Precis Future Med.  2019 Sep;3(3):103-115. 10.23838/pfm.2019.00065.

Robotic assisted rehabilitation therapy for enhancing gait and motor function after stroke

Affiliations
  • 1Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. yun1225.kim@samsung.com
  • 2Department of Health Sciences and Technology, Department of Medical Device Management & Research, Department of Digital Health, Samsung Advanced Institute for Health Sciences & Technology, Sungkyunkwan University, Seoul, Korea.

Abstract

During the last two decades, there have been remarkable developments in electromechanical or robotic assisted rehabilitation therapy for promoting walking ability and upper extremity motor function. Robotic devices have made high-dosage and high-intensity rehabilitative training possible, therefore, useful for enhancing neural plasticity of the central nervous system in patients with brain diseases. Robotic assisted gait therapy showed evidence for both exoskeleton and end-effector devices when used alongside conventional physiotherapy in subacute stroke patients. However, robot-assisted gait training was not proven excellent to conventional physical therapy in stroke patients with chronic stage or when delivered alone. For upper limb motor function, robotic assisted therapy was comparable or superior to conventional therapy in improving motor function and activities of daily living for both subacute and chronic stage of stroke patients. Further studies are required to clarify the best protocol for individual patient's need and its transferring effect to the real world activities of patients. Conclusively, high quality researches and development of related technology may enhance the clinical and economic efficiency of robotic assisted rehabilitation therapy in near future. Robotic rehabilitation will certainly encounter a positive opportunity of technical development during the age of fourth industrial revolution.

Keyword

Motor disorders; Rehabilitation; Electromechanical or robotic assisted therapy; Stroke

MeSH Terms

Activities of Daily Living
Brain Diseases
Central Nervous System
Gait*
Humans
Motor Disorders
Plastics
Rehabilitation*
Stroke*
Upper Extremity
Walking
Plastics
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