This story is based on a talk I gave at the North American Neurorehabilitation Symposium at the Shepherd Center in Atlanta, Georgia, in 2010. It describes what rehabilitation might be like if I have a stroke when I am older, focusing on how robotic devices and information technology might be used. One can imagine similar scenarios for spinal cord injury, traumatic brain injury, cerebral palsy, and other neurologic injuries or diseases. References for some of the key ideas are provided in a brief discussion section at the end of the story.
Lay CC, Davis MF, Chen-Bee CH, Frostig RD. Mild sensory stimulation completely protects the adult rodent cortex from ischemic stroke. J PLoS One. 2010;5(6):e11270.
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Mild sensory stimulation completely protects the adult rodent cortex from ischemic stroke.
, J PLoS One.
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Davis MF, Lay CC, Chen-Bee CH, Frostig RD. Amount but not pattern of protective sensory stimulation alters recovery after permanent middle cerebral artery occlusion. Stroke. 2011;42(3):792-798.
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Amount but not pattern of protective sensory stimulation alters recovery after permanent middle cerebral artery occlusion
, Stroke.
, vol. 42
(pg. 792
-798
) Nathoo N, Cavusoglu MC, Vogelbaum MA, Barnett GH. In touch with robotics: neurosurgery for the future. Neurosurgery. 2005;56(3):421-433.
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In touch with robotics: neurosurgery for the future.
, Neurosurgery.
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Brewer BR, McDowell SK, Worthen-Chaudhari LC. Poststroke upper extremity rehabilitation: a review of robotic systems and clinical results. Top Stroke Rehabil. 2007;14(6):22-44.
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Poststroke upper extremity rehabilitation: a review of robotic systems and clinical results
, Top Stroke Rehabil.
, vol. 14
(pg. 22
-44
) Reinkensmeyer DJ, Patton JL. Can robots help the learning of skilled actions? Exercise Sport Sci Rev. 2008;37(1):43-51.
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Can robots help the learning of skilled actions?
, Exercise Sport Sci Rev.
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(pg. 43
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) Ada L, Dean CM, Vargas J, Ennis S. Mechanically assisted walking with body weight support results in more independent walking than assisted overground walking in non-ambulatory patients early after stroke: a systematic review. J Physiother. 2010;56(3):53-61.
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Mechanically assisted walking with body weight support results in more independent walking than assisted overground walking in non-ambulatory patients early after stroke: a systematic review
, J Physiother.
, vol. 56
(pg. 53
-61
) Burke JW, McNeill MDJ, Charles DK, Morrow PJ, Crosbie JH, McDonough SM. Optimising engagement for stroke rehabilitation using serious games. Vis Comput. 2009;25:1085-1099.
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Optimising engagement for stroke rehabilitation using serious games
, Vis Comput.
, vol. 25
(pg. 1085
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) Guadagnoli M, Lee T. Challenge point: a framework for conceptualizing the effects of various practice conditions in motor learning. J Motor Behav. 2004;36:212-224.
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Challenge point: a framework for conceptualizing the effects of various practice conditions in motor learning
, J Motor Behav.
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(pg. 212
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) Milot MH, Marchal-Crespo L, Green CS, Cramer SC, Reinkensmeyer DJ. Comparison of error amplification and haptic guidance training techniques for learning of a timing-based motor task by healthy individuals. Exp Brain Res. 2009;201(2):119-131.
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Comparison of error amplification and haptic guidance training techniques for learning of a timing-based motor task by healthy individuals
, Exp Brain Res.
, vol. 201
(pg. 119
-131
) Riener R, Lunenburger L, Jezernik S, Anderschitz M, Colombo G, Dietz V. Patient-cooperative strategies for robot-aided treadmill training: first experimental results. IEEE Trans Neural Syst Rehabil Eng. 2005;13:380-394.
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Patient-cooperative strategies for robot-aided treadmill training: first experimental results
(pg. 380
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) McHughen SA, Rodriguez PF, Kleim JA, et al. BDNF val66met polymorphism influences motor system function in the human brain. Cereb Cortex. 2010;20(5):1254-1262.
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BDNF val66met polymorphism influences motor system function in the human brain
, Cereb Cortex.
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(pg. 1254
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) Stinear CM. Functional potential in chronic stroke patients depends on corticospinal tract integrity. Brain. 2007;130(Pt 1):170-180.
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Functional potential in chronic stroke patients depends on corticospinal tract integrity
, Brain.
, vol. 130
(pg. 170
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) Fawcett JW, Curt A. Damage control in the nervous system: rehabilitation in a plastic environment. Nat Med. 2009;15(7):735-736.
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Damage control in the nervous system: rehabilitation in a plastic environment
, Nat Med.
, vol. 15
(pg. 735
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) Dobkin BH, Plummer-D’Amato P, Elashoff R, Lee J. International randomized clinical trial, stroke inpatient rehabilitation with reinforcement of walking speed (SIRROWS), improves outcomes. Neurorehabil Neural Repair. 2010;24(3):235-242.
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International randomized clinical trial, stroke inpatient rehabilitation with reinforcement of walking speed (SIRROWS), improves outcomes
, Neurorehabil Neural Repair.
, vol. 24
(pg. 235
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) Mavroidis C, Nikitczuk J, Weinberg B, et al. Smart portable rehabilitation devices. J Neuroeng Rehabil. 2005;12(2):18.
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Smart portable rehabilitation devices
, J Neuroeng Rehabil.
, vol. 12
(pg. 18
-18
) chweighofer N, Han CE, Wolf SL, Arbib MA, Winstein CJ. A functional threshold for long-term use of hand and arm function can be determined: predictions from a computational model and supporting data from the Extremity Constraint-Induced Therapy Evaluation (EXCITE) Trial. Phys Ther. 2009;89(12):1327-1336.
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A functional threshold for long-term use of hand and arm function can be determined: predictions from a computational model and supporting data from the Extremity Constraint-Induced Therapy Evaluation (EXCITE) Trial
, Phys Ther.
, vol. 89
(pg. 1327
-1336
) Volpe BT, Krebs HI, Hogan N. Is robot-aided sensorimotor training in stroke rehabilitation a realistic option?Curr Opin Neurol. 2001;14(6):745-752.
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Is robot-aided sensorimotor training in stroke rehabilitation a realistic option?
, Curr Opin Neurol.
, vol. 14
(pg. 745
-752
) Lo AC, Guarino PD, Richards LG, et al. Robot-assisted therapy for long-term upper-limb impairment after stroke. N Engl J Med. 2010;362(19):1772-1783.
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Robot-assisted therapy for long-term upper-limb impairment after stroke
, N Engl J Med.
, vol. 362
(pg. 1772
-1783
) Hornby TG, Campbell DD, Kahn JH, Demott T, Moore JL, Roth HR. Enhanced gait-related improvements after therapist- versus robotic-assisted locomotor training in subjects with chronic stroke: a randomized controlled study. Stroke. 2008;39(6):1786-1792.
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Enhanced gait-related improvements after therapist- versus robotic-assisted locomotor training in subjects with chronic stroke: a randomized controlled study
, Stroke.
, vol. 39
(pg. 1786
-1792
) Galvez JA, Budovitch A, Harkema SJ, Reinkensmeyer DJ. Trainer variability during step training after spinal cord injury: implications for robotic gait training device design. J Rehabil Res Dev. 2011;48(2):147-159.
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Trainer variability during step training after spinal cord injury: implications for robotic gait training device design
, J Rehabil Res Dev.
, vol. 48
(pg. 147
-159
)
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