Article

The past two decades have seen the introduction of and a strong growth in the
availability of rehabilitation interventions that are based on the use of
robotics. A major driving factor has been the advancement of technology, with
faster, more powerful computers, new computational approaches, as well as
increased sophistication of motors and other electro mechanical components. These
advancements in technology have not been the only factor propelling these new
rehabilitation interventions. During the same period, a strong growth in the
understanding of neuroplasticity and motor learning has also been witnessed.
Although there is still much to learn, comprehension of how new skills are
acquired, or old ones are relearned, is evolving at a fast pace. Much of this
improved understanding can be linked to the advancement of central nervous system
imaging as well as techniques for studying changes at the cellular or molecular
level. In this review, the authors present the notion that an ever-advancing
understanding of neuroplasticity and motor learning can provide a theoretical
basis for the clinical use of rehabilitation robotics as applied to enhancing
mobility. Specifically focusing on locomotor training after injury to the central
nervous system, these principles can provide guidance to clinicians on how to
structure their interventions to potentially promote or accelerate functional
recovery in their patients. Several types of existing robotic devices to assist
walking that are currently available for use in the clinic,
as well as their
advantages and limitations, will be discussed.

Langue : ANGLAIS