Why orthotic devices could be of help in the management of Movement Disorders in the young

Lorenzo Garavaglia, Emanuela Pagliano, Giovanni Baranello, Simone Pittaccio

Research output: Contribution to journalReview article

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 languageEnglish
Article number118
JournalJournal of NeuroEngineering and Rehabilitation
Volume15
Issue number1
DOIs
Publication statusPublished - 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

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