The past decades have seen rapid and vast developments of robots for the rehabilitation of sensorimotor deficits after damage to the central nervous system (CNS). Many of these innovations were technology-driven, limiting their clinical application and impact. Yet, rehabilitation robots should be designed on the basis of neurophysiological insights underlying normal and impaired sensorimotor functions, which requires interdisciplinary collaboration and background knowledge.Recovery of sensorimotor function after CNS damage is based on the exploitation of neuroplasticity, with a focus on the rehabilitation of movements needed for self-independence. This requires a physiological limb muscle activation that can be achieved through functional arm/hand and leg movement exercises and the activation of appropriate peripheral receptors. Such considerations have already led to the development of innovative rehabilitation robots with advanced interaction control schemes and the use of integrated sensors to continuously monitor and adapt the support to the actual state of patients, but many challenges remain. For a positive impact on outcome of function, rehabilitation approaches should be based on neurophysiological and clinical insights, keeping in mind that recovery of function is limited. Consequently, the design of rehabilitation robots requires a combination of specialized engineering and neurophysiological knowledge. When appropriately applied, robot-assisted therapy can provide a number of advantages over conventional approaches, including a standardized training environment, adaptable support and the ability to increase therapy intensity and dose, while reducing the physical burden on therapists. Rehabilitation robots are thus an ideal means to complement conventional therapy in the clinic, and bear great potential for continued therapy and assistance at home using simpler devices.This review summarizes the evolution of the field of rehabilitation robotics, as well as the current state of clinical evidence. It ...


    Access

    Download


    Export, share and cite



    Title :

    Rehabilitation robots for the treatment of sensorimotor deficits: a neurophysiological perspective


    Contributors:

    Publication date :

    2018-06-05


    Remarks:

    Gassert, Roger; Dietz, Volker (2018). Rehabilitation robots for the treatment of sensorimotor deficits: a neurophysiological perspective. Journal of Neuroengineering and Rehabilitation (JNER):15:46.



    Type of media :

    Article (Journal)


    Type of material :

    Electronic Resource


    Language :

    English



    Classification :

    DDC:    629




    Simulating the impact of sensorimotor deficits on reaching performance

    Sketch, Sean M. / Simpson, Cole S. / Crevecoeur, Frédéric et al. | BASE | 2017

    Free access

    A visual attention mechanism for autonomous robots controlled by sensorimotor contingencies

    Maye, Alexander / Trendafilov, Dari / Polani, D. et al. | BASE | 2015

    Free access

    Sensorimotor representation learning for an “active self” in robots: A model survey

    Nguyen, P. / Georgie, Y. / Kayhan, E. et al. | BASE | 2021

    Free access

    Rehabilitation Robots: Concepts and Applications in Stroke Rehabilitation

    Ahmadi-Pajouh, Mohammad Ali | BASE | 2017

    Free access

    Rehabilitation Robots: Concepts and Applications in Stroke Rehabilitation

    Ahmadi-Pajouh, Mohammad Ali | BASE | 2017

    Free access