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Neurorehabilitation and Neural Repair
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Functional Enhancement of Patients with Duchenne Muscular Dystrophy with the Use of Robot-Manipulator Trainer Arms

Michael Shramowiat, MD

Department of Physical Medicine and Rehabilitation, The New Jersey Medical School-UMDNJ, Newark, NJ,U.S.A.

John R. Bach, MD

Department of Physical Medicine and Rehabilitation, The New Jersey Medical School-UMDNJ, Newark, NJ,U.S.A.

Christian Bocobo, MD

Department of Clinical Rehabilitation Medicine, Stanford University, Palo Alto, CA, U.S.A.

This is a study of the use of an industrial robot-manipulator training device with control panels modified for use by two late-stage Duchenne muscular dystrophy (DMD) patients. Neither patient had sufficient shoulder or elbow function to lift his hand from a wheelchair lapboard, and one patient had only minimal residual finger movement. The patients were able to employ the manipulator for enhanced independence in activities of daily living. This decreased the personal assistance needed for activities such as eating, operating light switches, and recreational activities. An effectively controlled robot-manipulator can take the place of remote controls and other assistive devices for some patients with late-stage DMD. Key Words: Robotics—Duchenne muscular dystrophy—Activities of daily living— Mechanical ventilation.

Neurorehabilitation and Neural Repair, Vol. 3, No. 3, 129-132 (1989)
DOI: 10.1177/136140968900300303
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