Rehabilitation robotics for the upper extremity: review with new directions for orthopaedic disorders.
The focus of research using technological innovations such as robotic devices has been on interventions to improve upper extremity function in neurologic populations, particularly patients with stroke. There is a growing body of evidence describing rehabilitation programs using various types of supp...
| Published in: | Disability & Rehabilitation: Assistive Technology Vol. 12; no. 8; pp. 765 - 772 |
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| Main Authors: | , , |
| Format: | pictorial research systematic review Journal Article |
| Published: |
Taylor & Francis Ltd
Nov2017
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123927462&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 123927462 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17483107 1X04 jtl: Disability & Rehabilitation: Assistive Technology issn: 17483107 maglogo: Y pubinfo: dt: Nov2017 vid: 12 iid: 8 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 123927462 123927462 123927462 10.1080/17483107.2016.1269211 123927462 ppf: 765 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Rehabilitation robotics for the upper extremity: review with new directions for orthopaedic disorders. aug: au: Hakim, Renée M. Tunis, Brandon G. Ross, Michael D. affil: Department of Physical Therapy, University of Scranton, Scranton, PA, USA sug: subj: Virtual Reality Robotics Therapeutic Use Upper Extremity Physiopathology Hand Deformities Rehabilitation Wrist Physiopathology Human Systematic Review CINAHL Database PubMed Nervous System Diseases Neuronal Plasticity Motor Skills ab: The focus of research using technological innovations such as robotic devices has been on interventions to improve upper extremity function in neurologic populations, particularly patients with stroke. There is a growing body of evidence describing rehabilitation programs using various types of supportive/assistive and/or resistive robotic and virtual reality-enhanced devices to improve outcomes for patients with neurologic disorders. The most promising approaches are task-oriented, based on current concepts of motor control/learning and practice-induced neuroplasticity. Based on this evidence, we describe application and feasibility of virtual reality-enhanced robotics integrated with current concepts in orthopaedic rehabilitation shifting from an impairment-based focus to inclusion of more intense, task-specific training for patients with upper extremity disorders, specifically emphasizing the wrist and hand. The purpose of this paper is to describe virtual reality-enhanced rehabilitation robotic devices, review evidence of application in patients with upper extremity deficits related to neurologic disorders, and suggest how this technology and task-oriented rehabilitation approach can also benefit patients with orthopaedic disorders of the wrist and hand. We will also discuss areas for further research and development using a task-oriented approach and a commercially available haptic robotic device to focus on training of grasp and manipulation tasks.Implications for RehabilitationThere is a growing body of evidence describing rehabilitation programs using various types of supportive/assistive and/or resistive robotic and virtual reality-enhanced devices to improve outcomes for patients with neurologic disorders.The most promising approaches using rehabilitation robotics are task-oriented, based on current concepts of motor control/learning and practice-induced neuroplasticity.Based on the evidence in neurologic populations, virtual reality-enhanced robotics may be integrated with current concepts in orthopaedic rehabilitation shifting from an impairment-based focus to inclusion of more intense, task-specific training for patients with UE disorders, specifically emphasizing the wrist and hand.Clinical application of a task-oriented approach may be accomplished using commercially available haptic robotic device to focus on training of grasp and manipulation tasks. pubtype: Academic Journal doctype: pictorial research systematic review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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