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Customized device for pediatric upper limb rehabilitation in obstetric brachial palsy.
Am J Phys Med Rehabil 2014; 93(3):263-6AJ

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.

Authors+Show Affiliations

From the Gabinete de Tecnología Médica, Facultad de Ingeniería, Universidad Nacional de San Juan, San Juan, Argentina.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

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://dx.doi.org/10.1097/PHM.0b013e3182a51c95 DB - PRIME DP - Unbound Medicine ER -