What's new in new technologies for upper extremity rehabilitation?

PURPOSE OF REVIEW The field of new technologies for upper-limb rehabilitation is exploding. The review presents new trends and studies of effectiveness from recent literature regarding robots, virtual reality and telerehabilitation for neurorehabilitation of the upper limb. RECENT FINDINGS There appears to be a greater focus on technological developments than on clinical trials or studies to evaluate the mechanisms behind the effectiveness of these systems. Developments are most abundant in the field of robotics. However, the first well designed and powered randomized-controlled trial on robot rehabilitation has appeared, confirming that the effectiveness of robot therapy lies in the number of repetitions provided. There is a move towards studies in populations other than stroke, particularly cerebral palsy with a few studies on multiple sclerosis and traumatic brain injury. There is also an increasing trend for the use of robotic devices as evaluation tools. SUMMARY Despite the fact that new technologies are based on knowledge from motor control and learning literature and that they provide an exciting potential for varied rehabilitation, recent evidence suggests that the only contribution to clinical practice currently is the provision of intensive, repetitive movements.

[1]  Xin Feng,et al.  A pilot study evaluating use of a computer-assisted neurorehabilitation platform for upper-extremity stroke assessment , 2009, Journal of NeuroEngineering and Rehabilitation.

[2]  H. Krebs,et al.  Effects of Robot-Assisted Therapy on Upper Limb Recovery After Stroke: A Systematic Review , 2008, Neurorehabilitation and neural repair.

[3]  A. Timmermans,et al.  Technology-assisted training of arm-hand skills in stroke: concepts on reacquisition of motor control and therapist guidelines for rehabilitation technology design , 2009, Journal of NeuroEngineering and Rehabilitation.

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

[5]  Qinyin Qiu,et al.  Journal of Neuroengineering and Rehabilitation Design of a Complex Virtual Reality Simulation to Train Finger Motion for Persons with Hemiparesis: a Proof of Concept Study , 2022 .

[6]  M. Levin,et al.  What Do Motor “Recovery” and “Compensation” Mean in Patients Following Stroke? , 2009, Neurorehabilitation and neural repair.

[7]  Martin C. Levesley,et al.  A new tool for assessing human movement: The Kinematic Assessment Tool , 2009, Journal of Neuroscience Methods.

[8]  Qinyin Qiu,et al.  Incorporating Haptic Effects Into Three-Dimensional Virtual Environments to Train the Hemiparetic Upper Extremity , 2009, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[9]  R. Riener,et al.  Effects of intensive arm training with the rehabilitation robot ARMin II in chronic stroke patients: four single-cases , 2009, Journal of NeuroEngineering and Rehabilitation.

[10]  E. Tunik,et al.  Sensorimotor training in virtual reality: a review. , 2009, NeuroRehabilitation.

[11]  Andrea Turolla,et al.  Exercises for paretic upper limb after stroke: a combined virtual-reality and telemedicine approach. , 2009, Journal of rehabilitation medicine.

[12]  Lorenzo Masia,et al.  Robot-mediated and clinical scales evaluation after upper limb botulinum toxin type A injection in children with hemiplegia. , 2009, Journal of rehabilitation medicine.

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

[14]  E. Tunik,et al.  Innovative approaches to the rehabilitation of upper extremity hemiparesis using virtual environments. , 2009, European journal of physical and rehabilitation medicine.

[15]  M. Franceschini,et al.  Robot therapy for functional recovery of the upper limbs: a pilot study on patients after stroke. , 2009, Journal of rehabilitation medicine.

[16]  P. Lindberg,et al.  Effect of auditory feedback differs according to side of hemiparesis: a comparative pilot study , 2009, Journal of NeuroEngineering and Rehabilitation.

[17]  Sarah J. Housman,et al.  A Randomized Controlled Trial of Gravity-Supported, Computer-Enhanced Arm Exercise for Individuals With Severe Hemiparesis , 2009, Neurorehabilitation and neural repair.

[18]  Mary G. George,et al.  Recommendations for the implementation of telemedicine within stroke systems of care: a policy statement from the American Heart Association. , 2009, Stroke.

[19]  N. Hogan,et al.  A working model of stroke recovery from rehabilitation robotics practitioners , 2009, Journal of NeuroEngineering and Rehabilitation.

[20]  Kynan Eng,et al.  Virtual reality-based paediatric interactive therapy system (PITS) for improvement of arm and hand function in children with motor impairment—a pilot study , 2009, Developmental neurorehabilitation.

[21]  P. Weiss,et al.  Intervention using the VMall for improving motor and functional ability of the upper extremity in post stroke participants. , 2009, European journal of physical and rehabilitation medicine.

[22]  Frans C. T. van der Helm,et al.  Self-Aligning Exoskeleton Axes Through Decoupling of Joint Rotations and Translations , 2009, IEEE Transactions on Robotics.

[23]  Dylan J Edwards,et al.  On the understanding and development of modern physical neurorehabilitation methods: robotics and non-invasive brain stimulation , 2009, Journal of NeuroEngineering and Rehabilitation.

[24]  Vincent S. Huang,et al.  Robotic neurorehabilitation: a computational motor learning perspective , 2009, Journal of NeuroEngineering and Rehabilitation.

[25]  N. Hogan,et al.  Robotic devices as therapeutic and diagnostic tools for stroke recovery. , 2009, Archives of neurology.

[26]  Loris Pignolo,et al.  Robotics in neuro-rehabilitation. , 2009, Journal of rehabilitation medicine.

[27]  Maarten J. IJzerman,et al.  Influence of Gravity Compensation on Muscle Activation Patterns During Different Temporal Phases of Arm Movements of Stroke Patients , 2009, Neurorehabilitation and neural repair.

[28]  Paolo Gallina,et al.  Upper limb rehabilitation robotics after stroke: a perspective from the University of Padua, Italy. , 2009, Journal of rehabilitation medicine.

[29]  L Masia,et al.  The impact of robotic rehabilitation in children with acquired or congenital movement disorders. , 2009, European journal of physical and rehabilitation medicine.

[30]  Peter H. Wilson,et al.  Virtual reality in acquired brain injury upper limb rehabilitation: Evidence-based evaluation of clinical research , 2009, Brain injury.

[31]  Ilaria Carpinella,et al.  Robot-based rehabilitation of the upper limbs in multiple sclerosis: feasibility and preliminary results. , 2009, Journal of rehabilitation medicine.

[32]  P. Morasso,et al.  Bilateral robot therapy based on haptics and reinforcement learning: Feasibility study of a new concept for treatment of patients after stroke. , 2009, Journal of rehabilitation medicine.

[33]  P. Lehoux,et al.  A systematic review of clinical outcomes, clinical process, healthcare utilization and costs associated with telerehabilitation , 2009, Disability and rehabilitation.

[34]  H. Krebs,et al.  Robot‐assisted task‐specific training in cerebral palsy , 2009, Developmental medicine and child neurology.

[35]  A. Rizzo,et al.  Game-based telerehabilitation. , 2009, European journal of physical and rehabilitation medicine.

[36]  Soha Saleh,et al.  Journal of Neuroengineering and Rehabilitation Open Access the New Jersey Institute of Technology Robot-assisted Virtual Rehabilitation (njit-ravr) System for Children with Cerebral Palsy: a Feasibility Study , 2009 .

[37]  Robert Richardson,et al.  A Control Strategy for Upper Limb Robotic Rehabilitation With a Dual Robot System , 2010, IEEE/ASME Transactions on Mechatronics.

[38]  A. Saykin,et al.  In-home virtual reality videogame telerehabilitation in adolescents with hemiplegic cerebral palsy. , 2010, Archives of physical medicine and rehabilitation.

[39]  S. Hesse,et al.  Arm studio to intensify the upper limb rehabilitation after stroke: concept, acceptance, utilization and preliminary clinical results. , 2010, Journal of rehabilitation medicine.

[40]  Grant D. Huang,et al.  Robot-assisted therapy for long-term upper-limb impairment after stroke. , 2010, The New England journal of medicine.

[41]  S. Scott,et al.  Quantitative Assessment of Limb Position Sense Following Stroke , 2010, Neurorehabilitation and neural repair.

[42]  Christopher Wee Keong Kuah,et al.  A feasibility study using interactive commercial off-the-shelf computer gaming in upper limb rehabilitation in patients after stroke. , 2010, Journal of rehabilitation medicine.

[43]  W. McIlroy,et al.  Effectiveness of Virtual Reality Using Wii Gaming Technology in Stroke Rehabilitation: A Pilot Randomized Clinical Trial and Proof of Principle , 2010, Stroke.

[44]  Gavin Williams,et al.  Upper limb virtual rehabilitation for traumatic brain injury: Initial evaluation of the elements system , 2010, Brain injury.