La rééducation du membre supérieur assistée par robot contribue-t-elle à améliorer le pronostic de l’hémiparésie vasculaire ?

Resume Introduction La reeducation du membre superieur assistee par un dispositif robotise est une option innovante de traitement physique des deficiences motrices, d’origine plus particulierement neurologique. Depuis une dizaine d’annees, cette strategie de reeducation utilisant des outils technologiques a ete evaluee sur des patients hemiparetiques, principalement apres un accident vasculaire cerebral (AVC). Etat des connaissances Les resultats d’etudes en phases aigue et chronique de l’AVC suggerent une bonne tolerance et une reduction significative et persistante des deficiences motrices ; le benefice fonctionnel est montre uniquement en phase aigue/subaigue. Perspectives Un meilleur acces aux robots de reeducation et leur utilisation optimale seront probablement associes a une meilleure efficience du travail reeducatif au membre superieur paretique. Conclusions Si ce traitement est encore confine a un cercle restreint d’utilisateurs, les proprietes biomecaniques des dispositifs utilises et certaines indications cliniques suggerees par la litterature en font une technique de reeducation prometteuse.

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