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Customized device for pediatric upper limb rehabilitation in obstetric brachial palsy.

Abstract

A 12-yr-old child, with a history of gestational Erb-Duchenne palsy and, later, musculoskeletal injuries in the left arm caused by a car accident, inspired the design of a customized exoskeleton-like device. Such piece, intended for rehabilitation, has one degree of freedom because the exercise routine involves elbow flexion-extension, which was indicated for the damaged muscular group. The device has two functioning modes, passive and assisted, in which the patient can trigger the movement by a biceps contraction, thus promoting the active role of the user in the rehabilitation process. The results were evaluated in terms of qualitative measures of the biceps and the triceps performed by the medical staff and by a questionnaire related to functional activities of the upper limb. A significant improvement in the arm movement and elbow angle was observed after 3 mos of assisted therapy, complementary to conventional exercises. In conclusion, a simple and low-cost device was designed and tested to complement the rehabilitation process of a pediatric patient with physical impairment.

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  • Authors+Show Affiliations

    ,

    From the Gabinete de Tecnología Médica, Facultad de Ingeniería, Universidad Nacional de San Juan, San Juan, Argentina.

    , , , ,

    Source

    MeSH

    Accidents, Traffic
    Brachial Plexus Neuropathies
    Child
    Electromyography
    Equipment Design
    Equipment Safety
    Exercise Therapy
    Follow-Up Studies
    Humans
    Humeral Fractures
    Male
    Multiple Trauma
    Orthopedic Fixation Devices
    Recovery of Function
    Robotics
    Treatment Outcome
    Upper Extremity

    Pub Type(s)

    Case Reports
    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    24561320

    Citation

    López, Natalia M., et al. "Customized Device for Pediatric Upper Limb Rehabilitation in Obstetric Brachial Palsy." American Journal of Physical Medicine & Rehabilitation, vol. 93, no. 3, 2014, pp. 263-6.
    López NM, de Diego N, Hernández R, et al. Customized device for pediatric upper limb rehabilitation in obstetric brachial palsy. Am J Phys Med Rehabil. 2014;93(3):263-6.
    López, N. M., de Diego, N., Hernández, R., Pérez, E., Ensinck, G., & Valentinuzzi, M. E. (2014). Customized device for pediatric upper limb rehabilitation in obstetric brachial palsy. American Journal of Physical Medicine & Rehabilitation, 93(3), pp. 263-6. doi:10.1097/PHM.0b013e3182a51c95.
    López NM, et al. Customized Device for Pediatric Upper Limb Rehabilitation in Obstetric Brachial Palsy. Am J Phys Med Rehabil. 2014;93(3):263-6. PubMed PMID: 24561320.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Customized device for pediatric upper limb rehabilitation in obstetric brachial palsy. AU - López,Natalia M, AU - de Diego,Nicolás, AU - Hernández,Rafael, AU - Pérez,Elisa, AU - Ensinck,Gustavo, AU - Valentinuzzi,Max E, PY - 2014/2/25/entrez PY - 2014/2/25/pubmed PY - 2014/4/22/medline SP - 263 EP - 6 JF - American journal of physical medicine & rehabilitation JO - Am J Phys Med Rehabil VL - 93 IS - 3 N2 - A 12-yr-old child, with a history of gestational Erb-Duchenne palsy and, later, musculoskeletal injuries in the left arm caused by a car accident, inspired the design of a customized exoskeleton-like device. Such piece, intended for rehabilitation, has one degree of freedom because the exercise routine involves elbow flexion-extension, which was indicated for the damaged muscular group. The device has two functioning modes, passive and assisted, in which the patient can trigger the movement by a biceps contraction, thus promoting the active role of the user in the rehabilitation process. The results were evaluated in terms of qualitative measures of the biceps and the triceps performed by the medical staff and by a questionnaire related to functional activities of the upper limb. A significant improvement in the arm movement and elbow angle was observed after 3 mos of assisted therapy, complementary to conventional exercises. In conclusion, a simple and low-cost device was designed and tested to complement the rehabilitation process of a pediatric patient with physical impairment. SN - 1537-7385 UR - https://www.unboundmedicine.com/medline/citation/24561320/Customized_device_for_pediatric_upper_limb_rehabilitation_in_obstetric_brachial_palsy L2 - http://Insights.ovid.com/pubmed?pmid=24561320 DB - PRIME DP - Unbound Medicine ER -