Abstract
Background: Movement Disorders (MD) are a class of disease that impair the daily activities of patients, conditioning their sensorimotor, cognitive and behavioural capabilities. Nowadays, the general management of patients with MD is based on rehabilitation, pharmacological treatments, surgery, and traditional splints. Although some attempts have been made to devise specific orthoses for the rehabilitation of patients affected by MD, especially the younger ones, those devices have received limited attention. Main body: This paper will principally discuss the case of upper limb rehabilitation in Childhood Dyskinesia (CD), a complex motor disease that affects paediatric patients. Through a critical review of the present solutions and a discussion about the neurophysiological characteristics of the disease, the study will lead to the formulation of desirable features of a possible new upper-limb orthosis. Conclusions: Design principles will be derived to provide specialised orthoses for the dynamic control of posture and the stabilisation of voluntary movements: those include using biomechanical actions and enhanced proprioception to support the sensorimotor rehabilitation of the children affected by CD. A similar approach could be advantageously applied in other MD-related conditions, especially with hyperkinetic and/or hypertonic traits.
| Original language | English |
|---|---|
| Article number | 118 |
| Journal | Journal of NeuroEngineering and Rehabilitation |
| Volume | 15 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Dec 14 2018 |
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Keywords
- Dynamic orthosis
- Dyskinesia
- Dystonia
- Functional materials
- Movement Disorders
- Neurophysiological models
- Rehabilitation
ASJC Scopus subject areas
- Rehabilitation
- Health Informatics
Cite this
Why orthotic devices could be of help in the management of Movement Disorders in the young. / Garavaglia, Lorenzo; Pagliano, Emanuela; Baranello, Giovanni; Pittaccio, Simone.
In: Journal of NeuroEngineering and Rehabilitation, Vol. 15, No. 1, 118, 14.12.2018.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Why orthotic devices could be of help in the management of Movement Disorders in the young
AU - Garavaglia, Lorenzo
AU - Pagliano, Emanuela
AU - Baranello, Giovanni
AU - Pittaccio, Simone
PY - 2018/12/14
Y1 - 2018/12/14
N2 - Background: Movement Disorders (MD) are a class of disease that impair the daily activities of patients, conditioning their sensorimotor, cognitive and behavioural capabilities. Nowadays, the general management of patients with MD is based on rehabilitation, pharmacological treatments, surgery, and traditional splints. Although some attempts have been made to devise specific orthoses for the rehabilitation of patients affected by MD, especially the younger ones, those devices have received limited attention. Main body: This paper will principally discuss the case of upper limb rehabilitation in Childhood Dyskinesia (CD), a complex motor disease that affects paediatric patients. Through a critical review of the present solutions and a discussion about the neurophysiological characteristics of the disease, the study will lead to the formulation of desirable features of a possible new upper-limb orthosis. Conclusions: Design principles will be derived to provide specialised orthoses for the dynamic control of posture and the stabilisation of voluntary movements: those include using biomechanical actions and enhanced proprioception to support the sensorimotor rehabilitation of the children affected by CD. A similar approach could be advantageously applied in other MD-related conditions, especially with hyperkinetic and/or hypertonic traits.
AB - Background: Movement Disorders (MD) are a class of disease that impair the daily activities of patients, conditioning their sensorimotor, cognitive and behavioural capabilities. Nowadays, the general management of patients with MD is based on rehabilitation, pharmacological treatments, surgery, and traditional splints. Although some attempts have been made to devise specific orthoses for the rehabilitation of patients affected by MD, especially the younger ones, those devices have received limited attention. Main body: This paper will principally discuss the case of upper limb rehabilitation in Childhood Dyskinesia (CD), a complex motor disease that affects paediatric patients. Through a critical review of the present solutions and a discussion about the neurophysiological characteristics of the disease, the study will lead to the formulation of desirable features of a possible new upper-limb orthosis. Conclusions: Design principles will be derived to provide specialised orthoses for the dynamic control of posture and the stabilisation of voluntary movements: those include using biomechanical actions and enhanced proprioception to support the sensorimotor rehabilitation of the children affected by CD. A similar approach could be advantageously applied in other MD-related conditions, especially with hyperkinetic and/or hypertonic traits.
KW - Dynamic orthosis
KW - Dyskinesia
KW - Dystonia
KW - Functional materials
KW - Movement Disorders
KW - Neurophysiological models
KW - Rehabilitation
UR - http://www.scopus.com/inward/record.url?scp=85058505065&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85058505065&partnerID=8YFLogxK
U2 - 10.1186/s12984-018-0466-8
DO - 10.1186/s12984-018-0466-8
M3 - Review article
VL - 15
JO - Journal of NeuroEngineering and Rehabilitation
JF - Journal of NeuroEngineering and Rehabilitation
SN - 1743-0003
IS - 1
M1 - 118
ER -