Chapter 18: Robot-Assisted Rehabilitation in Multiple Sclerosis: Overview of Approaches, Clinical Outcomes, and Perspectives

Abstract

This chapter describes the use of robot-assisted rehabilitation in Multiple Sclerosis (MS) with the aim to assess or train gait or upper limb function. For upper limb function, robot-assisted training led to improved movement quality on reaching tasks but clinical effects on traditional tests was not always found after multiple session training. Reflections on task-specific training and the involvement of the hands are made. An increasing number of RAGT studies reported effects of a multiple-weeks training program but often of equal magnitude as other conventional training programs. However, one needs to be aware of impact of body weight support by technological systems and providing different percentages of body weight support. Overall, there is evidence supporting effects of robot- and technological-supported training but its superiority compared to other or conventional treatment programs is yet debatable. Research investigating impact of different technological settings and motor learning strategies implemented in technology are encouraged.