Hand exoskeleton for people with mild hemiparesis: a descriptive study on its creation, the first evidence of use and reflections on contributions of occupational therapy.
Introduction: Occupational therapists, concerned with avoiding prolonged movement deprivation in individuals with mild hemiparesis, seek to develop and implement techniques that promote neuroplasticity and restore functionality. In addition to procedures used in conventional approaches, robots and e...
| Published in: | Brazilian Journal of Occupational Therapy / Cadernos Brasileiros de Terapia Ocupacional Vol. 33; pp. 1 - 22 |
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| Main Authors: | , , , , |
| Format: | pictorial research tables/charts Journal Article |
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Cadernos de Terapia Ocupacional da UFSCar
2025 Special Issue
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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=189065871&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189065871 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 25268910 L4GL jtl: Brazilian Journal of Occupational Therapy / Cadernos Brasileiros de Terapia Ocupacional issn: 25268910 maglogo: N pubinfo: dt: 2025 Special Issue vid: 33 pid: 68082 pub: Cadernos de Terapia Ocupacional da UFSCar artinfo: ui: 189065871 189065871 189065871 10.1590/2526-8910.ctoAO399038772 189065871 ppf: 1 ppct: 21 formats: fmt: @attributes: type: P tig: atl: Hand exoskeleton for people with mild hemiparesis: a descriptive study on its creation, the first evidence of use and reflections on contributions of occupational therapy. aug: au: Paiva, Gisele Simões Martinez, Claudia Maria Lopes Cerqueira, Jaciane Borges Flório, Sérgio Henrique Aroca, Rafael Vidal affil: Universidade Federal de São Carlos -- UFSCar, São Carlos, SP, Brasil sug: subj: Exoskeleton Devices Evaluation Product Development Occupational Therapy Hemiplegia Rehabilitation Human Descriptive Research Multidisciplinary Care Team Power Sources Traction Equipment and Supplies Motor Skills Education Patient Education Movement Education Activities of Daily Living Academic Medical Centers Volunteer Workers Female Adult Severity of Illness Male Middle Age Aged Experimental Studies Pretest-Posttest Design Multimethod Studies Content Analysis Data Analysis Software Orthoses Problem Solving Task Performance and Analysis Neuropsychological Tests Clinical Assessment Tools Questionnaires Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Female Male ab: Introduction: Occupational therapists, concerned with avoiding prolonged movement deprivation in individuals with mild hemiparesis, seek to develop and implement techniques that promote neuroplasticity and restore functionality. In addition to procedures used in conventional approaches, robots and exoskeletons have been widely employed in recent decades. Objective: To describe the development and results of the initial tests of a hand exoskeleton designed for individuals with mild hemiparesis, highlighting the contributions of occupational therapy in the construction process carried out by a multidisciplinary team. Method: The study is organized in two stages. The first presents the context and the theoretical-methodological foundations adopted for the product's development, highlighting the construction process and the contributions of occupational therapy--thus comprising a theoretical-practical phase. The second presents preliminary evidence from the tests of the prototype and its use by two individuals with mild hemiparesis. Results: An electromechanical hand exoskeleton was developed, powered by a battery and featuring mechanical traction through a pulley and traction wire system. The tests and preliminary evidence of its use took place through a motor learning program in occupational therapy for individuals with hemiparesis. The results suggest that this is a promising approach, as it facilitates grasping, reaching, and releasing movements, thereby enhancing participation in daily occupations. Conclusion: This reported experience highlights the actions and contributions of occupational therapy in the collective process of problem-solving and the early-stage development of a hand exoskeleton for individuals with mild hemiparesis. Introdução: Terapeutas ocupacionais, preocupados em evitar a privação prolongada de movimentos em pessoas com hemiparesia leve, buscam desenvolver e implementar técnicas que favoreçam a neuroplasticidade e restabeleçam a funcionalidade. Além dos procedimentos utilizados nas abordagens clássicas, nas últimas décadas robôs e exoesqueletos têm sido amplamente empregados. Objetivo: Descrever o desenvolvimento e os resultados dos primeiros testes de um exoesqueleto de mão para pessoas com hemiparesia leve, evidenciando as contribuições da terapia ocupacional no processo de construção realizado por equipe multiprofissional. Método: A pesquisa está organizada em duas etapas. A primeira descreve o contexto e as bases teórico-metodológicas adotadas para o desenvolvimento do produto, evidenciando os processos da construção e as contribuições da terapia ocupacional, tratando-se, portanto, de uma etapa teórico-prática. A segunda apresenta as primeiras evidências dos testes do protótipo e de seu uso por duas pessoas com hemiparesia leve. Resultados: Foi produzido um exoesqueleto de mão de atuação eletromecânica, com fonte de energia via bateria e tracionamento mecânico por polia e fio de tração. Os testes e as primeiras evidências de seu uso ocorreram por meio de um programa de aprendizagem motora em terapia ocupacional com pessoas com hemiparesia, revelando-se um caminho promissor por promover movimentos de preensão, alcance e soltura de objetos, aumentando a participação nas ocupações cotidianas. Conclusão: Por meio da experiência relatada, evidenciam-se as ações e contribuições da terapia ocupacional no processo de construção coletiva de soluções para problemas, desde a gênese de um exoesqueleto desenvolvido para pessoas com hemiparesia leve. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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