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Journal of NeuroEngineering and Rehabilitation
Published in: Journal of NeuroEngineering and Rehabilitation 1/2016

Open Access 01-12-2016 | Review

Robot-aided assessment of lower extremity functions: a review

Authors: Serena Maggioni, Alejandro Melendez-Calderon, Edwin van Asseldonk, Verena Klamroth-Marganska, Lars Lünenburger, Robert Riener, Herman van der Kooij

Published in: Journal of NeuroEngineering and Rehabilitation | Issue 1/2016

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Abstract

The assessment of sensorimotor functions is extremely important to understand the health status of a patient and its change over time. Assessments are necessary to plan and adjust the therapy in order to maximize the chances of individual recovery. Nowadays, however, assessments are seldom used in clinical practice due to administrative constraints or to inadequate validity, reliability and responsiveness. In clinical trials, more sensitive and reliable measurement scales could unmask changes in physiological variables that would not be visible with existing clinical scores.
In the last decades robotic devices have become available for neurorehabilitation training in clinical centers. Besides training, robotic devices can overcome some of the limitations in traditional clinical assessments by providing more objective, sensitive, reliable and time-efficient measurements. However, it is necessary to understand the clinical needs to be able to develop novel robot-aided assessment methods that can be integrated in clinical practice.
This paper aims at providing researchers and developers in the field of robotic neurorehabilitation with a comprehensive review of assessment methods for the lower extremities. Among the ICF domains, we included those related to lower extremities sensorimotor functions and walking; for each chapter we present and discuss existing assessments used in routine clinical practice and contrast those to state-of-the-art instrumented and robot-aided technologies. Based on the shortcomings of current assessments, on the identified clinical needs and on the opportunities offered by robotic devices, we propose future directions for research in rehabilitation robotics. The review and recommendations provided in this paper aim to guide the design of the next generation of robot-aided functional assessments, their validation and their translation to clinical practice.
Footnotes
1
The terminology used in different publications is not always consistent. In the work of Kearny and colleagues [136] the intrinsic component includes the passive properties of the joint and the properties of the active muscle fibers.
 
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Metadata
Title
Robot-aided assessment of lower extremity functions: a review
Authors
Serena Maggioni
Alejandro Melendez-Calderon
Edwin van Asseldonk
Verena Klamroth-Marganska
Lars Lünenburger
Robert Riener
Herman van der Kooij
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Journal of NeuroEngineering and Rehabilitation / Issue 1/2016
Electronic ISSN: 1743-0003
DOI
https://doi.org/10.1186/s12984-016-0180-3

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