Two single cases treated by a new pseudoelastic upper-limb orthosis for secondary dystonia of the young

Lorenzo Garavaglia, Emanuela Pagliano, Maria Teresa Arnoldi, Antonella Lomauro, Riccardo Zanin, Giovanni Baranello, Andrea Aliverti, Simone Pittaccio

Research output: Chapter in Book/Report/Conference proceedingConference contribution

1 Citation (Scopus)

Abstract

The study proposes a new treatment for dystonia based on a dynamic wearable orthosis equipped with metallic materials of non-linear mechanical characteristics. Two boys with upper-limb dystonia were enrolled, as well as six healthy children. Fully-customised devices were made for the patients. They used the orthosis for one month and their performances were evaluated before and after the treatment. The assessment was done with clinical scales (Modified Ashworth Score, Melbourne Upper Limb Assessment, PedsQL), interviews and optoelectronic kinematic analysis. Normal kinematics was obtained from the healthy group for comparison. Kinematic analysis showed modifications in motor patterns for both patients, with increases in the ranges of motion of initially stiff segments, improvements in posture, emergence of multi-joint strategies. Clinical scales did not always show similar trends in the two cases. The changes in control strategies could be linked to the force field dynamically applied by the device and appear to be learnable. This interpretation will be further tested with larger groups and longer treatments.

Original languageEnglish
Title of host publication2017 International Conference on Rehabilitation Robotics, ICORR 2017
PublisherIEEE Computer Society
Pages1260-1265
Number of pages6
ISBN (Electronic)9781538622964
DOIs
Publication statusPublished - Aug 11 2017
Event2017 International Conference on Rehabilitation Robotics, ICORR 2017 - London, United Kingdom
Duration: Jul 17 2017Jul 20 2017

Conference

Conference2017 International Conference on Rehabilitation Robotics, ICORR 2017
CountryUnited Kingdom
CityLondon
Period7/17/177/20/17

Fingerprint

Dystonic Disorders
Orthotic Devices
Biomechanical Phenomena
Upper Extremity
Kinematics
Dystonia
Equipment and Supplies
Splints
Articular Range of Motion
Posture
Optoelectronic devices
Therapeutics
Interviews

ASJC Scopus subject areas

  • Control and Systems Engineering
  • Electrical and Electronic Engineering
  • Rehabilitation

Cite this

Garavaglia, L., Pagliano, E., Arnoldi, M. T., Lomauro, A., Zanin, R., Baranello, G., ... Pittaccio, S. (2017). Two single cases treated by a new pseudoelastic upper-limb orthosis for secondary dystonia of the young. In 2017 International Conference on Rehabilitation Robotics, ICORR 2017 (pp. 1260-1265). [8009422] IEEE Computer Society. https://doi.org/10.1109/ICORR.2017.8009422

Two single cases treated by a new pseudoelastic upper-limb orthosis for secondary dystonia of the young. / Garavaglia, Lorenzo; Pagliano, Emanuela; Arnoldi, Maria Teresa; Lomauro, Antonella; Zanin, Riccardo; Baranello, Giovanni; Aliverti, Andrea; Pittaccio, Simone.

2017 International Conference on Rehabilitation Robotics, ICORR 2017. IEEE Computer Society, 2017. p. 1260-1265 8009422.

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Garavaglia, L, Pagliano, E, Arnoldi, MT, Lomauro, A, Zanin, R, Baranello, G, Aliverti, A & Pittaccio, S 2017, Two single cases treated by a new pseudoelastic upper-limb orthosis for secondary dystonia of the young. in 2017 International Conference on Rehabilitation Robotics, ICORR 2017., 8009422, IEEE Computer Society, pp. 1260-1265, 2017 International Conference on Rehabilitation Robotics, ICORR 2017, London, United Kingdom, 7/17/17. https://doi.org/10.1109/ICORR.2017.8009422
Garavaglia L, Pagliano E, Arnoldi MT, Lomauro A, Zanin R, Baranello G et al. Two single cases treated by a new pseudoelastic upper-limb orthosis for secondary dystonia of the young. In 2017 International Conference on Rehabilitation Robotics, ICORR 2017. IEEE Computer Society. 2017. p. 1260-1265. 8009422 https://doi.org/10.1109/ICORR.2017.8009422
Garavaglia, Lorenzo ; Pagliano, Emanuela ; Arnoldi, Maria Teresa ; Lomauro, Antonella ; Zanin, Riccardo ; Baranello, Giovanni ; Aliverti, Andrea ; Pittaccio, Simone. / Two single cases treated by a new pseudoelastic upper-limb orthosis for secondary dystonia of the young. 2017 International Conference on Rehabilitation Robotics, ICORR 2017. IEEE Computer Society, 2017. pp. 1260-1265
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