The Impact of Robotic Rehabilitation on the Motor System in Neurological Diseases. A Multimodal Neurophysiological Approach.

Journal: International journal of environmental research and public health
PMID:

Abstract

Motor disability is a key feature of many neurological diseases, influencing the social roles of affected patients and their ability to perform daily life activities. Current rehabilitation capacities are overwhelmed by the age-related increase of motor dysfunctions seen, for example, in stroke, extrapyramidal or neuromuscular diseases. As the patient to rehabilitation personnel ration increases, robotic solutions might establish the possibility to rapidly satisfy the increasing demand for rehabilitation. This paper presents an inaugural exploratory study which investigates the interchangeability of a novel experimental robotic rehabilitation device system with classical physical therapy, using a multimodal neurophysiological assessment of the motor system-quantitative electroencephalogram (EEG), motor conduction times and turn/amplitude analysis. Preliminary results show no significant difference between the two methods; however, a significant effect of the therapy was found on different pathologies (beneficial for vascular and extrapyramidal, or limited, and only on preventing reduction of joint movements in neuromuscular).

Authors

  • Zoltán Zsigmond Major
    Research Center for Advanced Medicine "MedFuture", University of Medicine and Pharmacy "Iuliu Hatieganu" Cluj-Napoca, 400000 Cluj-Napoca, Romania.
  • Calin Vaida
    CESTER, Technical University of Cluj-Napoca, 400641 Cluj-Napoca, Romania.
  • Kinga Andrea Major
    Second ICU, Neurosurgery Department, Cluj County Emergency Clinical Hospital, Strada Clinicilor 3-5, 400000 Cluj-Napoca, Romania.
  • Paul Tucan
    CESTER, Technical University of Cluj-Napoca, 400641 Cluj-Napoca, Romania.
  • Gábor Simori
    Neurology Department, Municipal Clinical Hospital Cluj-Napoca, 400139 Cluj-Napoca, Romania.
  • Alexandru Banica
    Research Center for Industrial Robots Simulation and Testing, Technical University of Cluj-Napoca, 400114 Cluj-Napoca, Romania.
  • Emanuela Brusturean
    Neurology Department, Municipal Clinical Hospital Cluj-Napoca, 400139 Cluj-Napoca, Romania.
  • Alin Burz
    Research Center for Industrial Robots Simulation and Testing, Technical University of Cluj-Napoca, 400114 Cluj-Napoca, Romania.
  • Raul Craciunas
    Neurology Department, Municipal Clinical Hospital Cluj-Napoca, 400139 Cluj-Napoca, Romania.
  • Ionut Ulinici
    Research Center for Industrial Robots Simulation and Testing, Technical University of Cluj-Napoca, 400114 Cluj-Napoca, Romania.
  • Giuseppe Carbone
    CESTER, Technical University of Cluj-Napoca, 400641 Cluj-Napoca, Romania.
  • Bogdan Gherman
    CESTER, Technical University of Cluj-Napoca, 400641 Cluj-Napoca, Romania.
  • Iosif Birlescu
    Research Center for Industrial Robots Simulation and Testing, Technical University of Cluj-Napoca, 400114 Cluj-Napoca, Romania.
  • Doina Pisla
    CESTER, Technical University of Cluj-Napoca, 400641 Cluj-Napoca, Romania.