Frontiers in Robotics and AI (Feb 2024)

Robotic systems for upper-limb rehabilitation in multiple sclerosis: a SWOT analysis and the synergies with virtual and augmented environments

  • Giulia A. Albanese,
  • Anna Bucchieri,
  • Anna Bucchieri,
  • Jessica Podda,
  • Andrea Tacchino,
  • Stefano Buccelli,
  • Elena De Momi,
  • Matteo Laffranchi,
  • Kailynn Mannella,
  • Michael W. R. Holmes,
  • Jacopo Zenzeri,
  • Lorenzo De Michieli,
  • Giampaolo Brichetto,
  • Giampaolo Brichetto,
  • Giacinto Barresi

DOI
https://doi.org/10.3389/frobt.2024.1335147
Journal volume & issue
Vol. 11

Abstract

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The robotics discipline is exploring precise and versatile solutions for upper-limb rehabilitation in Multiple Sclerosis (MS). People with MS can greatly benefit from robotic systems to help combat the complexities of this disease, which can impair the ability to perform activities of daily living (ADLs). In order to present the potential and the limitations of smart mechatronic devices in the mentioned clinical domain, this review is structured to propose a concise SWOT (Strengths, Weaknesses, Opportunities, and Threats) Analysis of robotic rehabilitation in MS. Through the SWOT Analysis, a method mostly adopted in business management, this paper addresses both internal and external factors that can promote or hinder the adoption of upper-limb rehabilitation robots in MS. Subsequently, it discusses how the synergy with another category of interaction technologies - the systems underlying virtual and augmented environments - may empower Strengths, overcome Weaknesses, expand Opportunities, and handle Threats in rehabilitation robotics for MS. The impactful adaptability of these digital settings (extensively used in rehabilitation for MS, even to approach ADL-like tasks in safe simulated contexts) is the main reason for presenting this approach to face the critical issues of the aforementioned SWOT Analysis. This methodological proposal aims at paving the way for devising further synergistic strategies based on the integration of medical robotic devices with other promising technologies to help upper-limb functional recovery in MS.

Keywords