Review of control strategies for robotic movement training after neurologic injury

Marchal Crespo, Laura; Reinkensmeyer, David J (2009). Review of control strategies for robotic movement training after neurologic injury. Journal of NeuroEngineering and Rehabilitation, 6(1), p. 20. BioMed Central 10.1186/1743-0003-6-20

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There is increasing interest in using robotic devices to assist in movement training following neurologic injuries such as stroke and spinal cord injury. This paper reviews control strategies for robotic therapy devices. Several categories of strategies have been proposed, including, assistive, challenge-based, haptic simulation, and coaching. The greatest amount of work has been done on developing assistive strategies, and thus the majority of this review summarizes techniques for implementing assistive strategies, including impedance-, counterbalance-, and EMG- based controllers, as well as adaptive controllers that modify control parameters based on ongoing participant performance. Clinical evidence regarding the relative effectiveness of different types of robotic therapy controllers is limited, but there is initial evidence that some control strategies are more effective than others. It is also now apparent there may be mechanisms by which some robotic control approaches might actually decrease the recovery possible with comparable, non-robotic forms of training. In future research, there is a need for head-to-head comparison of control algorithms in randomized, controlled clinical trials, and for improved models of human motor recovery to provide a more rational framework for designing robotic therapy control strategies.

Item Type:

Journal Article (Review Article)

Division/Institute:

10 Strategic Research Centers > ARTORG Center for Biomedical Engineering Research > ARTORG Center - Motor Learning and Neurorehabilitation
10 Strategic Research Centers > ARTORG Center for Biomedical Engineering Research > ARTORG Center - Gerontechnology and Rehabilitation

UniBE Contributor:

Marchal Crespo, Laura

Subjects:

600 Technology > 610 Medicine & health
600 Technology > 620 Engineering

ISSN:

1743-0003

Publisher:

BioMed Central

Language:

English

Submitter:

Angela Amira Botros

Date Deposited:

18 Jun 2018 09:30

Last Modified:

23 Oct 2019 13:05

Publisher DOI:

10.1186/1743-0003-6-20

PubMed ID:

19531254

BORIS DOI:

10.7892/boris.117032

URI:

https://boris.unibe.ch/id/eprint/117032

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