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Edited by
Michael Selzer, University of Pennsylvania,Stephanie Clarke, Université de Lausanne, Switzerland,Leonardo Cohen, National Institute of Mental Health, Bethesda, Maryland,Pamela Duncan, University of Florida,Fred Gage, Salk Institute for Biological Studies, San Diego
One overarching goal drives the research and development activities: to revolutionize rehabilitation medicine with mechatronics, robotics, and information technologies that can assist movement, enhance treatment and quantify outcomes. This chapter presents three fronts of this revolution: rehabilitation robotics, orthotics, and prosthetics. It also presents the authors own results to delineate the potential of the technology and future directions for rehabilitation robotics. To date, the authors have deployed three distinct robot modules in collaborating clinical institutions for shoulder and elbow, wrist, and spatial movements. Orthotics plays an important role in the rehabilitation of patients with motor impairments. Despite advances in technology, progress in the development of effective upper-limb amputation prostheses has been modest. Providing an amputee with the ability to adjust impedance yields superior performance, and helps improving upper-limb prostheses. In the advancement of prosthetic systems, one feels that distributed sensory architectures are research areas of critical importance.
Edited by
Michael Selzer, University of Pennsylvania,Stephanie Clarke, Université de Lausanne, Switzerland,Leonardo Cohen, National Institute of Mental Health, Bethesda, Maryland,Pamela Duncan, University of Florida,Fred Gage, Salk Institute for Biological Studies, San Diego
This chapter focuses on the use of assistive technology (AT) to address residual deficits resultant from a traumatic brain injury (TBI). It specifically discusses the use of AT for neuromotor impairments, cognitive impairments and sensory-perceptual impairments. Prior to recommending assistive devices, a thorough assessment of the individual should be performed. The assessment must consider the individual's physical deficits and strengths, cognitive status, sensory status, functional status, environment, the tasks the person performs or would like to participate in, caregivers, and others living in the person's environment. Common motor deficits resultant from neurologic conditions include impairments in balance, gait, gross and fine motor coordination, and unilateral weakness or paralysis. Finally, the chapter covers AT by categories of activities of daily living (ADL). ADL includes bathing, dressing, grooming, toileting, eating/drinking, walking/mobility, etc.
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