![]() Volpe reported the composite results of robotic training with 96 consecutive stroke inpatients admitted to Burke who met inclusion criteria and consented to participate. We will present both implementations, the basic engineering differences between these modules, and pilot clinical results from their use with stroke patients. This paper describes two different implementations of a new module developed at MIT that expands the capabilities of MIT-MANUS to include motion in a three-dimensional workspace. Encouraged by these positive results, we have expanded our project to develop a family of novel, modular robots, designed to be used independently or together to rehabilitate other muscle groups and limb segments. This recovery is most pronounced in the trained muscle groups and limb segments. ![]() Through our work with MIT-MANUS, providing task specific training for patients' with moderate to severe hemiparesis, we have gathered convincing evidence (summarized below) that nurture has a significant impact in speeding motor recovery of the paretic shoulder and elbow, and that robot therapy is effective in delivering the necessary exercise. These efforts directly confront the overwhelming task of reversing the effects of natural injury where lesion size, type and location profoundly determine outcome, and applying controlled conditions in environment and training – nurture – to exploit the ability of the mature nervous system to learn, adapt and change. Most of the work to date has focused on the fundamental question of whether task specific training affects motor outcome and positively influences brain recovery. Therapy is being conducted with a commercial version of MIT-MANUS (Interactive Motion Technologies, Inc., Cambridge, MA). ![]() Stroke Inpatient during Therapy at the Burke Rehabilitation Hospital (White Plains, NY). ![]()
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