Technology-assisted training of arm-hand skills in stroke: concepts on reacquisition of motor control and therapist guidelines for rehabilitation technology design
It is the purpose of this article to identify and review criteria that rehabilitation technology should meet in order to offer arm-hand training to stroke patients, based on recent principles of motor learning. A literature search was conducted in PubMed, MEDLINE, CINAHL, and EMBASE (1997-2007). One...
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Published in | Journal of neuroengineering and rehabilitation Vol. 6; no. 1; p. 1 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
England
BioMed Central Ltd
20.01.2009
BioMed Central BMC |
Subjects | |
Online Access | Get full text |
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Abstract | It is the purpose of this article to identify and review criteria that rehabilitation technology should meet in order to offer arm-hand training to stroke patients, based on recent principles of motor learning.
A literature search was conducted in PubMed, MEDLINE, CINAHL, and EMBASE (1997-2007).
One hundred and eighty seven scientific papers/book references were identified as being relevant. Rehabilitation approaches for upper limb training after stroke show to have shifted in the last decade from being analytical towards being focussed on environmentally contextual skill training (task-oriented training). Training programmes for enhancing motor skills use patient and goal-tailored exercise schedules and individual feedback on exercise performance. Therapist criteria for upper limb rehabilitation technology are suggested which are used to evaluate the strengths and weaknesses of a number of current technological systems.
This review shows that technology for supporting upper limb training after stroke needs to align with the evolution in rehabilitation training approaches of the last decade. A major challenge for related technological developments is to provide engaging patient-tailored task oriented arm-hand training in natural environments with patient-tailored feedback to support (re) learning of motor skills. |
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AbstractList | BACKGROUND: It is the purpose of this article to identify and review criteria that rehabilitation technology should meet in order to offer arm-hand training to stroke patients, based on recent principles of motor learning. METHODS: A literature search was conducted in PubMed, MEDLINE, CINAHL, and EMBASE (1997-2007). RESULTS: One hundred and eighty seven scientific papers/book references were identified as being relevant. Rehabilitation approaches for upper limb training after stroke show to have shifted in the last decade from being analytical towards being focussed on environmentally contextual skill training (task-oriented training). Training programmes for enhancing motor skills use patient and goal-tailored exercise schedules and individual feedback on exercise performance. Therapist criteria for upper limb rehabilitation technology are suggested which are used to evaluate the strengths and weaknesses of a number of current technological systems. CONCLUSION: This review shows that technology for supporting upper limb training after stroke needs to align with the evolution in rehabilitation training approaches of the last decade. A major challenge for related technological developments is to provide engaging patient-tailored task oriented arm-hand training in natural environments with patient-tailored feedback to support (re) learning of motor skills. It is the purpose of this article to identify and review criteria that rehabilitation technology should meet in order to offer arm-hand training to stroke patients, based on recent principles of motor learning. A literature search was conducted in PubMed, MEDLINE, CINAHL, and EMBASE (1997-2007). One hundred and eighty seven scientific papers/book references were identified as being relevant. Rehabilitation approaches for upper limb training after stroke show to have shifted in the last decade from being analytical towards being focussed on environmentally contextual skill training (task-oriented training). Training programmes for enhancing motor skills use patient and goal-tailored exercise schedules and individual feedback on exercise performance. Therapist criteria for upper limb rehabilitation technology are suggested which are used to evaluate the strengths and weaknesses of a number of current technological systems. This review shows that technology for supporting upper limb training after stroke needs to align with the evolution in rehabilitation training approaches of the last decade. A major challenge for related technological developments is to provide engaging patient-tailored task oriented arm-hand training in natural environments with patient-tailored feedback to support (re) learning of motor skills. BACKGROUNDIt is the purpose of this article to identify and review criteria that rehabilitation technology should meet in order to offer arm-hand training to stroke patients, based on recent principles of motor learning. METHODSA literature search was conducted in PubMed, MEDLINE, CINAHL, and EMBASE (1997-2007). RESULTSOne hundred and eighty seven scientific papers/book references were identified as being relevant. Rehabilitation approaches for upper limb training after stroke show to have shifted in the last decade from being analytical towards being focussed on environmentally contextual skill training (task-oriented training). Training programmes for enhancing motor skills use patient and goal-tailored exercise schedules and individual feedback on exercise performance. Therapist criteria for upper limb rehabilitation technology are suggested which are used to evaluate the strengths and weaknesses of a number of current technological systems. CONCLUSIONThis review shows that technology for supporting upper limb training after stroke needs to align with the evolution in rehabilitation training approaches of the last decade. A major challenge for related technological developments is to provide engaging patient-tailored task oriented arm-hand training in natural environments with patient-tailored feedback to support (re) learning of motor skills. Abstract Background It is the purpose of this article to identify and review criteria that rehabilitation technology should meet in order to offer arm-hand training to stroke patients, based on recent principles of motor learning. Methods A literature search was conducted in PubMed, MEDLINE, CINAHL, and EMBASE (1997–2007). Results One hundred and eighty seven scientific papers/book references were identified as being relevant. Rehabilitation approaches for upper limb training after stroke show to have shifted in the last decade from being analytical towards being focussed on environmentally contextual skill training (task-oriented training). Training programmes for enhancing motor skills use patient and goal-tailored exercise schedules and individual feedback on exercise performance. Therapist criteria for upper limb rehabilitation technology are suggested which are used to evaluate the strengths and weaknesses of a number of current technological systems. Conclusion This review shows that technology for supporting upper limb training after stroke needs to align with the evolution in rehabilitation training approaches of the last decade. A major challenge for related technological developments is to provide engaging patient-tailored task oriented arm-hand training in natural environments with patient-tailored feedback to support (re) learning of motor skills. |
ArticleNumber | 1 |
Author | Willmann, Richard D Timmermans, Annick A A Seelen, Henk A M Kingma, Herman |
AuthorAffiliation | 3 Philips Research Europe, Dept Medical Signal Processing, Weisshausstrasse 2, 52066 Aachen, Germany 1 Faculty of Biomedical Technology, Technical University Eindhoven, Den Dolech 2, 5600 MB Eindhoven, the Netherlands 4 Department of ORL-HNS, Maastricht University Medical Center, PO Box 5800, 6202 AZ Maastricht, the Netherlands 2 Rehabilitation Foundation Limburg (SRL), Research Dept, Zandbergsweg 111, 6432 CC Hoensbroek, the Netherlands |
AuthorAffiliation_xml | – name: 3 Philips Research Europe, Dept Medical Signal Processing, Weisshausstrasse 2, 52066 Aachen, Germany – name: 4 Department of ORL-HNS, Maastricht University Medical Center, PO Box 5800, 6202 AZ Maastricht, the Netherlands – name: 1 Faculty of Biomedical Technology, Technical University Eindhoven, Den Dolech 2, 5600 MB Eindhoven, the Netherlands – name: 2 Rehabilitation Foundation Limburg (SRL), Research Dept, Zandbergsweg 111, 6432 CC Hoensbroek, the Netherlands |
Author_xml | – sequence: 1 givenname: Annick A A surname: Timmermans fullname: Timmermans, Annick A A email: A.Timmermans@srl.nl organization: Faculty of Biomedical Technology, Technical University Eindhoven, Eindhoven, the Netherlands. A.Timmermans@srl.nl – sequence: 2 givenname: Henk A M surname: Seelen fullname: Seelen, Henk A M – sequence: 3 givenname: Richard D surname: Willmann fullname: Willmann, Richard D – sequence: 4 givenname: Herman surname: Kingma fullname: Kingma, Herman |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/19154570$$D View this record in MEDLINE/PubMed |
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PublicationTitle | Journal of neuroengineering and rehabilitation |
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Snippet | It is the purpose of this article to identify and review criteria that rehabilitation technology should meet in order to offer arm-hand training to stroke... BACKGROUNDIt is the purpose of this article to identify and review criteria that rehabilitation technology should meet in order to offer arm-hand training to... BACKGROUND: It is the purpose of this article to identify and review criteria that rehabilitation technology should meet in order to offer arm-hand training to... Abstract Background It is the purpose of this article to identify and review criteria that rehabilitation technology should meet in order to offer arm-hand... |
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SubjectTerms | Arm - physiology Equipment Design Exercise Therapy Feedback Goals Humans Learning Medical Staff Motor Activity Motor Skills Disorders - rehabilitation Movement Patients - psychology Practice Guidelines as Topic Review Robotics Social Support Stroke - therapy Stroke Rehabilitation |
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Title | Technology-assisted training of arm-hand skills in stroke: concepts on reacquisition of motor control and therapist guidelines for rehabilitation technology design |
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