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Use of the Wilmington Robotic Exoskeleton to Improve Upper Extremity Function in Patients With Duchenne Muscular Dystrophy / Timothy Estilow, [i 7 més]

By: Estilow, Timothy.
Material type: materialTypeLabelArticleDescription: 5p, 72 (2) 2018.Content type: Media type: Carrier type: ISSN: 02729490.Subject(s): Teràpia Ocupacional | Distròfia muscular | OrtesiOnline resources: Accés restringit usuaris EUIT
Contents:
Timothy Estilow; Allan M. Glanzman; Kacy Powers; Ashley Moll; Jean Flickinger; Līvija Medne; Gihan Tennekoon; Sabrina W. Yum
In: American Journal of Occupational Therapy 2018 MAR-ABR; 72 (2): 7202345010p1-7202345010p5Summary: Patients with Duchenne muscular dystrophy in their second decade of life present with decreased upper extremity strength and active range of motion (AROM) that limit activities of daily living (ADLs). We evaluated the ability of the Wilmington Robotic Exoskeleton (WREX) to improve AROM and independence with ADLs. A retrospective chart review of 9 patients who trialed the WREX was performed. Patients were classified on the basis of the Brooke Upper Extremity Scale. AROM, strength, and independence with ADLs were assessed before and after a WREX trial. Patients demonstrated increased shoulder flexion and abduction (25 deg -100 deg , median = 55 deg ) and elbow flexion (10 deg -110 deg , median = 60 deg ). Increased independence with self-feeding, item retrieval, use of phones and tablets, and facial grooming were noted. The WREX allowed for gravity-reduced movement via elastic bands to unweight the upper extremity, enabling increased upper extremity active movement that supported increased independence with ADLs.
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Item type Current location Collection Call number url Status Notes Date due Barcode
Journal article Journal article Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa
Internet
En línia Link to resource Exclòs de préstec 0000101719061
Journal Journal Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa
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Paper Capses ordenades alfabèticament (Browse shelf) Exclòs de préstec També consulta en línia 0000101709086

Brooke Upper Extremity Scale

Timothy Estilow; Allan M. Glanzman; Kacy Powers; Ashley Moll; Jean Flickinger; Līvija Medne; Gihan Tennekoon; Sabrina W. Yum

20180221

Patients with Duchenne muscular dystrophy in their second decade of life present with decreased upper extremity strength and active range of motion (AROM) that limit activities of daily living (ADLs). We evaluated the ability of the Wilmington Robotic Exoskeleton (WREX) to improve AROM and independence with ADLs. A retrospective chart review of 9 patients who trialed the WREX was performed. Patients were classified on the basis of the Brooke Upper Extremity Scale. AROM, strength, and independence with ADLs were assessed before and after a WREX trial. Patients demonstrated increased shoulder flexion and abduction (25 deg -100 deg , median = 55 deg ) and elbow flexion (10 deg -110 deg , median = 60 deg ). Increased independence with self-feeding, item retrieval, use of phones and tablets, and facial grooming were noted. The WREX allowed for gravity-reduced movement via elastic bands to unweight the upper extremity, enabling increased upper extremity active movement that supported increased independence with ADLs.

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