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Industrial-grade collaborative robots for motor rehabilitation after stroke and spinal cord injury: a systematic narrative review.

作者信息

Raji Aisha, Gopaul Urvashy, Babineau Jessica, Popovic Milos R, Marquez-Chin Cesar

机构信息

KITE Research Institute, Toronto Rehabilitation Institute, University Health Network, 550 University Ave., Toronto, M5G 2A2, ON, Canada.

Institute of Biomedical Engineering, University of Toronto, 164 College St., Toronto, M5S 3G9, ON, Canada.

出版信息

Biomed Eng Online. 2025 Apr 30;24(1):50. doi: 10.1186/s12938-025-01362-z.


DOI:10.1186/s12938-025-01362-z
PMID:40301894
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12042587/
Abstract

BACKGROUND: There is a growing interest in exploring industrial-grade collaborative robots (cobots) for rehabilitation. This review explores their application for motor rehabilitation of the upper and lower extremities after a stroke and spinal cord injury (SCI). The article highlights the inherent safety features of cobots, emphasizing their design advantages over custom-built or traditional rehabilitation robots in terms of potential safety and time efficiency. METHODS: Database searches and reference list screening were conducted to identify studies relating to the use of cobots for upper and lower extremity rehabilitation among individuals with stroke and SCI. These articles were then reviewed and summarized. RESULTS: Thirty-three studies were included in this review. The findings suggest that the use of cobots in motor rehabilitation is still in the early stages. Some of the cobots used were equipped with sensors to detect and respond to the movement of the extremities and minimize the risk of injury. This safety aspect is crucial for patients with motor impairments. Most training protocols implemented with the cobots engaged users in repetitive task-based exercises with an overall positive user experience. Thus far, these devices have been primarily evaluated in individuals with stroke and SCI that affect the lower extremities, with no study addressing upper extremity impairments. This initial focus serves as a preliminary step toward assessing their applicability for individuals with stroke and SCI. CONCLUSIONS: Cobots may have the capacity to transform therapy and support healthcare professionals in delivering more personalized and effective rehabilitation. However, there is limited evidence on their use to support upper and lower extremity rehabilitation among individuals with stroke and SCI. Further research and development are needed to refine these technologies and broaden their applications in rehabilitation settings to enhance functional recovery and overall quality of life for individuals with stroke and SCI.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b00b/12042587/fe88f27ea311/12938_2025_1362_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b00b/12042587/013faf6f46d6/12938_2025_1362_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b00b/12042587/63f01491da93/12938_2025_1362_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b00b/12042587/e62cc1a6b30e/12938_2025_1362_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b00b/12042587/f83aad2879de/12938_2025_1362_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b00b/12042587/fe88f27ea311/12938_2025_1362_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b00b/12042587/013faf6f46d6/12938_2025_1362_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b00b/12042587/63f01491da93/12938_2025_1362_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b00b/12042587/e62cc1a6b30e/12938_2025_1362_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b00b/12042587/f83aad2879de/12938_2025_1362_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b00b/12042587/fe88f27ea311/12938_2025_1362_Fig5_HTML.jpg

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引用本文的文献

[1]
Special collection in association with the 2024 International Conference on Aging, Innovation and Rehabilitation.

Biomed Eng Online. 2025-7-14

本文引用的文献

[1]
Global, regional, and national burden of stroke and its risk factors, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021.

Lancet Neurol. 2024-10

[2]
Combining robotics and functional electrical stimulation for assist-as-needed support of leg movements in stroke patients: A feasibility study.

Med Eng Phys. 2024-8

[3]
A robot-based hybrid lower limb system for Assist-As-Needed rehabilitation of stroke patients: Technical evaluation and clinical feasibility.

Comput Biol Med. 2024-9

[4]
Robotic technology (ROBERT) to enhance muscle strength in the hip flexor muscles following spinal cord injury: a feasibility study.

Spinal Cord Ser Cases. 2024-4-10

[5]
The effect of the Lokomat robotic-orthosis system on lower extremity rehabilitation in patients with stroke: a systematic review and meta-analysis.

Front Neurol. 2023-12-6

[6]
Adaptive Learning based Upper-Limb Rehabilitation Training System with Collaborative Robot.

Annu Int Conf IEEE Eng Med Biol Soc. 2023-7

[7]
Upper-Limb Rehabilitation of Patients with Neuromotor Deficits Using Impedance-Based Control of a 6-DOF Robot.

Annu Int Conf IEEE Eng Med Biol Soc. 2023-7

[8]
Global, regional, and national burden of spinal cord injury, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019.

Lancet Neurol. 2023-11

[9]
A technical report on a novel robotic lower limb rehabilitation device - Is ROBERT a cost-effective solution for rehabilitation in Hong Kong?

Hong Kong Physiother J. 2022-12

[10]
Combining robot-assisted therapy with virtual reality or using it alone? A systematic review on health-related quality of life in neurological patients.

Health Qual Life Outcomes. 2023-2-21

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