Task-oriented rehabilitation robotics

Am J Phys Med Rehabil. 2012 Nov;91(11 Suppl 3):S270-9. doi: 10.1097/PHM.0b013e31826bcd42.


Task-oriented training is emerging as the dominant and most effective approach to motor rehabilitation of upper extremity function after stroke. Here, the authors propose that the task-oriented training framework provides an evidence-based blueprint for the design of task-oriented robots for the rehabilitation of upper extremity function in the form of three design principles: skill acquisition of functional tasks, active participation training, and individualized adaptive training. The previous robotic systems that incorporate elements of task-oriented trainings are then reviewed. Finally, the authors critically analyze their own attempt to design and test the feasibility of a TOR robot, ADAPT (Adaptive and Automatic Presentation of Tasks), which incorporates the three design principles. Because of its task-oriented training-based design, ADAPT departs from most other current rehabilitation robotic systems: it presents realistic functional tasks in which the task goal is constantly adapted, so that the individual actively performs doable but challenging tasks without physical assistance. To maximize efficacy for a large clinical population, the authors propose that future task-oriented robots need to incorporate yet-to-be developed adaptive task presentation algorithms that emphasize acquisition of fine motor coordination skills while minimizing compensatory movements.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Activities of Daily Living
  • Algorithms
  • Arm / physiopathology
  • Disabled Persons / rehabilitation*
  • Hand / physiopathology
  • Humans
  • Motor Skills*
  • Physical Therapy Modalities / instrumentation*
  • Robotics* / instrumentation
  • Self-Help Devices
  • Stroke Rehabilitation*
  • Task Performance and Analysis*