Motions or muscles? Some behavioral factors underlying robotic assistance of motor recovery
- Тип контента: Научная статья
- Номер документа: 7017
- Название документа: Motions or muscles? Some behavioral factors underlying robotic assistance of motor recovery
- Номер (DOI, IBSN, Патент): 10.1682/JRRD.2005.06.0103
- Изобретатель/автор: Neville Hogan, Hermano I. Krebs, Brandon Rohrer, Jerome J. Palazzolo, Laura Dipietro, Susan E. Fasoli, Joel Stein, Richard Hughes, Walter R. Frontera, Daniel Lynch, Bruce T. Volpe
- Правопреемник/учебное заведение: Massachusetts Institute of Technology, Cambridge, Cornell University, 4Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital and Harvard Medical School, Boston, 5Burke Medical Research Institute
- Дата публикации документа: 2006-09-01
- Страна опубликовавшая документ: Не заполнено
- Язык документа: Английский
- Наименование изделия: Не заполнено
- Источник: Volume 43, Number 5, Pages 605–618 August/September 2006 J
- Вложения: Да
- Аналитик: Глаголева Елена
Robotics and related technologies have begun to realize their promise to improve the delivery of rehabilitation therapy. However, the mechanism by which they enhance recovery remains unclear. Ultimately, recovery depends on biology, yet the details of the recovery process remain largely unknown; a deeper understanding is important to accelerate refinements of robotic therapy or suggest new approaches. Fortunately, robots provide an excellent instrument platform from which to study recovery at the behavioral level. This article reviews some initial insights about the process of upper-limb behavioral recovery that have emerged from our work. Evidence to date suggests that the form of therapy may be more important than its intensity: muscle strengthening offers no advantage over movement training. Passive movement is insuffi-cient; active participation is required. Progressive training based on measures of movement coordination yields substantially improved outcomes. Together these results indicate that movement coordination ratherthan muscle activation may be the most appropriate focus for robotic therapy.
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