Scientific Approach

Scientific
Approach

Scientific
Approach

Neuroplasticity - How Brain Reshapes Itself

Neuroplasticity refers to the brain’s ability to strengthen existing neural connections and form new ones through repeated, goal-directed activity. When appropriate motor challenges are applied consistently, the brain can reorganize neural pathways that support functional recovery, regardless of age.

Intentional movement toward a defined goal is a critical driver of this process.

Repetition, Intensity, and Active Participation

For rehabilitation to be effective, movements must be:

  • Initiated by the user’s voluntary effort

  • Goal-directed and appropriately challenging

  • Successfully completed with consistent movement patterns

Many individuals with upper-extremity impairment are unable to consistently complete movements independently. When movements cannot be completed, therapeutic benefit is limited.

The system is designed so that movements are initiated by the user’s voluntary effort, while assistance is provided as needed to support completion of the intended motion. This approach enables a higher number of effective repetitions while maintaining engagement and movement quality.



Further reading

Kimberly, TJ et al., “Comparison of Amounts And Types Of Practice During Rehabilitation For Traumatic Brain Injury And Stroke,” Journal of Rehabilitation Research and Development, 2010

Kleim, JA et al., “Principles of Exercise-Dependent Neural Plasticity: Implications for Rehabilitation After Brain Damage,” Journal of Speech and Hearing Research, 2008

Technology - Assisted Neuro-Rehab Works

Systematic review of research based on 45 randomized controlled trials with 1600+ participants point to the conclusion of technology - assisted upper extremity training improves capabilities in activities of daily living (Mehrholz, J., 2018). The authors conclude that:

• In rehabilitation settings, the employment of technology devices enhances daily life activities, arm function, and arm strength.

• When compared to traditional therapy, technology-assisted training can offer more repetitions per session.



• Rehabilitation aided by technology boosts training motivation.

Further reading

Pehlivan, A., U., et al., “Robotic Training and Clinical Assessment of Upper Extremity Movements After Spinal Cord Injury: A Single Case Report,” Journal of Rehabilitation Medicine, 2012

Pehlivan, A., U., et al., “Effects of Assist-As-Needed Upper Extremity Robotic Therapy After Incomplete Spinal Cord Injury: A Parallel-Group Controlled Trial,” Frontiers in Neurorobotics, 2017

Pehlivan, A., U., et al., “Current Trends In Robot-Assisted Upper-Limb Stroke Rehabilitation: Promoting Patient Engagement in Therapy,” Current physical medicine and rehabilitation reports, 2014

Kim, J., et al., “Clinical Efficacy of Upper Limb Robotic Therapy In People With Tetraplegia: A Pilot Randomized Controlled Trial.,” Spinal Cord, 2018.

Turconi, A.C., et al., “May New Technologies Improve Upper Limb Performance in Grown Up Diplegic Children?,” European Journal of Physical Rehabilitation Medicine, 2016.