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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:9780323919319
9 7 8 - 0 - 3 2 3 - 9 1 9 3 1 - 9
eBook ISBN:9780323919357
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
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, USA
RM
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