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- W20199802 abstract "Robotics allow patients to intensify repetitive task specific training programme in neurorehabilitation. Task specific locomotor training means repetitive practice of gait with the help of gait-machines in in-patients and of treadmill training with body weight support in out-patients. For gait-machines two approaches can be distinguished: endeffector1 (like GaitTrainer GT1 and LokoHelp) and exoskeleton based solutions2 (like Lokomat and Auto-Ambulator). A recent Cochrane Report states, that robotic assisted gait training in combination with physiotherapy improves chances to regain independent walking capacity. Herein the strongest evidence is given by the Gait Trainer GT 1. For out-patients speed training on treadmill (TT) with body weight support (BWS) improves walking velocity and endurance, although the personnel requirements, necessary to provide TT, may limit its application. For the upper extremity there are also exoskeleton (e.g. Armor, WREX) and end-effector systems3 (e.g. MIT-Manus, Bi-Manu-Track, Reha-Slide, Amadeo). A systematic comparison of the devices is difficult because of the variability of the robotics and movement’s complexity of the upper limb. Nevertheless several reviews show an improvement of the upper limb motor function when robotics were used in combination with physiotherapy. The most effective systems are the Bi-Manu-Track with a bilateral distal approach and the MITManus InMotion2 with a proximal approach. The MIT-Manus InMotion 2 can be coupled to the InMotion3 wrist module or to a graspsensor, providing a distal approach too. New promising strategies in the distal approach embrace the rehabilitation of the hand. The most promising devices for this rehabilitation strategy are the Reha-Digit and the Amadeo." @default.
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- W20199802 title "Robot assisted therapy in neurorehabilitation" @default.
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