The DOI matches its Crossref record; 46 of the 46 references it cites were found in a registry or an index.
Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after stroke
Abstract
Objective To compare the effects of robot-assisted movement training with conventional techniques for the rehabilitation of upper-limb motor function after stroke.Design Randomized controlled trial, 6-month follow-up.Setting A Department of Veterans Affairs rehabilitation research and development center.Participants Consecutive sample of 27 subjects with chronic hemiparesis (>6mo after cerebrovascular accident) randomly allocated to group.Interventions All subjects received twenty-four 1-hour sessions over 2 months. Subjects in the robot group practiced shoulder and elbow movements while assisted by a robot manipulator. Subjects in the control group received neurodevelopmental therapy (targeting proximal upper limb function) and 5 minutes of exposure to the robot in each session.Main outcome measures Fugl-Meyer assessment of motor impairment, FIMtrade mark instrument, and biomechanic measures of strength and reaching kinematics. Clinical evaluations were performed by a therapist blinded to group assignments.Results Compared with the control group, the robot group had larger improvements in the proximal movement portion of the Fugl-Meyer test after 1 month of treatment (P<.05) and also after 2 months of treatment (P<.05). The robot group had larger gains in strength (P<.02) and larger increases in reach extent (P<.01) after 2 months of treatment. At the 6-month follow-up, the groups no longer differed in terms of the Fugl-Meyer test (P>.30); however, the robot group had larger improvements in the FIM (P<.04).Conclusions Compared with conventional treatment, robot-assisted movements had advantages in terms of clinical and biomechanical measures. Further research into the use of robotic manipulation for motor rehabilitation is justified.
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MethodFUNCTION AND BIOMECHANICS OF UPPER LIMB IN POST-STROKE PATIENTS — A SYSTEMATIC REVIEW
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A Unified Switching Control Framework for Continuous Robot-Assisted Training
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A surface EMG signals-based real-time continuous recognition for the upper limb multi-motion
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“…all phases of recovery: acute, subacute (Aisen, Krebs, Hogan, Mcdowell, & Volpe, 1997; Masiero, Armani, Ferlini, Rosati, & Rossi, 2014; Sale et al., 2014; Volpe et al., 2000) and chronic phases (Klamroth-Marganska et al., 2014; Lo et al., 2010; Lum, Burgar, Shor, Majmundar, & Van der Loos, 2002).”
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“However, recent studies of chronic post-stroke motor impairments have shown that intensive therapeutic interventions lead to significant improvements in cortical reorganization and motor function in persons tested more than one year post-stroke (24-31).”
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“been many efforts to use power-assistant robots for rehabilitation activities and their advantages have been verified in previous studies [12], [13].”
BackgroundControl Strategy Based on Kinetic Motor Primitives for Lower Limbs Exoskeletons
Nunes, P. F., dos Santos, W. M., & Siqueira, A. A. G. (2018) · IFAC-PapersOnLine · doi:10.1016/j.ifacol.2019.02.003 · Cited by 13
Yang, Q., Xie, C., Tang, R., Liu, H., & Song, R. (2020) · IEEE Access · doi:10.1109/access.2020.3033301 · Cited by 13
“Passive control is widely used in rehabilitation robots, such as the PID control scheme implemented in MIT-MANUS [4], the bimanual mirroring mode of MIME [5], and the passive mode in ARMin [6].”
MethodBimanual Haptic-desktop platform for upper-limb post-stroke rehabilitation: Practical trials
Li, S., Frisoli, A., Avizzano, C. A., Ruffaldi, E., Lugo–Villeda, L. I., & Bergamasco, M. (2009) · IEEE International Conference on Robotics and Biomimetics (ROBIO) · doi:10.1109/robio.2009.5420694 · Cited by 13
“…first classification a), have also been presented to overcome the major limitation of passive systems, such as MIME (Mirror Image Movement Enabler) [11] [12] [13] [14], ARCMIME [15] and Bi-Manu-Track [16] [17] [18], which can be used for the training and evaluation of a wide variety of…”
BackgroundSivak, M. L., Unluhisarcikli, O., Weinberg, B., Mirelman-Harari, A., Bonato, P., & Mavroidis, C. (2010) · IEEE Haptics Symposium · doi:10.1109/haptic.2010.5444615 · Cited by 13
“The potential benefits of robotic training have encouraged several research groups to develop robotic upper extremity rehabilitation systems [3, 6-8].”
BackgroundRobot Modeling for Physical Rehabilitation
Gonçalves, R. S., & Carvalho, J. C. M. (2012) · IGI Global eBooks · doi:10.4018/978-1-4666-0291-5.ch009 · Cited by 13
Self-managed patient-game interaction using the barrett WAM arm for motion analysis
Lioulemes, A., Sassaman, P., Gieser, S. N., Karkaletsis, V., Makedon, F. S., & Metsis, V. (2015) · International Conference on PErvasive Technologies Related to Assistive Environments (PETRA) · doi:10.1145/2769493.2769517 · Cited by 12
“Patients with early sensorimotor robotic training after stroke, were compared to patients with standard post-stroke rehabilitation and were found to show greater improvements in functional abilities [13, 12].”
MethodHsieh, Y., Lee, M.-T., Chen, C.-C., Hsu, F.-L., & Wu, C. (2022) · Scientific Reports · doi:10.1038/s41598-022-05314-8 · Cited by 12
Motion-Based Video Games for Stroke Rehabilitation with Reduced Compensatory Motions
Alankuş, G. (2011) · Open Scholarship Institutional Repository (Washington University in St. Louis) · doi:10.7936/k7zg6q9r · Cited by 12
“In some studies they were even shown to outperform regular therapy practices [78].”
BackgroundMethodIndividual patterns of motor deficits evident in movement distribution analysis
Huang, F. C., & Patton, J. L. (2013) · International Conference on Rehabilitation Robotics · doi:10.1109/icorr.2013.6650430 · Cited by 12
“Historically, approaches in robot-assisted therapy began w ith guidance [21, 22], which restricts movement to prescribed patterns.”
BackgroundArm movement maps evoked by cortical magnetic stimulation in a robotic environment
Jones-Lush, L., Judkins, T., & Wittenberg, G. (2009) · Neuroscience · doi:10.1016/j.neuroscience.2009.10.065 · Cited by 12
“Such devices are currently in development (for example: ARMin (Nef and Riener 2007); MIME (Lum et al. 2002); Haptic Master (Van der Linde et al. 2002)), but none are in currently in clinical trials for rehabilitation therapy like the IMT planar robot utilized in this study which is commercially available and already i…”
BackgroundMethodExploring disturbance as a force for good in motor learning
Brookes, J., Mushtaq, F., Jamieson, E., Fath, A. J., Bingham, G. P., Culmer, P., Wilkie, R. M., & Mon-Williams, M. A. (2020) · PLoS ONE · doi:10.1371/journal.pone.0224055 · Cited by 12
“This may explain why assistive forces have been found to help individuals with severe neurological impairment [4, 22, 23] or lesser skilled individuals [3, 24]–as these systems allow the individual to sample the requisite information and thereby start the learning process.”
BackgroundDevelopment of a Mechatronic System for the Mirror Therapy
Ruggiu, M., & Rea, P. (2022) · Actuators · doi:10.3390/act11010014 · Cited by 12
Rodrigues, J. C., Menezes, P. J., & Restivo, M. T. (2023) · Frontiers in Digital Health · doi:10.3389/fdgth.2023.1078511 · Cited by 12
“(32) describe a Mirror Image Movement Enabler (MIME), a continuous passive movement robotic system consisting of a wheelchair and a height-adjustable table.”
BackgroundSelzer, M. E., Clarke, S., Cohen, L. G., Kwakkel, G., & Miller, R. H. (2014) · Cambridge University Press eBooks · doi:10.1017/cbo9780511995590.012 · Cited by 12
Development of image-projective desktop arm trainer, IDAT
Liu, Y., Jiang, Y., & Matsumaru, T. (2012) · IEEE/SICE International Symposium on System Integration (SII) · doi:10.1109/sii.2012.6426964 · Cited by 12
Development of a Reconfigurable Wrist Rehabilitation Device with an Adaptive Forearm Holder
Xu, D. Q., Zhang, M., Ya, S., Zhang, X., Xu, H., Li, Y., Li, X., & Xie, S. Q. (2018) · IEEE/ASME International Conference on Advanced Intelligent Mechatronics · doi:10.1109/aim.2018.8452363 · Cited by 12
“Though this has been demonstrated as an effective way for motor rehabilitation [7, 8] , it is labor intensive and as a consequence expensive.”
BackgroundAn Underactuated, Tendon-Driven, Wearable Exo-Glove With a Four-Output Differential Mechanism
Gerez, L. F., & Liarokapis, M. V. (2019) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/embc.2019.8856517 · Cited by 12
“the rehabilitation process of impaired people since these movements have a profound effect on the recovery from various brain injuries [4].”
BackgroundKim, D.-H., In, T.-S., & Jung, K.-S. (2021) · Technology and Health Care · doi:10.3233/thc-202720 · Cited by 12
“In addition, compared to conventional therapy, robot-assisted therapy has the advantage of facilitating more repetitions of exercises by increasing the opportunity for independent exercise and motivation for training [17–19].”
Farjadian, A. B., Nabian, M., Mavroidis, C., & Holden, M. K. (2015) · Proceedings - IEEE International Conference on Robotics and Automation/Proceedings · doi:10.1109/icra.2015.7139981 · Cited by 12
“A number of research prototypes and commercial products have targeted active ankle and balance rehabilitation [9-12].”
BackgroundNon-contact versus contact-based sensing methodologies for in-home upper arm robotic rehabilitation
Howard, A. M., Brooks, D. A., Brown, E. E., Gebregiorgis, A. L., & Chen, Y. (2013) · International Conference on Rehabilitation Robotics · doi:10.1109/icorr.2013.6650487 · Cited by 12
Metadata
- Authors
- Lum, P. S., Burgar, C. G., Shor, P. C., Majmundar, M., & Van der Loos, M.
- Affiliations
- Virginia Commonwealth University (US)
- ORCID
- Lum, Peter S.
- Venue
- Archives of Physical Medicine and Rehabilitation
- Publisher
- Elsevier BV
- Published
- 2002-07
- Volume
- 83
- Issue
- 7
- Pages
- 952-959
- ISSN
- 0003-9993 (ISSN-L)
- OpenAlex
- W2113585314
- Cited by
- 1,159
- References
- 46
- Citations by year
- 2026: 19 · 2025: 20 · 2024: 25 · 2023: 26 · 2022: 48 · 2021: 34 · 2020: 41 · 2019: 57 · 2018: 67 · 2017: 61 · 2016: 81 · 2015: 58 · 2014: 62 · 2013: 68 · 2012: 55
- FWCI
- 28.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Physical Medicine and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Physical Sciences › Engineering › Biomedical Engineering › Prosthetics and Rehabilitation Robotics
- Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
- Keywords
- stroke rehabilitation, upper limb motor function, hemiparesis, neurodevelopmental treatment, Fugl-Meyer Assessment, FIM, arm muscle strength, reaching kinematics, chronic stroke
- MeSH terms
- Stroke Rehabilitation, Aged, Analysis of Variance, Arm, Biomechanical Phenomena, Chronic Disease, Feedback, Follow-Up Studies, Humans, Muscle Contraction, Paresis, Robotics, Stress, Mechanical, Motion Therapy, Continuous Passive, Range of Motion, Articular, Treatment Outcome, Sample Size, Stroke
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