Improving Upper Extremity Function and Quality of Life with a Tongue Driven Exoskeleton: A Pilot Study Quantifying Stroke Rehabilitation
| Autor: | David Wu, Kimberly Richards, Maysam Ghovanloo, Samir Belagaje, Andrew J. Butler, Stephen N. Housley |
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| Rok vydání: | 2017 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty Article Subject medicine.medical_treatment Training time 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Quality of life (healthcare) Tongue medicine RC346-429 Stroke Motor assessment Rehabilitation business.industry medicine.disease Exoskeleton medicine.anatomical_structure Neurology. Diseases of the nervous system Neurology (clinical) 0305 other medical science Range of motion business 030217 neurology & neurosurgery Research Article |
| Zdroj: | Stroke Research and Treatment, Vol 2017 (2017) Stroke Research and Treatment |
| ISSN: | 2042-0056 2090-8105 |
| DOI: | 10.1155/2017/3603860 |
| Popis: | Stroke is a leading cause of long-term disability around the world. Many survivors experience upper extremity (UE) impairment with few rehabilitation opportunities, secondary to a lack of voluntary muscle control. We developed a novel rehabilitation paradigm (TDS-HM) that uses a Tongue Drive System (TDS) to control a UE robotic device (Hand Mentor: HM) while engaging with an interactive user interface. In this study, six stroke survivors with moderate to severe UE impairment completed 15 two-hour sessions of TDS-HM training over five weeks. Participants were instructed to move their paretic arm, with synchronized tongue commands to track a target waveform while using visual feedback to make accurate movements. Following TDS-HM training, significant improvements in tracking performance translated into improvements in the UE portion of the Fugl-Meyer Motor Assessment, range of motion, and all subscores for the Stroke Impact Scale. Regression modeling found daily training time to be a significant predictor of decreases in tracking error, indicating the presence of a potential dose-response relationship. The results of this pilot study indicate that the TDS-HM system can elicit significant improvements in moderate to severely impaired stroke survivors. This pilot study gives preliminary insight into the volume of treatment time required to improve outcomes. |
| Databáze: | OpenAIRE |
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