The University of Southampton
University of Southampton Institutional Repository

Using technology to optimize recovery in upper limb stroke rehabilitation

Using technology to optimize recovery in upper limb stroke rehabilitation
Using technology to optimize recovery in upper limb stroke rehabilitation
A skilled therapist working one-to-one with a patient for one or two hours a day may be an ideal environment to optimize recovery of upper limb function following stroke and is likely to be superior to technologies that ‘replace the therapist’. Repeated studies have found that there is no single therapeutic approach that is more effective than any other, but intensity is critical. The recent Randomized Controlled Trial of the MIT Manus, published by Lo et al, found that robot therapy was not superior to intensive conventional therapy. Given that one-to-one intensive therapy is unaffordable can technology be used to improve outcome and if so how? The key factors appear to be: increasing intensity of practice; motivating patients to maximize engagement, effort and compliance; performance of functional and relevant tasks; increasing Central Nervous System (CNS) excitability and early intervention. The evidence that technologies can be used to deliver on these key factors will be discussed and in particular the evidence and potential for combined therapies such as electrical stimulation (both peripheral and transcranial direct current stimulation [tDCS]) with robot therapy will be presented.
Burridge, J H
9daa054b-c8b5-4306-a1b7-1424b466bade
Hughes, Ann-Marie
11239f51-de47-4445-9a0d-5b82ddc11dea
Freeman, Christopher
ccdd1272-cdc7-43fb-a1bb-b1ef0bdf5815
Rogers, Eric
611b1de0-c505-472e-a03f-c5294c63bb72
Tedesco-Triccas, L
a10ea6bc-72bf-4b6f-8d04-effd384e3e5b
Burridge, J H
9daa054b-c8b5-4306-a1b7-1424b466bade
Hughes, Ann-Marie
11239f51-de47-4445-9a0d-5b82ddc11dea
Freeman, Christopher
ccdd1272-cdc7-43fb-a1bb-b1ef0bdf5815
Rogers, Eric
611b1de0-c505-472e-a03f-c5294c63bb72
Tedesco-Triccas, L
a10ea6bc-72bf-4b6f-8d04-effd384e3e5b

Burridge, J H, Hughes, Ann-Marie, Freeman, Christopher, Rogers, Eric and Tedesco-Triccas, L (2011) Using technology to optimize recovery in upper limb stroke rehabilitation. Festival of International Conferences on Caregiving, Disability, Aging and Technology - FICCDAT 2011, Canada. 05 - 08 Jun 2011.

Record type: Conference or Workshop Item (Other)

Abstract

A skilled therapist working one-to-one with a patient for one or two hours a day may be an ideal environment to optimize recovery of upper limb function following stroke and is likely to be superior to technologies that ‘replace the therapist’. Repeated studies have found that there is no single therapeutic approach that is more effective than any other, but intensity is critical. The recent Randomized Controlled Trial of the MIT Manus, published by Lo et al, found that robot therapy was not superior to intensive conventional therapy. Given that one-to-one intensive therapy is unaffordable can technology be used to improve outcome and if so how? The key factors appear to be: increasing intensity of practice; motivating patients to maximize engagement, effort and compliance; performance of functional and relevant tasks; increasing Central Nervous System (CNS) excitability and early intervention. The evidence that technologies can be used to deliver on these key factors will be discussed and in particular the evidence and potential for combined therapies such as electrical stimulation (both peripheral and transcranial direct current stimulation [tDCS]) with robot therapy will be presented.

Other
Toronto_abstract_.docx - Other
Restricted to Registered users only
Download (14kB)
Request a copy

More information

Published date: 5 June 2011
Additional Information: Event Dates: June 5-8
Venue - Dates: Festival of International Conferences on Caregiving, Disability, Aging and Technology - FICCDAT 2011, Canada, 2011-06-05 - 2011-06-08
Organisations: EEE, Southampton Wireless Group

Identifiers

Local EPrints ID: 272228
URI: https://eprints.soton.ac.uk/id/eprint/272228
PURE UUID: 657e4f9a-d086-427e-a8c3-338d0d16eb04
ORCID for Ann-Marie Hughes: ORCID iD orcid.org/0000-0002-3958-8206

Catalogue record

Date deposited: 26 Apr 2011 23:24
Last modified: 06 Jun 2018 12:40

Export record

Contributors

Author: J H Burridge
Author: Eric Rogers
Author: L Tedesco-Triccas

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of https://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×