Design and evaluation of a hybrid passive and active gravity neutral orthosis (GNO).
Neuromuscular diseases (NMD), including Spinal Muscular Atrophy (SMA) and Duchenne Muscular Dystrophy (DMD), result in progressive muscular weakness that often leaves patients functionally dependent on caregivers for many activities of daily living (ADL) such as eating, bathing, grooming (touching the face and head), reaching (grabbing for objects), and dressing. In severe cases, patients are unable to perform even the simplest of activities from exploring their 3D space to touching their own face. The ability to move and initiate age appropriate tasks, such as playing and exploration, are considered to be of vital importance to both their physical and cognitive development. Therefore, to improve quality of life and reduce dependence on caregivers in children and young adults with NMD, we designed, built and evaluated an assistive, active orthosis to support arm function. The goal of this project is the development and evaluation of a mechanical arm orthosis to both encourage and assist functional arm movement while providing the user a sense of independence and control over one's own body.
Koo
Benjamin
B
Department of Neurology, SMA Clinical Research Center, Columbia University Medical Center, New York, NY 10032 USA.
Montes
Jacqueline
J
Gamarnik
Viktor
V
Yeager
Keith
K
Marra
Jonathan
J
Dunaway
Sally
S
Montgomery
Megan
M
De Vivo
Darryl C
DC
Strauss
Nancy
N
Konofagou
Elisa
E
Kaufmann
Petra
P
Morrison
Barclay
B
D000203:Activities of Daily Living; D006112:Gravitation; D006801:Humans; D009134:Muscular Atrophy, Spinal / Q000503:physiopathology / Q000628:therapy; D009136:Muscular Dystrophies / Q000503:physiopathology / Q000628:therapy; D009989:Orthotic Devices