Motor stimulation and motor drive technologies

Why ?

  • To increase the repetition possibilities of an exercise

  • To put in a situation of being able to carry out a training

  • To allow performance visualization

  • To make it more fun, more motivating  

  • To make it easier to perform an exercise

  • To allow a more autonomous or more personalized action

  • To assess progress

How? 'Or' What ?

  • Improve motor function by more intensive training, by more repetitions

  • Improve the perception of the movement to be achieved by a feedback, for example a visualization  

  • Improve the perception of body image by making it more complete and by stimulating mirror neurons through visualization and imagination of movement  

  • Correct posture, put in a position allowing movement, assist movement to allow training

What approaches?
 

  1. Motor assistance technology (walker): Innowalk, Hibbot, NF Walker, exoskeleton

  2. Robotic motor assistance technology: Lokomat

  3. Robotic orthosis: Arméo power, Arméo spring

  4. Orthosis: Therathog, DragonFly, taping

  5. Motor training support: therasuit, puliotherapy, Spider

  6. Assisted motor drive: Giger-MD, MOTOmed, oscillating table

  7. Muscle biofeedback: Brucker biofeedback, Rewellio, smart fabrics 

  8. Technological mirror therapy: Dessintey

  9. Electrical stimulation: Mollii combination, therapeutic electrical stimulation 

  10. Vibration stimulation (sensation of movement): Vibramoov

  11. Rehabilitation video games or virtual reality training

Main scientific publications

Can robot-assisted movement training (Lokomat) improve functional recovery and psychological well-being in chronic stroke? Promising findings from a case study, Funct Neurol. 2014, Rocco Salvatore Calabrò, PhD, Simone Reitano

 

Lokomat: a therapeutic chance for patients with chronic hemiplegia , NeuroRehabilitation. 2014, Uçar, Paker 

What does best evidence tell us about robotic gait rehabilitation in stroke patients: A systematic review and meta-analysis , J Clin Neuroscience 2018, Bruni, Melegari

Neurofunctional changes after a single mirror therapy intervention in chronic ischemic stroke Novaes M.; Palhano-Fontes

 

Systematic review of the effects of mirror therapy in children with cerebral palsy, Eom-ji Park

 

Neural interface of mirror therapy in chronic stroke patients: a functional magnetic resonance imaging study, Neurology India

 

Partial synthesis

 

Lokomat

The literature review concludes that patients who have suffered a stroke and treated with Lokomat or Gait Trainer are more likely to obtain better results than with conventional rehabilitation. In addition, lokomat combined with functional electrical stimulation achieves a better result than Lokomat alone.

Patients who completed the Lokomat training had a significantly greater improvement in the “Timed Up and Go” timing test and the 10m timed walking speed test compared to those who underwent conventional training (after 2 weeks of training). 'training 30min / day)

 

Mirror therapy

The literature review confirms the value of mirror therapy interventions for cerebral palsy. 

One study suggests that a single 30-minute mirror therapy session induces an increase in the amplitude of PEMs on the affected limb. The fMRI shows a shift in brain activity from the healthy hemisphere to the motor area of the injured hemisphere. This phenomenon is accompanied by a modification of the inter-hemispheric balance with a decrease in the activity of the healthy hemisphere and an increase in the opposite hemisphere.