Robot-assisted rehabilitation of hand function.

PURPOSE OF REVIEW Initial work on robot-assisted neurorehabilitation for the upper extremity aimed primarily at training, reaching movements with the proximal sections of the upper extremity. However, recent years have seen a surge in devices dedicated to hand function. This review describes the state of the art and the promises of this novel therapeutic approach. RECENT FINDINGS Numerous robotic devices for hand function with various levels of complexity and functionality have been developed over the last 10 years. These devices range from simple mechanisms that support single joint movements to mechanisms with as many as 18 degrees-of-freedom (DOF) that can support multijoint movements at the wrist and fingers. The results from clinical studies carried out with eight out of 30 reported devices indicate that robot-assisted hand rehabilitation reduces motor impairments of the affected hand and the arm, and improves the functional use of the affected hand. SUMMARY The current evidence in support of the robot-assisted hand rehabilitation is preliminary but very promising, and provides a strong rationale for more systematic investigations in the future.

[1]  William S. Harwin,et al.  Upper Limb Robot Mediated Stroke Therapy—GENTLE/s Approach , 2003, Auton. Robots.

[2]  S. Hesse,et al.  Robot-assisted arm trainer for the passive and active practice of bilateral forearm and wrist movements in hemiparetic subjects. , 2003, Archives of physical medicine and rehabilitation.

[3]  Yoky Matsuoka,et al.  An EMG-Controlled Hand Exoskeleton for Natural Pinching , 2004, J. Robotics Mechatronics.

[4]  Günther Deuschl,et al.  Hand coordination following capsular stroke. , 2004, Brain : a journal of neurology.

[5]  A. Kecskeméthy,et al.  An Improved Elasto-Kinematic Model of the Human Forearm for Biofidelic Medical Diagnosis , 2005 .

[6]  J. Mehrholz,et al.  Computerized Arm Training Improves the Motor Control of the Severely Affected Arm After Stroke: A Single-Blinded Randomized Trial in Two Centers , 2005, Stroke.

[7]  J. Krakauer.  Motor learning: its relevance to stroke recovery and neurorehabilitation. , 2006, Current opinion in neurology.

[8]  E. G. Cruz,et al.  Weakness is the primary contributor to finger impairment in chronic stroke. , 2006, Archives of physical medicine and rehabilitation.

[9]  M.K. O'Malley,et al.  Design of a haptic arm exoskeleton for training and rehabilitation , 2006, IEEE/ASME Transactions on Mechatronics.

[10]  Maarten J. IJzerman,et al.  Systematic review of the effect of robot-aided therapy on recovery of the hemiparetic arm after stroke. , 2006, Journal of rehabilitation research and development.

[11]  Preeti Raghavan,et al.  Patterns of impairment in digit independence after subcortical stroke. , 2006, Journal of neurophysiology.

[12]  Preeti Raghavan,et al.  Impaired anticipatory control of fingertip forces in patients with a pure motor or sensorimotor lacunar syndrome. , 2006, Brain : a journal of neurology.

[13]  Ellen M Frick,et al.  Combined Use of Repetitive Task Practice and an Assistive Robotic Device in a Patient With Subacute Stroke , 2006, Physical Therapy.

[14]  H.I. Krebs,et al.  Design and Characterization of Hand Module for Whole-Arm Rehabilitation Following Stroke , 2007, IEEE/ASME Transactions on Mechatronics.

[15]  P. Raghavan,et al.  The nature of hand motor impairment after stroke and its treatment , 2007, Current treatment options in cardiovascular medicine.

[16]  J.C. Perry,et al.  Upper-Limb Powered Exoskeleton Design , 2007, IEEE/ASME Transactions on Mechatronics.

[17]  Richard W. Bohannon,et al.  Orthotic aided training of the paretic upper limb in chronic stroke: results of a phase 1 trial. , 2007, NeuroRehabilitation.

[18]  Gereon R Fink,et al.  Dexterity is impaired at both hands following unilateral subcortical middle cerebral artery stroke , 2007, The European journal of neuroscience.

[19]  E. Koeneman,et al.  Neurological Reorganization After Brain Injury: Stimulation by Robotic Therapy , 2007 .

[20]  K. Stubblefield,et al.  Hand Rehabilitation Following Stroke: A Pilot Study of Assisted Finger Extension Training in a Virtual Environment , 2007, Topics in stroke rehabilitation.

[21]  Chee Leong Teo,et al.  A Haptic Knob for Rehabilitation of Hand Function , 2007, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[22]  H.I. Krebs,et al.  Robot-Aided Neurorehabilitation: A Robot for Wrist Rehabilitation , 2007, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[23]  Jiping He,et al.  Design and Control of RUPERT: A Device for Robotic Upper Extremity Repetitive Therapy , 2007, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[24]  S. Kirker,et al.  A new electromechanical trainer for sensorimotor rehabilitation of paralysed fingers: A case series in chronic and acute stroke patients , 2008, Journal of NeuroEngineering and Rehabilitation.

[25]  L. Der-Yeghiaian,et al.  Robot-based hand motor therapy after stroke. , 2007, Brain : a journal of neurology.

[26]  Jay L Alberts,et al.  Effects of combined robotic therapy and repetitive-task practice on upper-extremity function in a patient with chronic stroke. , 2008, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[27]  T. Milner,et al.  HandCARE: A Cable-Actuated Rehabilitation System to Train Hand Function After Stroke , 2008, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[28]  Dennis A. Nowak,et al.  The impact of stroke on the performance of grasping: Usefulness of kinetic and kinematic motion analysis , 2008, Neuroscience & Biobehavioral Reviews.

[29]  William Z Rymer,et al.  Delays in grip initiation and termination in persons with stroke: effects of arm support and active muscle stretch exercise. , 2009, Journal of neurophysiology.

[30]  S. Wolf,et al.  Quality-of-Life Change Associated With Robotic-Assisted Therapy to Improve Hand Motor Function in Patients With Subacute Stroke: A Randomized Clinical Trial , 2010, Physical Therapy.

[31]  Etienne Burdet,et al.  A technique to train finger coordination and independence after stroke , 2010, Disability and rehabilitation. Assistive technology.

[32]  Imre Cikajlo,et al.  Universal Haptic Drive: A Robot for Arm and Wrist Rehabilitation , 2010, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[33]  Corwin Boake,et al.  Normalized Movement Quality Measures for Therapeutic Robots Strongly Correlate With Clinical Motor Impairment Measures , 2010, IEEE Transactions on Neural Systems and Rehabilitation Engineering.