Robotics in the Rehabilitation of Neurological Conditions
|
|
- Tobias Atkins
- 6 years ago
- Views:
Transcription
1 Robotics in the Rehabilitation of Neurological Conditions Gil J Cerros, MSHS The PRANAYAMA Research Group June 14, 2015 Clinical and Translational Research The PRANAYAMA Research Group fdsfsf
2 Robotics in the Rehabilitation of Neurological Conditions Introduction: The research of robotics for the rehabilitation of neurological conditions has increased in the last decade. The technological advances of the 21 st century are bringing robotics to all domains of our society (Morone et al., 2014). Our research site has been focusing upon the application of robotic technology for neurological conditions. Our current robotic research is on the upper and lower motor function in patients with stroke (CVA), spinal cord injury (SCI), and brain injury (BI). The research of robotics in the rehabilitation of neurological conditions has been constrained by cost and lack of insurance coverage. In the United States the use of robotics in health care has the potential to deliver highly intensive activity-based therapy (Scott and Dukelow, 2011). Loss of motor function is a result and consequence of neurological disorders (Moreno et al., 2011). The stroke prevalence is estimated at 2.9%, or a new stroke occurs every 40 seconds. While spinal cord injury has an incidence rate of traumatic SCI from 12.1 to 57.8 per million (Moreno et al., 2011). Additionally, other neurological diseases such as, Parkinson s, cerebral palsy, and multiple sclerosis add interest for robotic rehabilitation focusing on re-learning motor skills. Although rehabilitation is obviously significant to the well being of patients after CVA, SCI, and BI, many of these patients are unable to partake in conventional rehabilitation programs (Goldberg, 2011). Because of critical motor limitations in the form of hemiparesis or foot drop, even walking in a treadmill represents a benefit on cardiovascular endurance. The safety risks associated with unbalance, places patients in danger of further injuries. Therefore, the use of robotics to improve functional mobility in patients with neurological conditions needs more dedicated research. Moreover, robotics could be used to promote intensive therapy in the setting of a functional task or activity. Then improvements in functional mobility and overall health can be accomplished with the application of robotic devices (Tefertiller et al., 2011). Case Description: Previous research supports that robotic therapy improves upper and lower limb motor function after SCI and CVA. 2
3 Although limited research has been reported on the rehabilitation gains after robotic rehabilitation, particularly in gait and balance. Robotic applications in neurorehabilitation may have very positive effects in the motor recovery of neurological conditions. Rehabilitation robotic devices come in many designed forms such as exoskeletons, auto-ambulators, electronic stimulators, prosthetics, and computerizedmovement systems. Patients with early mobilization after a CVA, SCI, and BI have better gains in motor function (Hilder, Hamm, Lichy, and Groah, 2008). However, robotic technology advances are limited to specific selective applications in rehabilitation. With this approach leaving underprivileged populations that could benefit from robotic technology rehabilitation. Questions for Discussion: 1. Why is robotic assisted-therapy underutilized in neurorehabilitation? 2. What are the implications of robotic assisted-therapy in the future of therapist feel therapy? 3. What are the disadvantages of robotic technology? 4. How profitable is the cost of robotic technology in neurorehabilitation? Case Analysis: Hilder et al. (2008) discussed how the use of robotic technology for lower extremities of patients with no motor function below their injuries can be rehabilitated for longer periods. Nonetheless, therapists still question the consistency of longer rehabilitation periods. The future of robotics in neurorehabilitation remains problematic, even when premature indication proves that robotic-assisted gait exercise can increase ambulation as well as cardiac and metabolic performance (Hilder et al., 2008). Notably, some drawbacks are the high cost, maintenance breakdowns, routine service, and lack of therapist s feels. In 2011, Walter Reed Army Medical Center and the University of Pittsburgh created a symposium to update and educate healthcare professionals in the field of Rehabilitation Robotics (Goldberg, p.22). However, the focus from the symposium was the discussion to applications of robotic technologies that could replace therapists and how these professionals feel about the possibility of replacing caregivers. An example is the Personal Mobility and Manipulation Appliance (PerMMA), which could have the potential to improve mobility and quality of life in the 21 st century (Goldberg, 2011). 3
4 Robotic rehabilitation is transforming the way we deliver future rehabilitative services. This includes the integration of robotics for the daily activities such as walking, driving, motor function, and brain controlled interfaces. Mechatronic extremities are opening to advance the physical abilities of the human limbs. Loss of motor function is a result and consequence of neurological disorders (Moreno et al., 2011). However, at this time is still difficult to support what the ideal rehabilitation benefit may be. Evidence supports the rehabilitation of the entire limb at the same time, which is done with robotic-assisted therapy. This additionally helps to transfer skills from therapy to activities of daily living (Guidali et al., 2011). Sicuri, Porcellini, and Merolla (2014) added that at this time of technological advances, robotics have proven to be beneficial in the domain of neurorehabilitation, but not in the orthopedic domain. Although the orthopedic domain is not considered in the current research, it is important for future orthopedic rehabilitation. Robotic-assisted therapy methodologies unquestionably allow for similarly fast, possibly even quicker, but positively more attention-grabbing rehabilitation devices. Regrettably, the area of robotic-assisted rehabilitation market will be a smaller than the current market for computer gaming. This represents a significant weakness in the investment of robotic devices for neurorehabilitation (Wirz et al., 2005). Munih and Bajd (2011) explained that although the quantity of robotic-assisted rehabilitation is significant, the amount of clinical trials is still very limited. In reality, the rehabilitation types are not yet integrated in a therapeutic robotic-assisted program (Munih & Bajd, 2011). In the case of stroke hemiparesis, early rehabilitation is important for the use of affected-limb in daily living activities (Iqbal and Baizid, 2015). The intensity of rehabilitation has an increased staff cost and the limited time is a constraint. In this scenario, robotic-assisted rehabilitation may offer an option to increase the intensity of limb rehabilitation (Hesse et al., 2014). In this particular case, the Fugl-Meyer Score and Action Research Arm Test improved with robotic-assisted therapy. Moreover, Iqbal and Baizid (2015) added that rehabilitation scholars predicted that in 2024, individuals will use fashionable and portable exoskeleton robots to interact with objects in society (p. 197). 4
5 Robotic-assisted rehabilitation provides optimal improvements in terms of accuracy, precision, and repetition with high intensity therapy. Additionally, the integration of virtual reality elements offers to transform a boring rehabilitation into an exciting and interesting activity (Iqbal and Baizid, 2011). These activities are very similar to playing challenging games online or television access games. In the near future it is anticipated that we will see an increase in the innovations of robotic-assisted neurorehabilitation strategies. The next generation of rehabilitation devices will increase for the home-base, designed specifically for the patient s specific rehabilitation therapy (Morone et al., 2014). Considering stroke the second leading cause of death and the third leading cause of disability world-wide (Morone et al., 2014, p.1), the public health system and the scientific communities must take seriously and consider the increased number of stroke survivors. The costs associated with the disability and treatment after strokes are imperative to be reduced with cost-effective neurorehabilitation systems (Sicuri et al., 2014). New technologies with robotic-assisted devices becomes a clear path for new strategies developed in the future rehabilitation of individuals after stroke (Guidali et al., 2011). However, this does not eliminate the divisive arguments for the present and future application of robotics in rehabilitation. Guidali and colleagues described the drawbacks in other domains like orthopedic rehabilitation, which was identified previously in the literature. Nonetheless, researchers continue working in more generalized application programs to be integrated in multi-purpose robotic devices that support other domains like orthopedic and prosthetics for amputations (Scott and Dukelow, 2011). The clinical assessment of stroke continues measuring disability very traditionally. However, the tools to improve upper and lower limbs motor function is left for poor and under developed nursing home rehabilitation programs. While hightechnology neurorehabilitation remains underutilized due to the poor understanding of robotic-assisted technologies, healthcare providers and insurance plans decreased the opportunity for those who are severely impaired from a stroke (Tefertiller et al., 2011). Better treatment plans in neurorehabilitation are necessary at the point of injury. Many factors included the type of CVA, SCI, and BI. The time for early delivery and intensity of rehabilitation, the 5
6 duration of therapy, and the selection of best robotic-assisted devices are critical factors for good outcomes (Hidler et al., 2008). In general, the current literature supports the value of increased intensity and time of rehabilitation with robotic-assisted therapy and hands on with therapists who provide the human feel are the best approaches to a neurorehabilitation program. Robotic-assisted rehabilitation optimizes the delivery of high-intensity movement repetition. The mechanism of the physical human-robotic interaction depends on the device modality. A plethora of problems need to take in consideration the safety and reliable physical human-robot interaction. In the future development of robotic-assisted rehabilitation, the metrics for safety and reliability must be introduced for the efficacious utilization of roboticdevices in daily physical rehabilitation clinical settings. The mental perception of the human involved with the robotic-device is critical to the interaction and acceptance of the physical mechanical rhythm connection. The interactions are considerations for the researchers and future work of scientific involvement to complete the study and apply components designed for sharing within a human environment (Kiesler and Hinds, 2011). In the meantime, the number of robotic devices will continue to increase based on the demand and utilization of these products. The challenges and future direction in robotic-assisted therapy will be part of the new generations of healthcare researchers and providers. The continuity of clinical trials to make robotic technology available and safe needs further worldwide scientific interest. 6 Clinical and Translational Research The PRANAYAMA Research Group
7 References Goldberg, M. R. (2011). Rehabilitation robotics. PVA Publications, Guidali, M. R., Duschau-Wickle, A., Broggi, S., Klamroth-Marganska, V., Nef, T., & Riener, R. (2011). A robotic system to train activities of daily living in a virtual environment. Med Biol Eng Comput, 49, doi: /s Hesse, S., Heb, A., Werner, C., Kabbert, N., & Bushfort, R. (2014). Effect on arm function and cost of robot-assisted group therapy in subacute patients with stroke and a moderately to severely affected arm: a randomized controlled trial. Clinical Rehabilitation, 28(7), doi: / Hidler, J. M., Hamm, L. F., Lichy, A. L., & Groah, S. L. (2008). Automating activity-based interventions: The role of robotics. Journal of Rehabilitation Research and Development, 45(2), doi: /JRRD Iqbal, J., & Baizid, K. (2015). Stroke rehabilitation using exoskeleton-based robotic exercises: mini review. Biomedical Research, 26(1), Kiesler, S., & Hinds, P. (2011). Introduction to this special issue on human--robot interaction. Human-Computer Interaction, 19(1), 1-8. doi: / Moreno, J. C., Del Alma, A. J., Reyes-Guzman, A., Gil-Agudo, A. L., Ceres, R., & Pons, J. L. (2011). Neurorobotic and hybrid management of lower limb motor disorders: a review. Med Biol Eng Comput, 49, doi: /s Morone, G., Masiero, S., Werner, C., & Paolucci, S. (2014). Advances in neuromotor stroke rehabilitation. BioMed Research International, 2014(236043), 1-2. Munih, M., & Bajd, T. (2011). Rehabilitation robotics. Technology and Health Care, 19, doi: /THC
8 Scott, S. H., & Dukelow, S. P. (2011). Potential of robots as next-generation technology for clinical assessment of neurological disorders and upper-limb therapy. Journal of Rehabilitation Research and Development, 48(4), doi: /JRRD Sicuri, C., Porcellini, G., & Merolla, G. (2014). Robotics in shoulder rehabilitation. Muscles, Ligaments, and Tendons Journal, 4(2), Tefertiller, C., Pharo, B., Evans, N., & Winchester, P. (2011). Efficacy of rehabilitation robotics for walking training in neurological disorders: A review. Journal of rehabilitation Research and Development, 48(4), doi: /JRRD Wirz, M., Zemon, D. H., Rupp, R., Scheel, A., Colombo, G., Dietz, V., & Hornby, T. G. (2005). Effectiveness of automated locomotor training in patients with chronic incomplete spinal cord injury: A multicenter trial. ArchPhys Med Rehabil, 86, doi: /j.apmr Clinical and Translational Research The PRANAYAMA Research Group 8
Intended purpose of using the medical device including indication:
Intended purpose of using the medical device including indication: SunBall is a medical device that is used as an interactive rehabilitation tool that works on the principle of biological feedback and
More informationEvidence-based on advanced therapy
Evidence-based on advanced therapy A presentation to: ASCoN Workshop and Conference 7-10 th December 2017 Chiang Mai Thailand Assoc. Prof Dr Julia Patrick Engkasan Rehabilitation Physician University of
More informationDepartment of Physical Medicine and Rehabilitation
For enquiries and appointments, please contact us at: 物理醫學及復康科部 Department of Physical Medicine and Rehabilitation Department of Physical Medicine and Rehabilitation 5/F, Li Shu Pui Block, Hong Kong Sanatorium
More informationConstraint Induced Movement Therapy (CI or. is a form of rehabilitation therapy that improves upper
Janeane Jackson What is CIMT? Constraint Induced Movement Therapy (CI or CIMT)- Is based on research done by Edward Taub and is a form of rehabilitation therapy that improves upper extremity function in
More informationResearch & Development of Rehabilitation Technology in Singapore
Research & Development of Rehabilitation Technology in Singapore ANG Wei Tech Associate Professor School of Mechanical & Aerospace Engineering wtang@ntu.edu.sg Assistive Technology Technologists / Engineers
More informationFulfill your potential
Fulfill your potential Clinical Concept and Advanced Technologies MediTouch creates innovative physical rehabilitation solutions for hospital, community clinic and home care use. The unique patented products
More informationCRITICALLY APPRAISED PAPER (CAP)
CRITICALLY APPRAISED PAPER (CAP) FOCUSED QUESTION For stroke patients, in what ways does robot-assisted therapy improve upper extremity performance in the areas of motor impairment, muscle power, and strength?
More informationCOURAGE KENNY RESEARCH INITIATIVES IN SPINAL CORD INJURY REHABILITATION
COURAGE KENNY RESEARCH INITIATIVES IN SPINAL CORD INJURY REHABILITATION Maggie Weightman PT, PhD Courage Kenny Research Center/Courage Kenny Rehabilitation Institute 15June 2018 DISCLOSURE NONE Current
More informationLack of muscle control (Stroke, bladder control, neurological disorders) Mechanical movement therapist assisted
By Lisa Rosenberg Electrical Current Stimulates muscles and nerves Produces movement Helps Individuals with Disabilities Lack of muscle control (Stroke, bladder control, neurological disorders) Passive
More informationUniversity of Rochester Neurorestoration Institute (URNI)
University of Rochester Neurorestoration Institute (URNI) Bradford C. Berk, MD, PhD Director, University of Rochester Neurorestoration Institute Content of presentation 1. URNI: rationale, mission, vision,
More informationNathan Schomburg PT, NCS 2535 Shellburne Dr. Wexford, PA (412)
Nathan Schomburg PT, NCS 2535 Shellburne Dr. Wexford, PA 15090 (412) 310-6837 schomburgn@upmc.edu EDUCATION Duquesne University, Pittsburgh, PA Masters of Physical Therapy 1997-2002 2001 Recipient of John
More informationThe Role of Physiatry in the Care of Adults and Children with Hydrocephalus
The Role of Physiatry in the Care of Adults and Children with Hydrocephalus Scott E. Brown, MD Chairman Department of Physical Medicine and Rehabilitation Sinai Hospital of Baltimore Who Are We? PHYSICAL
More informationExoskeleton : Market Shares, Strategies, and Forecasts, Worldwide, 2015 to 2021
Exoskeleton : Market Shares, Strategies, and Forecasts, Worldwide, 2015 to 2021 Economies of scale and new levels of patient progress for longer durations are provided by Exoskeletons. Exoskeleton target
More informationVibramoov NEUROREHABILITATION OF THE LOCOMOTOR SYSTEM THROUGH FUNCTIONAL PROPRIOCEPTIVE STIMULATION
Vibramoov NEUROREHABILITATION OF THE LOCOMOTOR SYSTEM THROUGH FUNCTIONAL PROPRIOCEPTIVE STIMULATION Principe of action BRAIN ACTIVATION VIBRAMOOV REVOLUTIONIZES FUNCTIONAL MOVEMENT THERAPY One of the main
More informationThe Handmaster NMS1 surface FES neuroprosthesis in hemiplegic patients
The Handmaster NMS1 surface FES neuroprosthesis in hemiplegic patients R. H. Nathan 1,2, H. P. Weingarden 1,3, A. Dar 1,2, A. Prager 1 1 NESS Neuromuscular Electrical Stimulation Systems Ltd. 2 Biomedical
More informationKegelmeyer 2018 OPTA Spring Conference 1
Slide 1 Technology for Mobility and Balance in Neurologic Populations Dr. Deb Kegelmeyer The Ohio State University Slide 2 Download the CoreX equine app on your iphone If you are able and willing please
More informationPhysical Therapy Diagnosis and Documentation Tips
1 This tool is designed to assist the Physical Therapist in consultation with the physician, in the selection of an appropriate according to Medicare coverage guidelines. The documentation tips will add
More informationThe Ultimate Biomechanics Lab
myometricslab The Ultimate Biomechanics Lab ASSESSED, QUANTIFIED & VERIFIED Noraxon USA provides market-leading technology for measurement and training devices, such as EMG, gait analysis, biofeedback,
More informationChinese Medical Science Foundation
30 East 40th St, Suite 605 New York NY 10016 fellowship@cmsf.org www.cmsf.org Chinese Medical Science Foundation Acupuncture Fellowship Program October 2007 COPYRIGHT 2007 CHINESE MEDICAL SCIENCE FOUNDATION
More informationRehab-Robotics Company Introduction. Prepared by: Mr. Sergii Molchanov June 23 rd, Hong Kong
Rehab-Robotics Company Introduction Prepared by: Mr. Sergii Molchanov June 23 rd, 2016. Hong Kong Mission to develop and manufacture advanced technologies, which help people achieve maximum recovery outcome.
More informationExpert System-Based Post-Stroke Robotic Rehabilitation for Hemiparetic Arm
Expert System-Based Post-Stroke Robotic Rehabilitation for Hemiparetic Arm Pradeep Natarajan Department of EECS University of Kansas Outline 2 Introduction Stroke Rehabilitation Robotics Expert Systems
More informationIntuitive and rewarding arm rehabilitation
Intuitive and rewarding arm rehabilitation Life in Your Hands Bimeo makes therapy motivating and rewarding for patients and facilitating for therapists. The patient is encouraged to use the more affected
More informationDysphagia rehabilitation: Pathophysiology, evaluation and treatment
Dysphagia rehabilitation: Pathophysiology, evaluation and treatment Stroke is the most important cause of morbidity and long-term disability and thus imposes an enormous economic and social burden. Oropharyngeal
More informationEmerson Hospital Outpatient Services
Emerson Hospital Outpatient Services A Growing Demand initiative to expand sports rehabilitation and specialty services 310 baker avenue, concord, massachusetts Our pediatric occupational therapy specialists
More informationIsometric Hip and Knee Torque measurements as an outcome measure in Robot Assisted Gait Training
Isometric Hip and Knee Torque measurements as an outcome measure in Robot Assisted Gait Training Sujay S Galen 1,2,3 Celia J Clarke 1,2, Alan N Mclean 2, David B Allan 2, Bernard A Conway 1,2 1 Bioengineering
More informationFinal Report. Title of Project: Quantifying and measuring cortical reorganisation and excitability with post-stroke Wii-based Movement Therapy
Final Report Author: Dr Penelope McNulty Qualification: PhD Institution: Neuroscience Research Australia Date: 26 th August, 2015 Title of Project: Quantifying and measuring cortical reorganisation and
More informationResearch Strategic Plan
Research Strategic Plan 2016-2021 VISION TO BE AN INTERNATIONAL LEADER IN THE STUDY AND ADVANCEMENT OF HUMAN MOVEMENT, SPORT, HEALTH, AND WELLNESS. MISSION TO PROVIDE EXCELLENCE IN RESEARCH, EDUCATION,
More informationUsing the Kinect to Limit Abnormal Kinematics and Compensation Strategies During Therapy with End Effector Robots
2013 IEEE International Conference on Rehabilitation Robotics June 24-26, 2013 Seattle, Washington USA Using the Kinect to Limit Abnormal Kinematics and Compensation Strategies During Therapy with End
More informationMembership Information and Application
Membership Information and Application Mission Statement The mission of the American Society of Neurorehabilitation (ASNR) is to promote the medical and social wellbeing of persons with disabling neurological
More informationMUSCULOSKELETAL AND NEUROLOGICAL DISORDERS
MUSCULOSKELETAL AND NEUROLOGICAL DISORDERS There are a wide variety of Neurologic and Musculoskeletal disorders which can impact driving safety. Impairment may be the result of altered muscular, skeletal,
More informationPROJECT PERIODIC REPORT
PROJECT PERIODIC REPORT Project acronym: Project full title: Grant agreement no: CuPiD Closed-loop system for personalized and at-home rehabilitation of people with Parkinson's Disease ICT 288516 Project
More informationMotor Control in Biomechanics In Honor of Prof. T. Kiryu s retirement from rich academic career at Niigata University
ASIAN SYMPOSIUM ON Motor Control in Biomechanics In Honor of Prof. T. Kiryu s retirement from rich academic career at Niigata University APRIL 20, 2018 TOKYO INSTITUTE OF TECHNOLOGY Invited Speakers Dr.
More informationSignificance of Walking Speed. Maggie Benson Virginia Commonwealth University Department of Physical Therapy
Significance of Walking Speed Maggie Benson Virginia Commonwealth University Department of Physical Therapy The 6 th Vital Sign Walking speed is considered the 6 th vital sign A valid and reliable measure
More informationFeasibility of Rehabilitation Training With a Newly Developed Wearable Robot for Patients With Limited Mobility
Archives of Physical Medicine and Rehabilitation journal homepage: Archives of Physical Medicine and Rehabilitation 2013;94:1080-7 ORIGINAL ARTICLE Feasibility of Rehabilitation Training With a Newly Developed
More informationREHABILITATION IN VIRTUAL REALITY VAST.REHAB IS DESIGNED FOR PHYSICAL, OCCUPATIONAL AND COGNITIVE THERAPY
VAST.REHAB IS DESIGNED FOR PHYSICAL, OCCUPATIONAL AND COGNITIVE THERAPY We create a fully-featured virtual reality exercise and diagnostic system with the flexibility to work for everyone from small physiotherapy
More informationEDWARDS RESEARCH GRANTS AND SUPPORT
EDWARDS RESEARCH GRANTS AND SUPPORT Edwards served as the principal investigator or co-investigator on a number of National and International grants and commissions since 2009 with accumulated earning
More informationThe Complex Rehab Technology Company. Focused on Providing Specialized Products and Related Services to People with Disabilities
The Complex Rehab Technology Company Focused on Providing Specialized Products and Related Services to People with Disabilities The Complex Rehab Technology Company What is Complex Rehab Technology and
More informationCourse Descriptions for Courses in the Entry-Level Doctorate in Occupational Therapy Curriculum
Course Descriptions for Courses in the Entry-Level Doctorate in Occupational Therapy Curriculum Course Name Therapeutic Interaction Skills Therapeutic Interaction Skills Lab Anatomy Surface Anatomy Introduction
More informationrestoring hope rebuilding lives
Spinal Cord Injury Brain Injury Stroke Neurologic Diseases Orthopedic Conditions Amputation Cancer Cardiac Recovery The patient experience: 2015 in review restoring hope rebuilding lives Advancing care
More informationMESROB th International Workshop on Medical and Service Robots
Maxime EZEQUEL Innovation dept. Speaker July 9, 2015 MESROB 2015 4th International Workshop on Medical and Service Robots Marteau GE 11:00-11:25 Experience feedback in medical mobile robots Outline 01
More informationInpatient Acute Rehabilitation
Inpatient Acute Rehabilitation A massive stroke. A major illness. A debilitating injury. At first, you can t imagine how life will ever be the same. Affiliated with the renowned Dignity Health Neurological
More informationMINERVA MEDICA COPYRIGHT
EUR J PHYS REHABIL MED 2008;44:431-5 Robot-assisted therapy for neuromuscular training of sub-acute stroke patients. A feasibility study Aim. Several studies have described the contribution of robotics
More informationContent. Theory. Demonstration. Development of Robotic Therapy Theory behind of the Robotic Therapy Clinical Practice in Robotic Therapy
Robotic Therapy Commission Training 2011/2012 in Advance Stroke Rehabilitation 7 Jan 2012 Helen LUK, Senior Physiotherapist Clare CHAO, Physiotherapist I Queen Elizabeth Hospital Content Theory Development
More information3/16/2016 INCIDENCE. Each year, approximately 795,000 people suffer a stroke. On average, someone in the United States has a stroke every 40 seconds
USING THE PRINCIPLES OF NEUROPLASTICITY AND MOTOR LEARNING TO IMPROVE FUNCTIONAL OUTCOMES IN STROKE SURVIVORS: TRANSLATING THE EVIDENCE INTO PRACTICE Angie Reimer MOT/OTR adreimer@embarqmail.com Each year,
More informationAre randomised controlled trials telling us what rehabilitation interventions work?
Are randomised controlled trials telling us what rehabilitation interventions work? Focus on stroke Jane Burridge March 6 th 2014 Neurorehabilitation: facts, fears and the future Overview Stroke recovery
More informationFounder and Chief Technology Officer, Zyrobotics
Ayanna Howard, Ph.D. Professor, Linda J. and Mark C. Smith Chair in Bioengineering School of Electrical and Computer Engineering Georgia Institute of Technology Founder and Chief Technology Officer, Zyrobotics
More informationCRITICALLY APPRAISED PAPER (CAP)
CRITICALLY APPRAISED PAPER (CAP) Kapadia, N. M., Zivanovic, V., Furlan, J. C., Craven, B. C., McGillivray, C., & Popovic, M. R. (2011). Functional electrical stimulation therapy for grasping in traumatic
More information1/28/2019. OSF HealthCare INI Care Center Team. Neuromuscular Disease: Muscular Dystrophy. OSF HealthCare INI Care Center Team: Who are we?
Neuromuscular Disease: Muscular Dystrophy Muscular Dystrophy Association (MDA) and OSF HealthCare Illinois Neurological Institute (INI) Care Center Team The Neuromuscular clinic is a designated MDA Care
More informationEvidence of Therapeutic Robots in Physiotherapy
Evidence of Therapeutic Robots in Physiotherapy Hospital Authority Convention 2014 Special Topic V: 7 May 2014 Dr. Polly Mo-Yee LAU Cluster Manager (Physio), Kowloon Central Cluster Department Manager
More informationLAY LANGUAGE PROTOCOL SUMMARY
Kinsman Conference Workshop A-3 - Responsible research: IRBs, consent and conflicts of interest Elizabeth Steiner MD, Associate Professor of Family Medicine, Co-Chair, Institutional Review Board, OHSU
More informationHand of Hope. For hand rehabilitation. Member of Vincent Medical Holdings Limited
Hand of Hope For hand rehabilitation Member of Vincent Medical Holdings Limited Over 17 Million people worldwide suffer a stroke each year A stroke is the largest cause of a disability with half of all
More information2017 Rehabilitation Services. Rehabilitation Services Profile at The Ohio State University Wexner Medical Center Dodd Rehabilitation Hospital
2017 Rehabilitation Services Rehabilitation Services Profile at The Ohio State University Wexner Medical Center Dodd Rehabilitation Hospital The Nation s Best Right Here in Central Ohio Accredited by CARF
More informationAmerican Board of Physical Medicine & Rehabilitation. Part I Curriculum & Weights
American Board of Physical Medicine & Rehabilitation Part I Curriculum & Weights Neurologic Disorders 30% Stroke Spinal Cord Injury Traumatic Brain Injury Neuropathies a) Mononeuropathies b) Polyneuropathies
More informationINRS 2013 Workshops Wednesday
INRS 2013 Workshops Wednesday 08:00-09:00 Welcome and registration 09:00-10:30 Workshop 1 Robotic assessments: beyond the obvious Hosted by KFSP Neuro-Rehab der Universität Zürich Workshop 2 Robot-supported
More informationVTCRI Neuromotor Research Clinic
VTCRI Neuromotor Research Clinic OUR MISSION T he Virginia Tech Carilion Research Institute s Neuromotor Research Clinic works to advance knowledge about effective and innovative treatment strategies for
More informationRehabilitation (Movement Therapy) Robots
Rehabilitation (Movement Therapy) Robots Allison M. Okamura Associate Professor Department of Mechanical Engineering Stanford University Portions of this material provided by H. F. Machiel Van der Loos
More informationResearch Article Robotic Upper Limb Rehabilitation after Acute Stroke by NeReBot: Evaluation of Treatment Costs
BioMed Research International, Article ID 265634, 5 pages http://dx.doi.org/10.1155/2014/265634 Research Article Robotic Upper Limb Rehabilitation after Acute Stroke by NeReBot: Evaluation of Treatment
More informationAN ENHANCED VERSION OF CI APHASIA THERAPY: CIAT II
AN ENHANCED VERSION OF CI APHASIA THERAPY: CIAT II Edward Taub Presenter Margaret L. Johnson Presenter Leslie H. Harper Jamie T. Wade Michelle M. Haddad Victor W. Mark Gitendra Uswatte CI THERAPY: A FAMILY
More informationneurological rehabilitation multiple sclerosis
neurological rehabilitation multiple sclerosis www.cliniquevalmont.ch WHAT IS MULTIPLE SCLEROSIS? Multiple Sclerosis (MS) is an inflammatory disease which affects the central nervous system. This is characterised
More informationWe Have a Great Story to Tell
We Have a Great Story to Tell Inpatient Outpatient Day Neuro Baylor Scott & White Institute for Rehabilitation Frisco is dedicated to helping patients find their way back from all types of injuries, illnesses,
More informationCHRISTOPHER VENUS, PT, MPT, NCS. HOME: 209 Bernice Street Phone: (412) Pittsburgh, PA 15237
CHRISTOPHER VENUS, PT, MPT, NCS HOME: 209 Bernice Street Phone: (412)780-7012 15237 BUSINESS: UPMC Centers for Rehab Services Phone: (412)586-6900 UPMC Mercy South Side 2000 Mary Street Suite 1218, First
More informationMeasure, Asses,Treat & Improve THE TELEREHABILITATION REVOLUTION KOUROSH PARSAPOUR, MD MBA
Measure, Asses,Treat & Improve THE TELEREHABILITATION REVOLUTION KOUROSH PARSAPOUR, MD MBA 5plus DISCLOSURES Founder, CEO TeleRehab Systems Founder, Board of Directors Specialists on Call Shareholder Physical
More informationBreakfast Club Lecture Series 2018
Breakfast Club Lecture Series 2018 The Summer Foundation is proud to announce the Breakfast Club professional development lecture series for 2018 on brain injury rehabilitation, providing information about
More informationC-MILL PRE-TRAINING MATERIAL
4 C-MILL PRE-TRAINING MATERIAL 1 Background information The ability to adjust gait to the requirements of the environment is related to fall risk. Someone must be able to avoid a doorstep, puddle of water
More informationTo Study the Effects of Forced Used Training and Capsular Stretching To Improve the Movement of the Shoulder Joint in Chronic Stroke Patients
International Journal of Science and Healthcare Research Vol.3; Issue: 4; Oct.-Dec. 2018 Website: www.ijshr.com Original Research Article ISSN: 2455-7587 To Study the Effects of Forced Used Training and
More informationAFTER SPINAL CORD INJURY (SCI), the recovery of
404 ORIGINAL ARTICLE Gait Training in Human Spinal Cord Injury Using Electromechanical Systems: Effect of Device Type and Patient Characteristics Jesús Benito-Penalva, MD, Dylan J. Edwards, PhD, Eloy Opisso,
More informationFES courses from Salisbury District Hospital
FES courses from Salisbury District Hospital The purpose of the course is to give an introduction to practical clinical FES as practised in the clinical service at Salisbury District Hospital. The techniques
More informationRedefining Neurorehab. Improve Function. Maximize Independence. Enhance Quality of Life.
Redefining Neurorehab Improve Function. Maximize Independence. Enhance Quality of Life. What is MyndMove? MyndMove is the first therapy to deliver significant lasting voluntary upper extremity function
More informationElectromechanical-assisted training for walking after stroke (Review)
Electromechanical-assisted training for walking after stroke (Review) Mehrholz J, Elsner B, Werner C, Kugler J, Pohl M This is a reprint of a Cochrane review, prepared and maintained by The Cochrane Collaboration
More informationLIFE-CHANGING CARE INPATIENT CARE
LIFE-CHANGING CARE INPATIENT CARE Helping Patients Get the Most out of Rehab When a stroke, accident or other traumatic incident turns a person s world upside down, there s a place in Indiana where he
More informationLucille Beck, PhD Chief Consultant, Rehabilitation and Prosthetic Services Veterans Health Administration Department of Veterans Affairs
How to Facilitate Rehabilitation Care Lucille Beck, PhD Chief Consultant, Rehabilitation and Prosthetic Services Veterans Health Administration Department of Veterans Affairs The only victor in war is
More informationEducation of Rehabilitation Medicine
Education of Rehabilitation Medicine in Korea Education of Rehabilitation Medicine in Korea Department of Rehabilitation Medicine, Research Institute of Rehabilitation Medicine, Yonsei University College
More informationDESIGNING SMART MEDICAL DEVICES WITH FORCE SENSING TECHNOLOGY
DESIGNING SMART MEDICAL DEVICES WITH FORCE SENSING TECHNOLOGY Mark Lowe, MSME, MBA V.P. of Sensors, Tekscan DESIGN CHALLENGES Are you struggling to create smaller, more portable and lightweight medical
More informationResting-State Functional Connectivity in Stroke Patients After Upper Limb Robot-Assisted Therapy: A Pilot Study
Resting-State Functional Connectivity in Stroke Patients After Upper Limb Robot-Assisted Therapy: A Pilot Study N. Kinany 1,3,4(&), C. Pierella 1, E. Pirondini 3,4, M. Coscia 2, J. Miehlbradt 1, C. Magnin
More informationTherapy & Sports Medicine at the Berger Health and Wellness Center
Therapy & Sports Medicine at the Berger Health and Wellness Center The therapy and sports medicine team you ve come to know and trust is here for your therapeutic needs. 1280 North Court Street Circleville
More informationNeurorehabilitation for Stroke: The Case for Robot-Assisted Therapy of the Upper Limb
Neurorehabilitation for Stroke: The Case for Robot-Assisted Therapy of the Upper Limb? Efficacy and Mechanisms: Animal Models of Neuroplasticity; Motor Learning and the Brain; Recovery from Stroke = Motor
More informationSurgery saved my life. Rehab is restoring my future.
The Best Way Back Baylor Institute for Rehabilitation offers care for the most challenging and medically complex patients, including those with traumatic brain injury, traumatic spinal cord injury and
More informationSlide 1. Slide 2. Slide 3. Intro to Physical Therapy for Neuromuscular Conditions. PT Evaluation. PT Evaluation
Slide 1 Intro to Physical Therapy for Neuromuscular Conditions PTA 103 Introduction to Clinical Practice 2 Slide 2 Mental status: consciousness, attention, orientation, cognition Communication: speech
More informationGeneral Medical Rehabilitation
General Medical Rehabilitation Outcomes Report 20 Rehabilitation Hospital is part of the Rehabilitation system of care, a post-acute provider of neuro-rehabilitation for over 45 years. Our 160-bed acute,
More information2016 Rehabilitation Services. Rehabilitation Services Profile at The Ohio State University Wexner Medical Center Dodd Rehabilitation Hospital
2016 Rehabilitation Services Rehabilitation Services Profile at The Ohio State University Wexner Medical Center Dodd Rehabilitation Hospital The Nation s Best Right Here in Central Ohio Accredited by CARF
More informationREHABILITATION ENGINEERING RESEARCH CENTER TECHNOLOGIES FOR CHILDREN WITH ORTHOPAEDIC DISABILITIES
REHABILITATION ENGINEERING RESEARCH CENTER ON TECHNOLOGIES FOR CHILDREN WITH ORTHOPAEDIC DISABILITIES Program Director: Gerald F. Harris, Ph.D., P.E Co-Director: Li-Qun Zhang, Ph.D. Rehabilitation Engineering
More informationBURKE S ACUTE REHAB: PERSONALIZED FOR MAXIMUM RECOVERY
WELCOME TO BURKE No one plans to experience a life-changing illness or traumatic injury. So it is comforting to know that for the past 100 years, Burke Rehabilitation Hospital has been a leader in rehabilitation
More informationDPT Physical Therapy Curriculum
PHT 55 Gross Anatomy & Lab PHT 554 Human Physiology PHT 55 Analysis of Human Motion I & Lab PHT 505 Professional Behavior PHT 549 Life Span Development DPT Physical Therapy Curriculum Fall Semster,Year
More information"THERE ARE NO LIMITATIONS TO WHAT YOU CAN DO IF YOU HAVE THE DETERMINATION. - CHRISTOPHER REEVE
"THERE ARE NO LIMITATIONS TO WHAT YOU CAN DO IF YOU HAVE THE DETERMINATION. - CHRISTOPHER REEVE What is the NeuroRecovery Network? The NeuroRecovery Network (NRN) is a cooperative network of cuttingedge
More informationCRITICALLY APPRAISED PAPER (CAP)
CRITICALLY APPRAISED PAPER (CAP) Kwon, J., Park, M., Yoon, I., & Park, S. (2012). Effects of virtual reality on upper extremity function and activities of daily living performance in acute stroke: A double-blind
More informationThe EVEREST Study Dr. Robert Levy, MD, PhD
The EVEREST Study Safety and Effectiveness of Cortical Stimulation in the Treatment of Upper Extremity Hemiparesis Dr. Robert Levy, MD, PhD Departments of Neurosurgery and Physiology Feinberg School of
More informationthat show how our pledge is a living promise to our community.
2018 Neal Report In 2016, employees of Patricia Neal Rehabilitation Center and all of Covenant Health made a pledge. Our pledge is that every single day, in all situations, we will put our patients first
More informationCRITICALLY APPRAISED PAPER (CAP)
CRITICALLY APPRAISED PAPER (CAP) FOCUSED QUESTION For patients with acute cerebral vascular accident, is virtual reality gaming more effective than standard recreational therapy for the improvement of
More informationNEUROPLASTICITY. Implications for rehabilitation. Genevieve Kennedy
NEUROPLASTICITY Implications for rehabilitation Genevieve Kennedy Outline What is neuroplasticity? Evidence Impact on stroke recovery and rehabilitation Human brain Human brain is the most complex and
More informationCourse Information DPT 720 Professional Development (2 Credits) DPT 726 Evidenced-Based Practice in Physical Therapy I (1 Credit)
Course Information DPT 720 Professional Development (2 Credits) This course introduces theories and experiences designed to develop professional socialization in students. Skills to accurately, sensitively
More informationErigo User Script 1. Erigo Background Information. 2. Intended use and indications
Erigo User Script 1. Erigo Background Information The Erigo was developed in collaboration with the Spinal Cord Injury Center at the Balgrist University Hospital in Zurich, Switzerland and the Orthopaedic
More informationA ROBOTIC SYSTEM FOR UPPER-LIMB EXERCISES TO PROMOTE RECOVERY OF MOTOR FUNCTION FOLLOWING STROKE
A ROBOTIC SYSTEM FOR UPPER-LIMB EXERCISES TO PROMOTE RECOVERY OF MOTOR FUNCTION FOLLOWING STROKE Peter S. Lum 1,2, Machiel Van der Loos 1,2, Peggy Shor 1, Charles G. Burgar 1,2 1 Rehab R&D Center, VA Palo
More informationPHYSICAL ACTIVITY AFTER STROKE
PHYSICAL ACTIVITY AFTER STROKE Physical Activity after Stroke Andreea VOINEA 1 Abstract Exercise and physical activity are useful tools in the rehabilitation and the functional recovery of patients who
More informationKinematic trajectories while walking within the Lokomat robotic gait-orthosis
Available online at www.sciencedirect.com Clinical Biomechanics 23 (2008) 1251 1259 www.elsevier.com/locate/clinbiomech Kinematic trajectories while walking within the Lokomat robotic gait-orthosis Joseph
More informationCRITICALLY APPRAISED PAPER (CAP)
CRITICALLY APPRAISED PAPER (CAP) FOCUSED QUESTION Is mirror therapy an effective intervention for improving function in paralyzed upper extremities after a stroke as compared to the standard therapy? Dohle,
More informationCORE MEASURE: CORE MEASURE: BERG BALANCE SCALE (BBS)
OVERVIEW NUMBER OF TEST ITEMS SCORING EQUIPMENT TIME (NEW CLINICIAN) TIME (EXPERIENCED CLINICIAN) COST o The BBS is a widely-used, clinician-rated scale used to assess sitting and standing, static and
More informationTHE POTENTIAL IMPACT OF VITALSTIM THERAPY ON HEALTHCARE COSTS: A White PaperVitalStim Therapy has significant
Dysphagia THE POTENTIAL IMPACT OF VITALSTIM THERAPY ON HEALTHCARE COSTS: A White PaperVitalStim Therapy has significant Contents potential to dramatically impact the health care costs arising from oropharyngeal
More informationEarly Intensive Gait Training vs. Conventional Low Intensity Gait Training in Individuals Post Stroke
Pacific University CommonKnowledge PT Critically Appraised Topics School of Physical Therapy 2012 Early Intensive Gait Training vs. Conventional Low Intensity Gait Training in Individuals Post Stroke Healani
More information3/5/2014. Rehabilitation Technology versus Research Technology: Where/What is the Value?
Technology Applied to SCI: The Value of Assistive Devices During SCI Recovery and While Living with SCI Mark S. Nash, Ph.D., FACSM Departments of Neurological Surgery and Rehabilitation Medicine Principal
More informationReview of Selected Physical Therapy Interventions for School Age Children with Disabilities
Review of Selected Physical Therapy Interventions for School Age Children with Disabilities Prepared for the Center on Personnel Studies in Special Education EXECUTIVE SUMMARY by Susan K. Effgen University.
More information