nasya and Niruha , Matrabasti becomes the line of treatment.


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