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Robotic training and clinical assessment of upper extremity movements after spinal cord injury

YOZBATIRAN N; BERLINER J; O'MALLEY MK; PEHLIVAN M ; KADIVAR Z; BOAKE C; FRANCISCO GE
J REHABIL MED , 2012, vol. 44, n° 2, p. 186-188
Doc n°: 156175
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.2340/16501977-0924
Descripteurs : AE21 - ORIGINE TRAUMATIQUE, DD - MEMBRE SUPERIEUR

A 28-year-old woman, with incomplete spinal cord injury at the C2
level, classified as American Spinal Injury Impairment Scale C (AIS),
participated in a robotic rehabilitation program 29 months after injury. Robotic
training was provided to both upper extremities using the MAHI Exo-II, an
exoskeleton device designed for rehabilitation of the upper limb, for 12 x 3-h
sessions over 4 weeks.
Training involved elbow flexion/extension, forearm
supination/pronation, wrist flexion/extension, and radial/ulnar deviation.
RESULTS: Outcome measures were Action Research Arm Test, Jebsen-Taylor Hand
Function Test, and AIS-upper extremity motor score. Safety measures included
fatigue, pain and discomfort level using a 5-point rating scale. Following
training, improvements were observed in the left arm and hand function, whereas
the right arm and hand function showed no improvement in any of the functional
outcome measures. No excessive pain, discomfort or fatigue was reported.
CONCLUSION: Data from one subject demonstrate valuable information on the
feasibility, safety and effectiveness of robotic-assisted training of
upper-extremity motor functions after incomplete spinal cord injury.

Langue : ANGLAIS

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