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Rehabilitation Robots for Neurorehabilitation in High-, Low-, and Middle-Income Countries
Current Practice, Barriers, and Future Directions
1st Edition - October 27, 2023
Editors: Michelle Jillian Johnson, Rochelle J. Mendonca
Paperback ISBN:
9 7 8 - 0 - 3 2 3 - 9 1 9 3 1 - 9
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 9 1 9 3 5 - 7
Rehabilitation Robots for Neurorehabilitation in High, Low, and Middle Income Countries: Current Practice, Barriers, and Future Directions describes the state-of-art research of… Read more
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Rehabilitation Robots for Neurorehabilitation in High, Low, and Middle Income Countries: Current Practice, Barriers, and Future Directions describes the state-of-art research of stroke rehabilitation using robot systems in selected High Income Countries (HICs) and Low and Middle Income Countries (LMICs), along with potential solutions that enable these technologies to be available to clinicians worldwide, regardless of country and economic status. The book brings together engineers and clinicians, offers insights into healthcare disparities, and highlights potential solutions to facilitate the availability and accessibility of more robot systems to stroke survivors and their clinicians worldwide, regardless of country and economic status.In addition, the book provides examples on how robotic technology is used to bridge rehabilitation gaps in LMICs and describes potential strategies for increasing the expansion of robot-assisted stroke rehabilitation across more LMICs.
- Provides a global picture of robot-assisted neurorehabilitation
- Describes stroke healthcare in selected LMICs and selected HICs, along with disparity issues
- Discusses potential barriers to the penetration of rehabilitation robots into LMICs
- Presents concrete examples on how clinicians and engineers have begun to address healthcare gaps with rehabilitation robotics and how to deal with accessibility barriers
Biomedical engineers, mechanical engineers, rehabilitation engineers, rehabilitation roboticists. Graduates in biomedical engineering and mechanical engineering, Clinical Engineers, Doctors, Nurses, Physicians, Clinical Technicians, Health Care Managers, Occupational therapists, physical therapists, neurologists, physiatrists, undergraduates, policy, government, and/or global health professionals
- Cover image
- Title page
- Table of Contents
- Copyright
- List of contributors
- Healthcare disparities and access to rehabilitation robots for neurorehabilitation
- Acknowledgments
- Part I: Fundamentals
- Chapter 1. Stroke
- Abstract
- 1.1 Introduction
- 1.2 Healthcare structure and resources
- 1.3 Healthcare disparities and challenges
- 1.4 Opportunities
- 1.5 Conclusion
- Conflict of interest
- References
- Chapter 2. Rehabilitation guidelines for stroke care: a worldwide perspective
- Abstract
- 2.1 Introduction
- 2.2 Guidelines
- 2.3 Future directions
- Acknowledgments
- Conflict of interest
- References
- Chapter 3. Fundamentals of neurorehabilitation
- Abstract
- 3.1 Introduction
- 3.2 Overview of common diagnoses
- 3.3 Clinical sequelae of stroke
- 3.4 Key components of stroke rehabilitation
- 3.5 Conclusion
- References
- Chapter 4. Fundamentals of neurorehabilitation robotics (engineering perspective)
- Abstract
- 4.1 Introduction
- 4.2 Mechanical design: what does the robot look like and what can it do?
- 4.3 Control: what should the robot do?
- 4.4 Non-robotic interactions: why physical interaction is not enough
- 4.5 Future trends and conclusions
- Conflict of interest
- References
- Chapter 5. Evidence for rehabilitation and socially assistive robotics
- Abstract
- 5.1 Introduction
- 5.2 Principles and mechanisms of rehabilitation robots: Hebbian conjecture and motor learning
- 5.3 Rehabilitation robotics evidence: big picture in stroke care
- 5.4 Socially assistive robots: the potential to bridge the gap in human care
- 5.5 Conclusions
- References
- Part II: Background on country healthcare systems, rehabilitation standards of care, stroke rehabilitation, and rehabilitation and assistive robotics in selected HICs
- Chapter 6. North America and Caribbean region: USA
- Abstract
- 6.1 Introduction
- 6.2 Robot-assisted neurorehabilitation
- 6.3 Barriers to widespread clinical use of robot-assisted therapy
- 6.4 Future directions
- Acknowledgments
- Conflict of interest
- References
- Chapter 7. North America and Caribbean region: Canada
- Abstract
- 7.1 Overview
- 7.2 Technological solutions for stroke therapy
- 7.3 Trends in neurorehabilitation care in Canada
- 7.4 Challenges caused by the pandemic
- 7.5 Future of neurorehabilitation and opportunities
- Conflict of interest
- References
- Chapter 8. Europe region: Italy
- Abstract
- 8.1 Healthcare and stroke rehabilitation
- 8.2 Rehabilitation robotics in Italy
- 8.3 Clinical aspects of robot-assisted rehabilitation
- 8.4 Social and ethical implications
- 8.5 Future trends of scientific and technological research
- 8.6 Conclusions
- References
- Further reading
- Chapter 9. Europe region: Spain
- Abstract
- 9.1 Introduction
- 9.2 Healthcare structure and resources
- 9.3 Technology-assisted rehabilitation
- 9.4 Challenges
- 9.5 Future opportunities
- Acknowledgments
- Conflict of interest
- References
- Further reading
- Chapter 10. Asia-Pacific region: Japan
- Abstract
- 10.1 Introduction
- 10.2 Stroke incidence and prevalence in Japan
- 10.3 Healthcare structure for stroke rehabilitation in Japan
- 10.4 Stroke guideline and emerging new treatment
- 10.5 COVID-19 and stroke
- 10.6 Future care using assistive and rehabilitation robots
- References
- Chapter 11. Asia-Pacific region: Australia
- Abstract
- 11.1 Australia geography, demography, and stroke incidence
- 11.2 Australian healthcare system
- 11.3 Structure of rehabilitation in Australia
- 11.4 Robotic-assisted stroke rehabilitation
- 11.5 Conclusion
- Conflict of interest
- Appendix A
- References
- Chapter 12. Asia-Pacific region: Republic of Korea
- Abstract
- 12.1 Introduction
- 12.2 Neurorehabilitation for stroke in Republic of Korea
- 12.3 Robotics rehabilitation trends in Republic of Korea
- 12.4 Korean rehabilitation robotics research highlights from universities, research institutes, and industry
- 12.5 Post R&D studies
- 12.6 Conclusion
- Acknowledgments
- References
- Chapter 13. Middle East region: Israel
- Abstract
- 13.1 Introduction
- 13.2 Methods
- 13.3 Results
- 13.4 Emergent guidelines
- 13.5 Conclusion
- Acknowledgments
- Conflict of interest statements
- Appendix 1
- References
- Part III: Background on healthcare systems, rehabilitation, stroke rehabilitation, and rehabilitation robotics in selected LMICs
- Chapter 14. North America and Caribbean region: México
- Abstract
- 14.1 Current healthcare situation
- 14.2 Standard of rehabilitation care
- 14.3 Guidelines for stroke care
- 14.4 Current robotic and mechatronic solutions
- 14.5 Barriers to implement robotic and mechatronic solutions
- 14.6 Stroke care during the COVID-19 pandemic
- References
- Chapter 15. North America and Caribbean region: Costa Rica
- Abstract
- 15.1 Introduction
- 15.2 Healthcare structure and resources
- 15.3 Technology-assisted rehabilitation
- 15.4 Challenges
- 15.5 Future opportunities
- Acknowledgments
- Conflict of interest statements
- References
- Chapter 16. North America and Caribbean region: Colombia
- Abstract
- 16.1 Introduction: Colombia overview
- 16.2 Status of public health and disability in Colombia
- 16.3 Developments in technological solutions for stroke rehabilitation
- 16.4 Conclusions
- Acknowledgments
- Conflict of interest
- References
- Chapter 17. North America and Caribbean region: Ecuador
- Abstract
- 17.1 Neuroepidemiological analysis of stroke behavior in Ecuador
- 17.2 Public health policies implemented by the Ecuadorian government (including and with emphasis on the new government and how COVID-19 has influenced them)
- 17.3 Cardiovascular risk factors associated with stroke in the coastal, altitude, and Amazon regions
- 17.4 Rehabilitation analysis of stroke in Ecuador
- 17.5 Neurorehabilitation engineering research and development
- 17.6 Challenges and roadway for stroke neurorehabilitation
- 17.7 Concluding remarks
- Conflict of interest
- References
- Chapter 18. Europe region: Serbia
- Abstract
- 18.1 Introduction
- 18.2 Healthcare structure and resources
- 18.3 Technology-assisted rehabilitation
- 18.4 Challenges and future opportunities
- Conflict of interest
- References
- Chapter 19. Asia Pacific region: India
- Abstract
- 19.1 Overview of India and status of neurorehabilitation in India
- 19.2 Role of technology in neurorehabilitation and its current state in India
- 19.3 Factors contributing to the current lack of clinical assimilation of neurorehabilitation technology
- 19.4 Recommendation for taking neurorehabilitation forward in India
- References
- Chapter 20. Asia Pacific region: Malaysia
- Abstract
- 20.1 Malaysia and health statistics
- 20.2 Stroke and neurorehabilitation
- 20.3 Technological solutions for stroke therapy
- 20.4 Barriers or opportunities to rehabilitation
- 20.5 How COVID-19 has changed rehabilitation
- 20.6 Future of rehabilitation and opportunities
- Acknowledgments
- Conflict of interest
- References
- Chapter 21. Asia Pacific region: China
- Abstract
- 21.1 Current status of neurorehabilitation in China
- 21.2 Current status of robotics therapy in neurorehabilitation within China
- 21.3 Adaptation of rehabilitation delivery during the pandemic
- 21.4 Future direction of robotics therapy in China
- Acknowledgments
- Conflict of interest
- References
- Chapter 22. Middle East region: Iran
- Abstract
- 22.1 Healthcare in Iran
- 22.2 Stroke rehabilitation
- 22.3 Robotic rehabilitation—technical perspective
- 22.4 Robotic rehabilitation—survey
- Acknowledgments
- Conflict of interest
- References
- Chapter 23. Middle East region: Turkey
- Abstract
- 23.1 Neurorehabilitation process and therapies in Turkey
- 23.2 Robotic devices in rehabilitation centers in Turkey
- 23.3 Upper/lower-extremity rehabilitation robots developed in university laboratories in Turkey
- 23.4 Barriers to effective rehabilitation robotics in Turkey
- 23.5 Case studies with rehabilitation robots in Turkey
- 23.6 The policies, legal and ethical studies conducted during the use of rehabilitation robotics in Turkey
- 23.7 Current state of rehabilitation robots under COVID-19 conditions and future directions
- 23.8 Future of neurorehabilitation in rehabilitation robotics
- Acknowledgments
- References
- Chapter 24. Africa region: Nigeria
- Abstract
- 24.1 Introduction
- 24.2 Relevant medical statistics and trends in Nigeria
- 24.3 Standard of neurorehabilitation care in Nigeria
- 24.4 Rehabilitation robotics in Nigeria: motivation, status, and future prospects
- 24.5 Conclusion
- Acknowledgments
- Conflict of interest
- References
- Chapter 25. Africa region: Botswana
- Abstract
- 25.1 Introduction
- 25.2 Rehab capacity in Botswana
- 25.3 Rehabilitation technology and robotics
- 25.4 Future directions
- Acknowledgments
- Potential conflict of interests
- References
- Chapter 26. Africa region: Ghana
- Abstract
- 26.1 Introduction
- 26.2 Rehabilitation structure
- 26.3 Technology-assisted rehabilitation
- 26.4 Anticipated challenges to adoption of robots in Ghana
- 26.5 Future opportunities
- References
- Chapter 27. Africa region: Cameroon
- Abstract
- 27.1 Introduction to Cameroon context and healthcare system
- 27.2 Rehabilitation in Cameroon
- 27.3 Stroke situation in Cameroon
- 27.4 Stroke rehabilitation
- 27.5 Robotics in stroke rehabilitation and other technologies
- 27.6 Conclusion
- Conflict of interest
- References
- Chapter 28. Africa region: Morocco
- Abstract
- 28.1 Introduction and healthcare statistics
- 28.2 Stroke statistics and management
- 28.3 Rehabilitation for stroke
- 28.4 Rehabilitation robotics in Morocco
- 28.5 Conclusion
- References
- Part IV: Barriers, best practices, and recommendations for penetration
- Chapter 29. Psychosocial dimensions of robotic rehabilitation for stroke survivors
- Abstract
- 29.1 Introduction
- 29.2 The psychosocial dimensions of stroke
- 29.3 Neurorehabilitation
- 29.4 Robotic stroke rehabilitation
- 29.5 Conclusion
- Acknowledgment
- Conflict of interest
- References
- Chapter 30. Human-centered design for acceptability and usability
- Abstract
- 30.1 Introduction
- 30.2 Human-centered design
- 30.3 Conclusion
- 30.4 Conflict of interest
- Additional resources
- References
- Chapter 31. Toward inclusive rehabilitation robots
- Abstract
- 31.1 Introduction
- 31.2 Inclusivity
- 31.3 Next steps toward achieving inclusive rehabilitation robotics
- Acknowledgments
- Conflict of interest
- References
- Chapter 32. Toward global use of rehabilitation robots and future considerations
- Abstract
- 32.1 Introduction
- 32.2 Application areas for robots in rehabilitation and health
- 32.3 The future robotic rehabilitation technologies
- 32.4 Regulatory aspects
- 32.5 Conclusions
- References
- Further reading
- Index
- No. of pages: 568
- Language: English
- Published: October 27, 2023
- Imprint: Academic Press
- Paperback ISBN: 9780323919319
- eBook ISBN: 9780323919357
MJ
Michelle Jillian Johnson
Her research is mainly in robot-mediated neurorehabilitation. She is focused on the investigation and rehabilitation of dysfunction due to aging, neural disease, and neural injury. She is particularly interested in 1) exploring the relationships between brain plasticity and behavioral/motor control changes after robot-assisted interventions; 2) quantifying motor impairment and motor control of the upper limb in real world tasks such as drinking; and 3) defining the methods to maintain therapeutic effectiveness while administering local and remote, robot-mediated interventions.
She directs the Rehabilitation Robotics Lab. This is a new Lab within the Department of Physical, Medicine, and Rehabilitation in the Perelman School of Medicine at the University of Pennsylvania. The Rehabilitation Robotics Lab mission is to use robotics, rehabilitation, and neuroscience techniques to translate research findings into the development of assistive and therapeutic rehabilitation robots capable of functioning in real-world rehabilitation environments. The goal is to improve the quality of life and function on activities of daily living (ADLs) of our target population in supervised or under-supervised settings.
Affiliations and expertise
Associate Professor, Physical Medicine and Rehabilitation Associate; Professor, Bioengineering; Director, Rehabilitation Robotics Lab, University of Pennsylvania, USARM
Rochelle J. Mendonca
Rochelle Mendonca, PhD, OTR/L, is an Assistant Professor in the Occupational Therapy Program in the Department of Rehabilitation and Regenerative Medicine at Columbia University, New York, United States. Her research primarily revolves around evaluation of outcomes of assistive technology, accessibility, and participation for individuals diagnosed with disabilities.
Affiliations and expertise
Assistant Professor, Occupational Therapy Program, Department of Rehabilitation and Regenerative Medicine, Columbia University, New York, USA