A Systematic Review of Bilateral Upper Limb Training Devices for Poststroke Rehabilitation

@article{vanDelden2012ASR,
  title={A Systematic Review of Bilateral Upper Limb Training Devices for Poststroke Rehabilitation},
  author={Ate van Delden and C. E. Peper and Gert Kwakkel and Peter Jan Beek},
  journal={Stroke Research and Treatment},
  year={2012},
  volume={2012}
}
Introduction. In stroke rehabilitation, bilateral upper limb training is gaining ground. As a result, a growing number of mechanical and robotic bilateral upper limb training devices have been proposed. Objective. To provide an overview and qualitative evaluation of the clinical applicability of bilateral upper limb training devices. Methods. Potentially relevant literature was searched in the PubMed, Web of Science, and Google Scholar databases from 1990 onwards. Devices were categorized as… 
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References

SHOWING 1-10 OF 63 REFERENCES
Effects of Robot-Assisted Therapy on Upper Limb Recovery After Stroke: A Systematic Review
TLDR
Future research into the effects of robot-assisted therapy should distinguish between upper and lower robotics arm training and concentrate on kinematical analysis to differentiate between genuine upper limb motor recovery and functional recovery due to compensation strategies by proximal control of the trunk and upper limb.
MIME robotic device for upper-limb neurorehabilitation in subacute stroke subjects: A follow-up study.
TLDR
Combined unilateral and bilateral robotic training had advantages compared with conventional therapy, producing larger improvements on a motor impairment scale and a measure of abnormal synergies, however, gains in all treatment groups were equivalent at the 6-month follow-up.
Kinematic Data Analysis for Post-Stroke Patients Following Bilateral Versus Unilateral Rehabilitation With an Upper Limb Wearable Robotic System
TLDR
A seven degree-of-freedom upper limb exoskeleton robot (UL-EXO7) is applied in a rehabilitation clinical trial for patients stable post-stroke (greater than six months) and shows consistent improvement with respect to the proposed and conventional metrics.
Unilateral versus bilateral upper limb exercise therapy after stroke: a systematic review.
TLDR
Unilateral and bilateral training are similarly effective, however, intervention success may depend on severity of upper limb paresis and time of intervention post-stroke.
Pilot comparative study of unilateral and bilateral robot-assisted training on upper-extremity performance in patients with stroke.
TLDR
The pilot study indicated that the URTP and BRTP might have differential benefits for movement improvement, and URTP might be a more compelling approach to improving upper-limb motor impairment, muscle power, and strength at the distal joints than BRTP, whereas BRTP could be an optimal approach to improve proximal muscle power.
The impact of bilateral therapy on upper limb function after chronic stroke: a systematic review
TLDR
There is some evidence that bilateral therapy improves function in adults with chronic stroke, however more quality RCTs are required to strengthen this evidence.
Comparing unilateral and bilateral upper limb training: The ULTRA-stroke program design
TLDR
The outcome on the ARAT together with information about changes in the associated mechanisms will provide a better understanding of how specific therapies influence neurobiological changes, and which post-stroke conditions lend themselves to specific treatments.
Bilateral movement training and stroke rehabilitation: A systematic review and meta-analysis
Technology-assisted training of arm-hand skills in stroke: concepts on reacquisition of motor control and therapist guidelines for rehabilitation technology design
TLDR
Criteria that rehabilitation technology should meet in order to offer arm-hand training to stroke patients, based on recent principles of motor learning are identified and reviewed.
Arm studio to intensify the upper limb rehabilitation after stroke: concept, acceptance, utilization and preliminary clinical results.
TLDR
The use of the arm studio to intensify upper limb rehabilitation after stroke is promising, and a controlled study is warranted.
...
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