Upper Extremity Robotic Analysis

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As of 2016, approximately 795,000 people have experienced a stroke, with an individual experiencing a stroke nearly every 40 seconds (Mozaffarian et al., 2016). The American Heart Association (2013) predicts that the number of individuals who will have a stroke will increase 20% by 2030. The increased prevalence of stroke may lead to serious issues in daily functioning for individuals; therefore, stroke interventions that address functional impairments are crucial. Upper extremity robotics is a relatively novel occupational therapy (OT) intervention for stroke rehabilitation, so critical examination of the effect of robotics to address body structure/function impairments, activity limitations, and participation restrictions is required (World…show more content…
Occupational therapists working with the stroke population use activity analysis and observation skills to identify and analyze the functional impairments that result in activity limitations (McHugh Pendleton & Schultz-Krohn, 2011). Established and effective OT interventions, such as repetitive task training (RTP) and constraint-induced movement therapy (CIMT), are used to address functional impairments in the stroke population (Nilsen, Gillen, Arbesman, & Lieberman, 2015; Wolf et al., 2006). According to the National Board for Certification in Occupational Therapy (2012), 60.7% of registered OTs provide rehabilitation services to individuals who had been diagnosed with a Cerebral Vascular Accident (CVA). A systematic review (Nilsen et al., 2015) found that the responsibilities of an occupational therapist include administering a variety of assessments to create an occupational profile when treating an individual following a stroke. One example of an OT assessment that measures participation, one’s involvement in a life situation (WHO, 2001), is the Canadian Occupational Performance Measure (COPM), which asks the client to identify up to five occupations he or she would like improve performance for, and rate his or her perceived performance and satisfaction of these occupations (Law et al., 2014). Performance skills and client factors are often evaluated with Fugl-Meyer Assessment and the Action Research Arm Test to further assess functionality of the upper extremity with respect to neuromusculoskeletal functions, sensory functions, and motor skills (Fugl-Meyer, Jaasko, Leyman, Olsson, & Steglind, 1975; Lyle, 1981; Nilsen et al.,

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