Biomedical Engineering Reference
In-Depth Information
effectiveness or optimal application of simultaneous proximal and distal training
using robotics is scarce at this point, and should be extended.
Since augmented feedback is closely related with the application of rehabilita-
tion robotics, more extensive studies are needed to identify the added value and
most optimal way of applying augmented feedback to complement technologi-
cally supported interventions.
10.7 CONCLUSIONS
A stroke may result in impaired arm and hand function which can cause serious
limitations in activities of daily living. Optimal restoration of arm and hand motor
function is essential for stroke survivors to independently perform activities of
daily living. Several studies regarding underlying mechanisms of motor recovery
have been performed. From these studies several key elements emerge; intensity,
task-specificity, active-initiation, motivation and augmented feedback.
Current therapies, such as constraint-induced movement therapy, mirror-
therapy, and therapeutic neuromuscular electrical stimulation, often implement
few key elements in their therapy. With recent technological developments it is
possible to implement more key elements in rehabilitation training. The effect of
these innovative technologies, such as robotics and augmented feedback, on motor
learning of stroke survivors is promising. By combining robotics and augmented
feedback in one therapy, enhanced motor relearning can be expected.
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