Feasibility and efficacy of a robotic device for hand rehabilitation in hemiplegic stroke patients: a randomized pilot controlled study

2016 ◽  
Vol 31 (3) ◽  
pp. 351-360 ◽  
Author(s):  
Fabio Vanoglio ◽  
Palmira Bernocchi ◽  
Chiara Mulè ◽  
Francesca Garofali ◽  
Chiara Mora ◽  
...  
Keyword(s):  
Controlled Study ◽  
Robotic Device ◽  
Hand Rehabilitation ◽  
Stroke Patients

Recovery of walking ability using a robotic device in subacute stroke patients: a randomized controlled study

2014 ◽  
Vol 10 (2) ◽  
pp. 141-148 ◽  
Author(s):  
Michiel P. M. van Nunen ◽  
Karin H. L. Gerrits ◽  
Manin Konijnenbelt ◽  
Thomas W. J. Janssen ◽  
Arnold de Haan
Keyword(s):  
Randomized Controlled Study ◽  
Controlled Study ◽  
Walking Ability ◽  
Robotic Device ◽  
Stroke Patients ◽  
Randomized Controlled ◽  
Subacute Stroke

Design and Testing of a Soft Rehabilitation Glove Integrating Finger and Wrist Function

2018 ◽  
Vol 11 (1) ◽  
Author(s):  
Jiangbei Wang ◽  
Zhaoyu Liu ◽  
Yanqiong Fei
Keyword(s):  
Hand Rehabilitation ◽  
Stroke Patients ◽  
Functional Training ◽  
Finger Flexion ◽  
Wrist Function ◽  
Middle Ring ◽  
Soft Actuators ◽  
Hand Impairment ◽  
Design And Testing ◽  
Rehabilitation Exercise

This work presents a lightweight soft rehabilitation glove that integrates finger and wrist function by developing and applying the double-DOF soft pneumatic bending actuators (DPBAs). The proposed soft glove can achieve separate as well as coordinated motion exercises of fingers and the wrist, which benefits stroke patients who have complicated hand impairment. It consists of a commercial glove extended by a customized wrist bracer, on which are installed three dorsal DPBAs through fingers (index/middle/ring) and the wrist, two dorsal single-DOF pneumatic bending actuators (SPBAs) through thumb/pinky, and three palmar SPBAs through wrist. The proposed DPBA has two independent bendable segments to actuate flexion of finger and wrist, respectively, whose multigait bending conforms with multipattern flexion of the biological hand. The SPBAs are used for actuating wrist extension or finger flexion. The proposed wrist bracer is designed as an extension of the glove to install the soft actuators and transfer their motion and force to the wearer's wrist efficiently as well as minimize unactuated restriction on the hand. To verify its feasibility, we evaluate the range of motion (ROM), strength and speed of five subjects' hands assisted by the glove in six different passive motions. Results show that the proposed glove can provide sufficient assistance for stroke patients in hand rehabilitation exercise. Furthermore, the soft glove has potential in extending the hand functional training from simple exercises such as closing/opening and gripping to complex ones such as weightlifting, writing, and screwing/unscrewing.

scholarly journals The Role of Continuous Theta Burst TMS in the Neurorehabilitation of Subacute Stroke Patients: A Placebo-Controlled Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Ana Dionísio ◽  
Rita Gouveia ◽  
João Castelhano ◽  
Isabel Catarina Duarte ◽  
Gustavo C. Santo ◽  
...  
Keyword(s):  
Motor Function ◽  
Primary Motor Cortex ◽  
Phase Iii ◽  
Repeated Measure ◽  
Controlled Study ◽  
Stroke Patients ◽  
Post Stroke ◽  
Subacute Stroke ◽  
Theta Burst

Objectives: Transcranial magnetic stimulation, in particular continuous theta burst (cTBS), has been proposed for stroke rehabilitation, based on the concept that inhibition of the healthy hemisphere helps promote the recovery of the lesioned one. We aimed to study its effects on cortical excitability, oscillatory patterns, and motor function, the main aim being to identify potentially beneficial neurophysiological effects.Materials and Methods: We applied randomized real or placebo stimulation over the unaffected primary motor cortex of 10 subacute (7 ± 3 days) post-stroke patients. Neurophysiological measurements were performed using electroencephalography and electromyography. Motor function was assessed with the Wolf Motor Function Test. We performed a repeated measure study with the recordings taken pre-, post-cTBS, and at 3 months' follow-up.Results: We investigated changes in motor rhythms during arm elevation and thumb opposition tasks and found significant changes in beta power of the affected thumb's opposition, specifically after real cTBS. Our results are consistent with an excitatory response (increase in event-related desynchronization) in the sensorimotor cortical areas of the affected hemisphere, after stimulation. Neither peak-to-peak amplitude of motor-evoked potentials nor motor performance were significantly altered.Conclusions: Consistently with the theoretical prediction, this contralateral inhibitory stimulation paradigm changes neurophysiology, leading to a significant excitatory impact on the cortical oscillatory patterns of the contralateral hemisphere. These proof-of-concept results provide evidence for the potential role of continuous TBS in the neurorehabilitation of post-stroke patients. We suggest that these changes in ERS/ERD patterns should be further explored in future phase IIb/phase III clinical trials, in larger samples of poststroke patients.

Sign in / Sign up

Export Citation Format

Share Document