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Technology to enhance arm and hand function 

Technology to enhance arm and hand function
Chapter:
Technology to enhance arm and hand function
Author(s):

Arthur Prochazka

DOI:
10.1093/med/9780199673711.003.0031_update_001

Update:

Constraint-induced movement therapy (CIMT) and the Accelerated Skill Acquisition Program (ASAP)—discussion of new publications.

Information added regarding new stimulators that assist in hand opening and grasp.

Latest developments concerning the StimRouter implant.

Latest information on commercially-available exercise devices including the ArmeoBoom, Amadeo, Diego, Active-Passive Bilateral Therapy (APBT), SMART Arm, MusicGlove, Resonating Arm Exerciser (RAE) and the ReJoyce.

A new section on automated, quantitative evaluation of upper limb function using the ArmeoSpring and ReJoyce systems.

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date: 25 November 2020

About 2% of people have weak or paralysed upper limbs (ULs) due to stroke or spinal cord injury (SCI). Physiotherapy involving exercise can improve motor function in many such cases. This chapter reviews conventional and robotic exercise therapy, FES and passive exercise devices that enhance engagement in the UL rehabilitation with computer gaming, which can restore neuromuscular control and improve motivation by making exercise therapy enjoyable. Over the last 10 years many devices have been developed and tested. For example, neuroprostheses that activate hand muscles with functional electrical stimulation (FES). Exercise therapy performed with robotic devices has been one of the most active areas of research and development. It is suggested that important developments in the next few years will include the widespread availability and adoption of affordable FES and in-home exercise devices, and the provision of tele-coaching over the Internet.

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