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dc.contributor.authorMannella, Kailynn
dc.contributor.authorAlbanese, Giulia A.
dc.contributor.authorDitor, David
dc.contributor.authorZenzeri, Jacopo
dc.contributor.authorHolmes, Michael W. R.
dc.date.accessioned2022-03-01T15:46:32Z
dc.date.available2022-03-01T15:46:32Z
dc.date.issued2021-10-04
dc.identifier.urihttp://hdl.handle.net/10464/15636
dc.description.abstractRobotics can be used to describe wrist kinematics and assess sensorimotor impairments, while the implementation of training algorithms can be aimed at improving neuromuscular control. The purpose of this study was to use a robotic device to develop an adaptive and individualized training program of the distal upper extremity for individuals with multiple sclerosis (MS). This approach included an online assessment of performance aimed at changing the level of assistance/resistance provided during the task. Participants (N = 7) completed a robotic training program that occurred 3 times weekly for 4 weeks. The training protocol consisted of tracking a target moving along a figure by grasping the end-effector of the robotic device and moving it along the trajectory. Outcome measures were assessed pre- and post-intervention. Improvements in performance were quantified by average tracking (p = 0.028) and figural error (p = 0.028), which was significantly reduced by 26% and 43%, respectively. Isometric wrist strength significantly improved post-intervention (flexion: p = 0.043, radial and ulnar deviation: p = 0.028). The results of this work demonstrate that 4-weeks of adaptive robotic training is a feasible rehabilitative program that has the potential to improve distal upper extremity motor accuracy and muscular strength in a MS population.en_US
dc.description.sponsorshipBrock Library Open Access Publishing Funden_US
dc.language.isoenen_US
dc.publisherMDPI AGen_US
dc.rightsAttribution 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectmultiple sclerosisen_US
dc.subjectneurorehabilitationen_US
dc.subjectrobotic rehabilitationen_US
dc.subjectupper limben_US
dc.titlePreliminary Evaluation of an Adaptive Robotic Training Program of the Wrist for Persons with Multiple Sclerosisen_US
dc.typeArticleen_US
dc.identifier.doi10.3390/app11199239
dc.identifier.eissn2076-3417
dc.identifier.piiapp11199239
dc.source.journaltitleApplied Sciences
dc.source.volume11
dc.source.issue19
dc.source.beginpage9239
refterms.dateFOA2022-03-01T15:46:33Z


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Attribution 4.0 International
Except where otherwise noted, this item's license is described as Attribution 4.0 International