Acta Mechanica Slovaca 2013, 17(4):32-39 | DOI: 10.21496/ams.2013.043
Robotics and Assistive Technology to Improve Function in Neuromuscular Diseases
- 1 Senior Research Engineer, Department of Biomedical Research, Nemours/ Alfred I duPont Hospital for Children, Department of Mechanical Engineering, University of Delaware
- 2 Occupational Therapist, Certified Hand Therapist, Nemours/ Alfred I duPont Hospital for Children
- 3 Pediatrics and Physical Medicine and Rehabilitation, Thomas Jefferson University, Philadelphia, Pennsylvania, Chief of Pediatric Rehabilitation
Therapeutic techniques for people with movement disorders are described along with technology that can be used to mitigate the symptoms. Disorders that affect movement include muscular dystrophy, spinal muscular atrophy, cerebral palsy and others. The article discusses conventional occupation therapy techniques currently used and robotic and orthotic devices that are seen in a research and clinical setting. First the neuromuscular disease presentation is described. Next the current assistive technology techniques and devices are outlined. Finally, robots and orthoses for the upper and lower extremity are described in terms of effectiveness and cost. The robots are divided into assistive and therapeutic sections and they are further treated as passive and active devices.
Keywords: Robotics, rehabilitation, orthotics, occupational therapy
Published: October 31, 2013 Show citation
References
- Shepherd J, Procter S, Coley IL. 1996. Self-Care and Adaptations for Independent living. In Occupational Therapy for Children 3rd Edition. St. Louis: Mosby. 461-503.
- Trombly CA. 2002.Managing deficit of First Level Motor Control Capacities. In: Occupational Therapy for Physical Dysfunction, 5th Edition. Baltimore, MD: Lippincott Williams & Wilkins. 571-584.
- Angelo J, Buning ME. 2002.High Technology Adaptations to Compensate for Disability. In: Occupational Therapy for Physical Dysfunction, 5th Edition. Baltimore, MD: Lippincott Williams & Wilkins. 389-584.
- Bach JR. and Lieberman JS. 1993. "Rehabilitation of the Patient with Disease Affecting the Motor Unit" in Rehabilitation Medicine: Principles and Practice. 2nd Ed. ed Joel A. DeLisa. J.B. Lippincott Co.
- Rahman T. Stroud S, Ramanathan R, Alexander M, Seliktar R. and Harwin W. 1996 "Task Priorities and Design for an Arm Orthosis" Technology and Disability Journal. Vol. 5(2), pp.197-203.
Go to original source...
- Miller F. 2005. Cerebral Palsy. New York, New York, United States of America: Springer Science + Business Media, Inc.
- McDonald CM. 2010. Neuromuscular Diseases. In: Alexander MA, Matthews DJ, editors. Pediatric Rehabilitation- Principles and Practice, 4th edition. New York: Demos Medical. pp. 277-335.
- Becker BE. 2009. Aquatic therapy: scientific foundations and clinical rehabilitation applications. PM R;1:859-72.
Go to original source...
- Lansang R. 2012. Upper Limb Support Devices. In: Medscape Reference: Drugs, Diseases and Procedures. Available at: http://emedicine.medscape.com/article/314774-overview. Accessed April 17
- Thring MW. 1983. Robots and Telechirs: Manipulators with Memory, Remote Manipulators, Machine Limbs for the Handicapped (Ellis Horwood series in engineering science). Chichester, UK: Halsted Pr
- LeBlanc M, Leifer L.1982. Environmental Control and Robotic Manipulation Aids. Engineering in Medicine and Biology Magazine;1:16-22.
Go to original source...
- Burgar CG, Lum PS, Shor PC. et al. 2000. Development of robots for rehabilitation therapy: The Palo Alto VA/Stanford experience. J Rehabil Res Dev; 37:863-73.
- Krebs HI, Hogan N, Aisen ML, et al. 1998. Robot-aided Neurorehabilitation. IEEE Trans Rehabil Eng; 6:75-87.
Go to original source...
- Fasoli SE, Fragala-Pinkham M, Hughes R, et al. 2008. Upper limb robotic therapy for children with hemiplegia. Am J Phys Med Rehabil; 87:929-36.
Go to original source...
- Fasoli SE, Fragala-Pinkham M, Hughes R, et al. 2008. Robotic therapy and botulinum toxin type A: A novel intervention approach for cerebral palsy. Am J Phys Med Rehabil;87;1022-5.
Go to original source...
- Cioi D, Kale A, Burdea G, et al. 2011. Ankle Control and Strength Training for Children with Cerebral Palsy using the Rutgers Ankle CP: A case study. 2011 IEEE International Conference on Rehabilitation Robotics, Zurich Science City, Switzerland, June 29 - July 1.
Go to original source...
- Assistive Innovations. Assistive Innovations product listing. In: Assistive Innovations index page. Available at: www.assistive-innovations.com. Accessed April 17, 2012.
- Rahman T, Sample W, Seliktar R, et al. 2007. Design and testing of a functional arm orthosis in patients with neuromuscular diseases.IEEE Trans Neural Syst Rehabil Eng; 15.244-51.
Go to original source...
- Haumont T, Rahman T, Sample W, et al. 2011. Wilmington robotic exoskeleton: a novel device to maintain arm improvement in muscular disease. J Pediatr Orthop; 31:e44-9.
Go to original source...
- Jaeco Orthopedic. WREX: Wilmington Robotic Exoskeleton Arm. In: Jaeco Orthopedic product listing. Available at: http://jaecoorthopedic.com/products/products/WREX%3A-Wilmington-Robotic-EXoskeleton-Arm.html. Accessed April 17, 2012.
- Mao Y, Agrawal S. 2011. A Cable Driven Upper Arm Exoskeleton for Upper Extremity Rehabilitation. ICRA IEEE International Conference:4163-68.
Go to original source...
- Ragonesi D, Agrawal S, Sample W, et al. 2011. Series elastic actuator control of a powered exoskeleton. Conf Proc IEEE Eng Med Biol Soc:3515-8.
Go to original source...
- Cavallo F, Aquilano M, Bonaccorsi M, et al. 2011. Multidisciplinary approach for developing a new robotic system for domiciliary assistance to elderly people. Conf Proc IEEE Eng Med Biol Soc:5327-30.
Go to original source...
- Lo AC, Guarino PD, Richards LG, et al. 2010. Robot-assisted therapy for long-term upper-limb impairment after stroke. N Engl J Med;362;1772-83.
Go to original source...
- Brokaw EB, Murray T, Nef T, et al. 2011. Retraining of interjoint arm coordination after stroke using robot-assisted time-independent functional training. J Rehabil Res Dev;48:299-316.
Go to original source...
- Westlake KP, Patten C. 2009. Pilot study of Lokomat versus manual-assisted treadmill training for locomotor recovery post-stroke. J Neuroeng Rehabil; 6:18.
Go to original source...
- Kinea Design. Portfolio: KineAssist Walking & Balance retraining. In: kinea Design product portfolio. Available at: http://www.kineadesign.com/portfolio/kineassist/. Accessed April 17, 2012.
- Aretech, LLC. ZeroG Overview. In: Aretech, LLC Home page. Available at: http://www.aretechllc.com/overview.html. Accesed April 17, 2012.
This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.