Interfacing a haptic robotic system with complex virtual environments to treat impaired upper extremity motor function in children with cerebral palsy

Dev Neurorehabil. 2010;13(5):335-45. doi: 10.3109/17518423.2010.501362.

Abstract

Objective: To investigate the ability of the New Jersey Institute of Technology Robot Assisted Virtual Rehabilitation (NJIT-RAVR) system training to elicit changes in upper extremity (UE) function in children with hemiplegia secondary to cerebral palsy.

Methods: Nine children (mean age 9 years, three males) participated in three pilots. Subjects trained 1 hour, 3 days a week for 3 weeks. Two groups performed this protocol as their only intervention. The third group also performed 5-6 hours of constraint-induced movement therapy.

Results: All subjects participated in a short programme of nine, 60-minute training sessions without adverse effects. As a group, subjects demonstrated statistically significant improvements in Melbourne Assessment of Unilateral Upper Limb Function Test, a composite of three timed UE tasks and several measurements of reaching kinematics. Several subjects demonstrated clinically significant improvements in active shoulder abduction and flexion as well as forearm supination.

Conclusion: Three small pilots of NJIT-RAVR training demonstrated measurable benefit with no complications, warranting further examination.

Publication types

  • Clinical Trial
  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adolescent
  • Cerebral Palsy / complications*
  • Cerebral Palsy / rehabilitation
  • Child
  • Child, Preschool
  • Computer Simulation*
  • Exercise Therapy / adverse effects
  • Exercise Therapy / instrumentation
  • Exercise Therapy / methods*
  • Feasibility Studies
  • Female
  • Hemiplegia / etiology
  • Hemiplegia / physiopathology
  • Hemiplegia / rehabilitation*
  • Humans
  • Male
  • Motor Skills*
  • Pilot Projects
  • Recovery of Function
  • Robotics / instrumentation*
  • Treatment Outcome
  • Upper Extremity / physiopathology*
  • User-Computer Interface