Article

OBJECTIVE: To review the state of the art of robotic-aided hand physiotherapy for
post-stroke rehabilitation, including the use of brain-machine interfaces. Each
patient has a unique clinical history and, in response to personalized treatment
needs, research into individualized and at-home treatment options has expanded
rapidly in recent years. This has resulted in the development of many devices and
design strategies for use in stroke rehabilitation.
METHODS: The development
progression of robotic-aided hand physiotherapy devices and brain-machine
interface systems is outlined, focussing on those with mechanisms and control
strategies designed to improve recovery outcomes of the hand post-stroke. A total
of 110 commercial and non-commercial hand and wrist devices, spanning the 2 major
core designs: end-effector and exoskeleton are reviewed. RESULTS: The growing
body of evidence on the efficacy and relevance of incorporating brain-machine
interfaces in stroke rehabilitation is summarized. The challenges involved in
integrating robotic rehabilitation into the healthcare system are discussed.
CONCLUSION: This review provides novel insights into the use of robotics in
physiotherapy practice, and may help system designers to develop new devices.

Langue : ANGLAIS