1. Evidence Supporting Robotics for Treating Upper Extremity Hemiparesis Following CVA January 23, 2015 Presented By: Clarissa Tenido, OTS ctenido02@gmail.com ASOT Winter 2015 Vision in Action Conference

2. Focused Question: “What is the effectiveness of using robotic-assistive device in rehabilitating upper limb motor function with patients with CVA?”

3. Practice Problem: Why?

4. Robotic Assistive Devices  Neurorehabilitation Robot “NeReBot”  Bi-Manu Track

5. Robotic Assistive Devices  Hand Mentor

6. Robotic-Assistive Devices  Mirror Image Movement Enabler “MIME”

7. Related Concepts  Repetitive Task Practice  Robotics and Motor Learning

8. How does this relate in today’s practice?

9. References  Burgar, C.G., Lum, P.S., Scremin, A.M., Garber, S.L. Van der Looz, H.F., Kenney, D., & Shor, P. (2011). Robot-assisted upper-limb therapy in acute rehabilitation setting following stroke: Department of Veterans Affairs multisite clinical trial. Journal of Rehabilitation Research Development, 48, 445-458. doi: 10.1682/JRRD.2010.04.0062  Colombo, R., Sterpi, I., Mazzone, A., Delconte, C., & Pisano, F. (2013). Robot-aided neurorehabilitation in sub-acute and chronic stroke: Does spontaneous recovery have a limited impact on outcome? Neurorehabilitation, 31, 621-629. doi: 10.3233/NRE-131002  Daly, J.J., Hogan, N., Perepexko, E.M., Krebs, H.I., Rogers, J.M., Goyal, K.S., Dohring, M.E., Fredrickson, E., Nethery, J., & Ruff, R.L. (2005). Response to upper-limb robotics and functional neuromuscular stimulation following stroke. Journal of Rehabilitation Research & Development, 42, 723-736. doi: 10.1682/JRRD.2005.02.0048  Lum, P.S., Burgar, C.G., Van der Loos, M., Shor, P.C., Majmundar, M., & Yap, R. (2006). MIME robotic device for upper-limb neurorehabilitation in subacute stroke patients: A follow-up study. Journal of Rehabilitation Research & Development, 43, 631-642. doi: 10.1682/JRRD.2005.02.0044  Maseiero, S., Armani, M., & Rosati, G. (2011). Upper-limb robot-assisted therapy in rehabilitation of acute stroke patients: Focused review and results of new randomized controlled trial. Journal of Rehabilitation Research & Development, 48(4): 355-366. doi: 10.1682/JRRD.2010.04.0063  Rosentstein, L., Ridgel, A.L., Thota, A., Samame, B., & Alberts, J.L. (2008). Effects of combined robotic therapy and repetitive-task practice on upper extremity function in a patient with chronic stroke. American Journal of Occupational Therapy, 62, 28-35. doi: 10.5014/ajot.62.1.28  Yang, C.-L., Lin, K.-C., Chen, H.-C., Wu, C.-Y., & Chen, C.-L. (2012). Pilot comparative study of unilateral and bilateral robot-assisted training on upper extremity performance in patients with stroke. American Journal of Occupational Therapy, 66, 198-206. doi: 10.5014/ajot.2012.003103

10. Thank You! What Questions Do You Have?