Content

Content - Volume 41, Issue 12

Editors choice in this issue

All articles

SPECIAL REPORT
The application of robotics in the functional motor recovery of the paretic upper limb (Complete issue)
Lucia F. Lucca, Enrico Castelli and Walter G. Sannita
An estimated 30–60% of adult patients after stroke do not achieve satisfactory motor recovery of the upper limb despite intensive rehabilitation. Motor re-organization in adults also depends on substantial contributions from the undamaged motor cortex, with functional inhibition by the unaffected arm that has become dominant – a limitation that neuro-rehabilitation should counterbalance after ...
Pages: 949-102
Scientific Abstract  PDF
ORIGINAL REPORT
Foreword
Lucia F. Lucca, Enrico Castelli, Walter G. Sannita
Page: 953
Scientific Abstract  PDF
SPECIAL REPORT
Robotics in neuro-rehabilitation
Loris Pignolo
Objective: The aims of this study were to review robot-assisted motor and functional rehabilitation of the upper limb in patients with stroke and to outline possible clinical applications of robotics in neuro-rehabilitation. Methods: Available active systems, with actuators driving the paretic arm, were sub-classified by scientific rationale and mechatronic structure as exoskeletons or operationa ...
Pages: 955-960
Scientific Abstract  PDF
ORIGINAL REPORT
Bilateral robot therapy based on haptics and reinforcement learning: Feasibility study of a new concept for treatment of patients after stroke
Valentina Squeri, Maura Casadio, Elena Vergaro, Psiche Giannoni , Pietro Morasso, Vittorio Sanguineti
Objective: To carry out a preliminary feasibility study of a new concept of robot therapy for severely impaired patients after stroke. Design: A haptic manipulandum connected to a bar that can rotate freely while providing a measure of the rotation angle. The controller combines a bilateral reaching task with the task of balancing the action of the 2 arms. Reinforcement is given to the subject i ...
Pages: 961-965
Scientific Abstract  PDF
ORIGINAL REPORT
Robot-based rehabilitation of the upper limbs in multiple sclerosis: Feasibility and preliminary results
Ilaria Carpinella, Davide Cattaneo, Suha Abuarqub, Maurizio Ferrarin
Objective: To make a preliminary evaluation of the feasibi­lity of a robot-based rehabilitation protocol for the improvement of upper limb motor co-ordination in a group of patients with multiple sclerosis. Patients and methods: Seven patients with multiple sclerosis underwent a training protocol of 8 sessions. During each session patients performed reaching movements toward virtual targets pres ...
Pages: 966-970
Scientific Abstract  PDF
ORIGINAL REPORT
Robot therapy for functional recovery of the upper limbs: A pilot study on patients after stroke
Federica Bovolenta, Milena Goldoni, Pierina Clerici, Maurizio Agosti, Marco Franceschini
Objective: To verify the possibility of administering robot-aided therapy for the upper limbs in patients after stroke; to evaluate patients’ degree of acceptance and compliance with the treatment; to establish if the treatment has an effect on motor impairment and functional outcome. Design: Quasi-experimental, uncontrolled study. Subjects: Fourteen patients with chronic hemiparesis after str ...
Pages: 971-975
Scientific Abstract  PDF
ORIGINAL REPORT
Robot-mediated therapy for paretic upper limb of chronic patients following neurological injury
Federico Posteraro, Stefano Mazzoleni, Sara Aliboni, Benedetta Cesqui, Alessandro Battaglia, Paolo Dario, Silvestro Micera
Objective: To evaluate the effectiveness of robot-mediated therapy targeted at the motor recovery of the upper limb in chronic patients following neurological injury. Design: Pre-post treatment study. Subjects: Twenty patients were enrolled in the study. Methods: Robot-mediated therapy was provided to chronic hemiparetic patients (acute event had occurred at least one year prior to the study) ...
Pages: 976-980
Scientific Abstract  PDF
SPECIAL REPORT
Upper limb rehabilitation robotics after stroke: A perspective from the University of Padua, Italy
Stefano Masiero, Elena Carraro, Claudio Ferraro, Paolo Gallina, Aldo Rossi, Giulio Rosati
Rehabilitation robotics is an emerging research field that aims to employ leading-edge robotic technology and virtual reality systems in the rehabilitation treatment of neuro­logical patients. In post-stroke patients with upper limb impairment, clinical trials have so far shown positive results in terms of motor recovery, but poor efficacy in terms of functional outcome. Much work is needed to de ...
Pages: 981-985
Scientific Abstract  PDF
SPECIAL REPORT
Kinematic and neurophysiological models: Future applications in neurorehabilitation
Michelangelo Bartolo, Romildo Don, Alberto Ranavolo, Mariano Serrao, Giorgio Sandrini
This paper emphasizes the importance of developing kinematic and neurophysiological methods for evaluating motor and functional recovery in the field of neurorehabilitation. From a review of the literature, it is concluded that optoelectronic motion analysis and neurophysiological techniques, such as the study of nociceptive withdrawal reflex, might constitute useful applications for future resear ...
Pages: 986-987
Scientific Abstract  PDF
ORIGINAL REPORT
Robot-mediated and clinical scales evaluation after upper limb botulinum toxin type A injection in children with hemiplegia
Flaminia Frascarelli, Lorenzo Masia, Giuseppe Di Rosa, Maurizio Petrarca, Paolo Cappa, Enrico Castelli
Objective: The aim of this pilot study was to examine changes in different aspects of impairment, including spasticity in the upper limbs, of hemiplegic children following botulinum toxin type A intervention. Progress was assessed using standard clinical measurements and a robotic device. Design: Pre-post multiple baseline. Subjects: Six children with hemiplegia. Methods: Botulinium toxin type ...
Pages: 988-994
Scientific Abstract  PDF
ORIGINAL REPORT
Reach-to-grasp interjoint coordination for moving object in children with hemiplegia
Maurizio Petrarca, Giulia Zanelli, Fabrizio Patanè, Flaminia Frascarelli, Paolo Cappa, Enrico Castelli
Objective: To evaluate interjoint coordination in children with hemiplegia as they reach to grasp objects, in both static and dynamic conditions. An ad hoc robotic device was used to study the dynamic condition. Design: Observational study. Patients: Six children with hemiplegia and 6 young adults. Methods: Kinematics of the trunk and arm were studied using an optoelectronic system. In the dyna ...
Pages: 995-100
Scientific Abstract  PDF
REVIEW ARTICLE
Virtual reality and motor rehabilitation of the upper limb after stroke: A generation of progress?
Lucia Francesca Lucca
Aim: To review the rationale, criteria of application, potentialities and limits of the available procedures for upper limb rehabilitation in virtual reality setups. Methods: Classification of the available virtual reality setups and comparison among published studies, with focus on the criteria of motor impairment and recovery assessment, rehabilitation procedures, and efficacy. Results and con ...
Pages: 1003-100
Scientific Abstract  PDF
SPECIAL REPORT
Robot-assisted rehabilitation of the paretic upper limb: Rationale of the ARAMIS project
Giuliano Dolce, Lucia Francesca Lucca, Loris Pignolo
Robot ARAMIS (Automatic Recovery Arm Motility Integrated System) is intended to provide the therapist with novel and time/cost-efficient approaches to the rehabilitation of the paretic upper limb after stroke. The system has been designed and implemented based on common experience in rehabilitation and will provide a robot–patient interaction compensating for some intrinsic limitations of tradit ...
Pages: 1007-101
Scientific Abstract  PDF
SPECIAL REPORT
The ARAMIS project: A concept robot and technical design
Lucio Colizzi, Antonio Lidonnici, Loris Pignolo
Objective: To describe the ARAMIS (Automatic Recovery Arm Motility Integrated System) project, a concept robot applicable in the neuro-rehabilitation of the paretic upper limb after stroke. Methods, results and conclusion: The rationale and engineering of a state-of-the-art, hardware/software integrated robot system, its mechanics, ergonomics, electric/electronics features providing control, safe ...
Pages: 1011-101
Scientific Abstract  PDF
ORIGINAL REPORT
Exercises for paretic upper limb after stroke: A combined virtual-reality and telemedicine approach
Lamberto Piron, Andrea Turolla, Michela Agostini, Carla Zucconi, Feliciana Cortese, Mauro Zampolini, Mara Zannini, Mauro Dam, Laura Ventura, Michela Battauz, Paolo Tonin
Objective: Telerehabilitation enables a remotely controlled programme to be used to treat motor deficits in post-stroke patients. The effects of this telerehabilitation approach were compared with traditional motor rehabilitation methods. Design: Randomized single-blind controlled trial. Patients: A total of 36 patients with mild arm motor impairments due to ischaemic stroke in the region of the ...
Pages: 1016-102
Scientific Abstract  PDF