Robotic devices and brain-machine interfaces for hand rehabilitation post-stroke

Alistair C McConnell, Renan C Moioli, Fabricio L Brasil, Marta Vallejo, David W Corne, Patricia A Vargas, Adam A Stokes

Research output: Contribution to journalArticlepeer-review


OBJECTIVE: To review the state of the art of robotic-aided hand physiotherapy for post-stroke rehabilitation, including the use of brain-machine interfaces. Each patient has a unique clinical history and, in response to personalized treatment needs, research into individualized and at-home treatment options has expanded rapidly in recent years. This has resulted in the development of many devices and design strategies for use in stroke rehabilitation.

METHODS: The development progression of robotic-aided hand physiotherapy devices and brain-machine interface systems is outlined, focussing on those with mechanisms and control strategies designed to improve recovery outcomes of the hand post-stroke. A total of 110 commercial and non-commercial hand and wrist devices, spanning the 2 major core designs: end-effector and exoskeleton are reviewed.

RESULTS: The growing body of evidence on the efficacy and relevance of incorporating brain-machine interfaces in stroke rehabilitation is summarized. The challenges involved in integrating robotic rehabilitation into the healthcare system are discussed.

CONCLUSION: This review provides novel insights into the use of robotics in physiotherapy practice, and may help system designers to develop new devices.

Original languageEnglish
Pages (from-to)449-460
Number of pages12
JournalJournal of Rehabilitation Medicine
Issue number6
Publication statusPublished - 28 Jun 2017


  • Journal Article


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