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Author Spotlight: Enhancing Upper Limb Rehabilitation in Stroke Patients Through Advanced Robotic and Neuromodulation Technologies
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Tremor-Suppression Orthoses for the Upper Limb: Current Developments and Future Challenges.

Hoai Son Nguyen1, Trieu Phat Luu2

  • 1Group of Advanced Computations in Engineering Science, HCMC University of Technology and Education, Ho Chi Minh City, Vietnam.

Frontiers in Human Neuroscience
|May 17, 2021
PubMed
Summary
This summary is machine-generated.

This systematic review analyzed wearable orthoses for pathological tremor suppression, finding an average efficacy of 83%. Future work should focus on improving wearability and addressing non-technical barriers for clinical use.

Keywords:
medical devicetremor extractiontremor treatmentsupper-limb orthoseswearable tremor-suppression orthoses

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Area of Science:

  • Biomedical Engineering
  • Rehabilitation Technology
  • Neuroscience

Background:

  • Pathological tremor is a common motor disorder affecting adults, characterized by involuntary muscle contractions.
  • Wearable orthoses, utilizing functional electrical stimulation (FES) and biomechanical loading, offer non-invasive tremor suppression.
  • A systematic review is needed to consolidate knowledge on mechanical design, tremor extraction algorithms, and experimental methodologies of these devices.

Approach:

  • A systematic literature search was conducted in PubMed and PMC databases.
  • Inclusion criteria and full-text access were used to filter relevant studies.
  • Data extracted included suppression mechanism, system weight, degrees of freedom (DOF), tremor estimation algorithms, experimental settings, and efficacy.

Key Points:

  • Active orthoses (47%) were most prevalent and heaviest (561 ± 467 g).
  • Most orthoses supported one DOF (54.5%), with an average tremor suppression efficacy of 83 ± 13%.
  • Biomechanical sensors (IMU, force) were used in 92% of systems for motion detection, with only one using EMG.

Conclusions:

  • Wearable robotic orthoses demonstrate improved efficacy in tremor suppression.
  • Challenges remain in wearability (weight, aesthetics, structure) and user interfaces (neural machine interfaces).
  • Addressing non-technical aspects like regulatory compliance and insurance is crucial for clinical accessibility.