Functional Engagement in Assisted Therapy Through Exercise Robotics "FEATHERS"

Completed

Phase N/A Results N/A

Eligibility Criteria

Inclusion Criteria

Inclusion for adolescents:
- Ages 13-18 years
- Hemiplegia
- Gross Motor Functional Classification System (GMFCS) Level 1-4
- Manual Ability Classification System (MACS) Level 1-3
- Grade 2+ bilateral shoulder flexors (ability to lift arms against gravity at least some distance)
- The ability to follow instructions and answer questions in English (as determined by referring therapist and caregiver)
- Not had orthopedic surgery in the past 6 months
Inclusion for Adults with Stroke:
- Hemiplegia as a result of a cerebral stroke (ischemic or hemorrhagic)
- 0 - 3 Modified Ashworth Scale
- >Grade 2+ bilateral shoulder flexors (ability to lift arms against gravity at least some distance)
- The ability to follow instructions and answer questions in English (as determined by referring therapist)
- Folstein mini - mental state test result >24 points
- Not had orthopedic surgery in the past 6 months
This will be extended to include patients with active shoulder flexion using gravity-assist.

Exclusion Criteria

Exclusion for adolescents with hemiplegia:
- Predominant dystonia or muscle contracture (Modified Ashworth Scale <3)
- Upper limb orthopedic surgery in the past six months
- Cognitive impairment: <23 on the Mini Mental Status Exam (MMSE)
- Receiving other therapy for upper extremity functional outcomes.
Exclusion for Adults with Stroke:
- Predominant dystonia or muscle contracture (Modified Ashworth Scale >3)
- Cognitive impairment: <23 on the Mini Mental Status Exam (MMSE)
- Upper limb orthopedic surgery in the past 6 months
- Receiving other therapy for upper extremity functional outcomes.