Upper limb rehabilitation after stroke: ARAMIS a “robo-mechatronic” innovative approach and prototype

ARAMIS (Automatic Recovery Arm Motility Integrated System) is a dual exoskeleton robot, intended to provide the therapist with novel and time/cost efficient approach to the rehabilitation of the paretic upper limb after stroke. The system has been developed in order to enable therapists to define and apply patient-specific rehabilitation exercises with multidisciplinary support by neurologist, engineers, ICT specialists and designers. ARAMIS allows three main strategies: 1) Asynchronous Exercise 2) Synchronous Exercise and 3) Virtual Exercise. This paper reports preliminary results from a patients' sample trained by ARAMIS.

[1]  A. Fugl-Meyer,et al.  The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. , 1975, Scandinavian journal of rehabilitation medicine.

[2]  N. Hogan,et al.  Effects of robotic therapy on motor impairment and recovery in chronic stroke. , 2003, Archives of physical medicine and rehabilitation.

[3]  Dmsc Elisabeth Hamrin Rn.  Evaluation of Functional Capacity after Stroke as a Basis for Active Intervention , 2013 .

[4]  W. Rymer,et al.  Robotic Devices for Movement Therapy After Stroke: Current Status and Challenges to Clinical Acceptance , 2002, Topics in stroke rehabilitation.

[5]  J. Liepert,et al.  Treatment-induced cortical reorganization after stroke in humans. , 2000, Stroke.

[6]  R. Nudo.  Functional and structural plasticity in motor cortex: implications for stroke recovery. , 2003, Physical medicine and rehabilitation clinics of North America.

[7]  M. Levin,et al.  Compensation for distal impairments of grasping in adults with hemiparesis , 2004, Experimental Brain Research.

[8]  N. Hogan,et al.  Robotics and other devices in the treatment of patients recovering from stroke , 2004, Current neurology and neuroscience reports.

[9]  L. Lucca,et al.  Robot-assisted rehabilitation of the paretic upper limb: rationale of the ARAMIS project. , 2009, Journal of rehabilitation medicine.

[10]  J. Schaechter.  Motor rehabilitation and brain plasticity after hemiparetic stroke , 2004, Progress in Neurobiology.

[11]  E. Hamrin,et al.  Evaluation of functional capacity after stroke as a basis for active intervention. Validation of a modified chart for motor capacity assessment. , 1988, Scandinavian journal of rehabilitation medicine.

[12]  L. Tesio,et al.  The FIM™ Instrument in the United States and Italy: A Comparative Study , 2002, American journal of physical medicine & rehabilitation.

[13]  Bruno Will,et al.  Recovery from brain injury in animals: relative efficacy of environmental enrichment, physical exercise or formal training (1990–2002) , 2004, Progress in Neurobiology.

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

[15]  L. Colizzi,et al.  The ARAMIS project: a concept robot and technical design. , 2009, Journal of rehabilitation medicine.

[16]  J. Hidler,et al.  Advances in the Understanding and Treatment of Stroke Impairment Using Robotic Devices , 2005, Topics in stroke rehabilitation.

[17]  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.

[18]  G. Kwakkel,et al.  Intensity of leg and arm training after primary middle-cerebral-artery stroke: a randomised trial , 1999, The Lancet.

[19]  Robert Teasell,et al.  Plasticity and Reorganization of the Uninjured Brain , 2005, Topics in stroke rehabilitation.

[20]  D. Reinkensmeyer,et al.  Review of control strategies for robotic movement training after neurologic injury , 2009, Journal of NeuroEngineering and Rehabilitation.

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