[Does upper limb robot-assisted rehabilitation contribute to improve the prognosis of post-stroke hemiparesis?]

Abstract

Introduction: Upper limb robot-assisted rehabilitation is a novel physical treatment for neurological motor impairments. During the last decade, this rehabilitation option utilizing technological tools has been evaluated in hemiparetic patients, mostly after stroke.

State of art: Studies at acute and chronic stages suggested good tolerance and a significant and persistent reduction of motor impairment; a real impact on disability has been shown in acute/sub acute patients.

Perspectives: Improved access to rehabilitation robots and an optimal use will probably be associated with higher efficiency of rehabilitative work in the paretic upper limb.

Conclusions: Even if this treatment is still confined to a narrow circle of users, the device's biomechanical properties and clinical suggestions from the literature may show promise for the future of rehabilitation.

Keywords: AVC; Intensity; Intensité; Membre supérieur; Rehabilitation robotics; Rééducation robotisée; Stroke; Upper limb.