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New technologies and concepts for rehabilitation in the acute phase of stroke: a collaborative matrix


Siekierka, E M; Eng, K; Bassetti, C; Blickenstorfer, A; Cameirao, M S; Dietz, V; Duff, A; Erol, F; Ettlin, T; Hermann, D M; Keller, T; Keisker, B; Kesselring, J; Kleiser, R; Kollias, S; Kool, J P; Kurre, A; Mangold, S; Nef, T; Pyk, P; Riener, R; Schuster, C; Tosi, F; Verschure, P F M J; Zimmerli, L (2007). New technologies and concepts for rehabilitation in the acute phase of stroke: a collaborative matrix. Neurodegenerative Diseases, 4(1):57-69.

Abstract

The process of developing a successful stroke rehabilitation methodology requires four key components: a good understanding of the pathophysiological mechanisms underlying this brain disease, clear neuroscientific hypotheses to guide therapy, adequate clinical assessments of its efficacy on multiple timescales, and a systematic approach to the application of modern technologies to assist in the everyday work of therapists. Achieving this goal requires collaboration between neuroscientists, technologists and clinicians to develop well-founded systems and clinical protocols that are able to provide quantitatively validated improvements in patient rehabilitation outcomes. In this article we present three new applications of complementary technologies developed in an interdisciplinary matrix for acute-phase upper limb stroke rehabilitation - functional electrical stimulation, arm robot-assisted therapy and virtual reality-based cognitive therapy. We also outline the neuroscientific basis of our approach, present our detailed clinical assessment protocol and provide preliminary results from patient testing of each of the three systems showing their viability for patient use.

The process of developing a successful stroke rehabilitation methodology requires four key components: a good understanding of the pathophysiological mechanisms underlying this brain disease, clear neuroscientific hypotheses to guide therapy, adequate clinical assessments of its efficacy on multiple timescales, and a systematic approach to the application of modern technologies to assist in the everyday work of therapists. Achieving this goal requires collaboration between neuroscientists, technologists and clinicians to develop well-founded systems and clinical protocols that are able to provide quantitatively validated improvements in patient rehabilitation outcomes. In this article we present three new applications of complementary technologies developed in an interdisciplinary matrix for acute-phase upper limb stroke rehabilitation - functional electrical stimulation, arm robot-assisted therapy and virtual reality-based cognitive therapy. We also outline the neuroscientific basis of our approach, present our detailed clinical assessment protocol and provide preliminary results from patient testing of each of the three systems showing their viability for patient use.

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8 citations in Web of Science®
14 citations in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:07 Faculty of Science > Institute of Neuroinformatics
Dewey Decimal Classification:570 Life sciences; biology
Language:English
Date:2007
Deposited On:18 Feb 2014 13:43
Last Modified:07 Jul 2016 10:26
Publisher:Karger
Number of Pages:13
ISSN:1660-2854
Publisher DOI:https://doi.org/10.1159/000100360
Permanent URL: https://doi.org/10.5167/uzh-93224

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