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Individuals with severe arm impairment after stroke are thought to be unable to use a manual wheelchair in the conventional bimanual fashion, because they cannot grip and push the pushrim with their impaired hand. Instead, they are often taught to propel a wheelchair with their good arm and leg, a compensatory strategy that encourages disuse and may cause asymmetric tone. Here, we show that four stroke...
Background Dexterous manipulation of the hand, one of the features of human motor control, is often compromised after stroke, to the detriment of basic functions. Despite the importance of independent movement of the digits to activities of daily living, relatively few studies have assessed the impact of specifically targeting individuated movements of the digits on hand rehabilitation. The purpose...
This paper presents a low-cost virtual-reality environment for training finger individuation in stroke survivors with chronic hand impairment. Users play an ergonomic 5-key virtual piano while receiving either assistance or resistance from a pneumatically actuated glove. The level of assistance and the difficulty of the task can be modulated by a therapist.
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