Industrial-grade collaborative robots for motor rehabilitation after stroke and spinal cord injury: a systematic narrative review

Abstract Background There is a growing interest in exploring industrial-grade collaborative robots (cobots) for rehabilitation. This review explores their application for motor rehabilitation of the upper and lower extremities after a stroke and spinal cord injury (SCI). The article highlights the i...

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Main Authors: Aisha Raji, Urvashy Gopaul, Jessica Babineau, Milos R. Popovic, Cesar Marquez-Chin
Format: Article
Language:English
Published: BMC 2025-04-01
Series:BioMedical Engineering OnLine
Subjects:
Online Access:https://doi.org/10.1186/s12938-025-01362-z
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author Aisha Raji
Urvashy Gopaul
Jessica Babineau
Milos R. Popovic
Cesar Marquez-Chin
author_facet Aisha Raji
Urvashy Gopaul
Jessica Babineau
Milos R. Popovic
Cesar Marquez-Chin
author_sort Aisha Raji
collection DOAJ
description Abstract Background There is a growing interest in exploring industrial-grade collaborative robots (cobots) for rehabilitation. This review explores their application for motor rehabilitation of the upper and lower extremities after a stroke and spinal cord injury (SCI). The article highlights the inherent safety features of cobots, emphasizing their design advantages over custom-built or traditional rehabilitation robots in terms of potential safety and time efficiency. Methods Database searches and reference list screening were conducted to identify studies relating to the use of cobots for upper and lower extremity rehabilitation among individuals with stroke and SCI. These articles were then reviewed and summarized. Results Thirty-three studies were included in this review. The findings suggest that the use of cobots in motor rehabilitation is still in the early stages. Some of the cobots used were equipped with sensors to detect and respond to the movement of the extremities and minimize the risk of injury. This safety aspect is crucial for patients with motor impairments. Most training protocols implemented with the cobots engaged users in repetitive task-based exercises with an overall positive user experience. Thus far, these devices have been primarily evaluated in individuals with stroke and SCI that affect the lower extremities, with no study addressing upper extremity impairments. This initial focus serves as a preliminary step toward assessing their applicability for individuals with stroke and SCI. Conclusions Cobots may have the capacity to transform therapy and support healthcare professionals in delivering more personalized and effective rehabilitation. However, there is limited evidence on their use to support upper and lower extremity rehabilitation among individuals with stroke and SCI. Further research and development are needed to refine these technologies and broaden their applications in rehabilitation settings to enhance functional recovery and overall quality of life for individuals with stroke and SCI.
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spelling doaj-art-028381848dea4956a914534ef78b8a6d2025-08-20T01:47:29ZengBMCBioMedical Engineering OnLine1475-925X2025-04-0124112810.1186/s12938-025-01362-zIndustrial-grade collaborative robots for motor rehabilitation after stroke and spinal cord injury: a systematic narrative reviewAisha Raji0Urvashy Gopaul1Jessica Babineau2Milos R. Popovic3Cesar Marquez-Chin4KITE Research Institute, Toronto Rehabilitation Institute, University Health NetworkKITE Research Institute, Toronto Rehabilitation Institute, University Health NetworkLibrary & Information Services, Toronto Rehabilitation Institute, University Health NetworkKITE Research Institute, Toronto Rehabilitation Institute, University Health NetworkKITE Research Institute, Toronto Rehabilitation Institute, University Health NetworkAbstract Background There is a growing interest in exploring industrial-grade collaborative robots (cobots) for rehabilitation. This review explores their application for motor rehabilitation of the upper and lower extremities after a stroke and spinal cord injury (SCI). The article highlights the inherent safety features of cobots, emphasizing their design advantages over custom-built or traditional rehabilitation robots in terms of potential safety and time efficiency. Methods Database searches and reference list screening were conducted to identify studies relating to the use of cobots for upper and lower extremity rehabilitation among individuals with stroke and SCI. These articles were then reviewed and summarized. Results Thirty-three studies were included in this review. The findings suggest that the use of cobots in motor rehabilitation is still in the early stages. Some of the cobots used were equipped with sensors to detect and respond to the movement of the extremities and minimize the risk of injury. This safety aspect is crucial for patients with motor impairments. Most training protocols implemented with the cobots engaged users in repetitive task-based exercises with an overall positive user experience. Thus far, these devices have been primarily evaluated in individuals with stroke and SCI that affect the lower extremities, with no study addressing upper extremity impairments. This initial focus serves as a preliminary step toward assessing their applicability for individuals with stroke and SCI. Conclusions Cobots may have the capacity to transform therapy and support healthcare professionals in delivering more personalized and effective rehabilitation. However, there is limited evidence on their use to support upper and lower extremity rehabilitation among individuals with stroke and SCI. Further research and development are needed to refine these technologies and broaden their applications in rehabilitation settings to enhance functional recovery and overall quality of life for individuals with stroke and SCI.https://doi.org/10.1186/s12938-025-01362-zCollaborative robot (cobot)Robotic rehabilitationStrokeRehabilitationSpinal cord injuryUpper extremity
spellingShingle Aisha Raji
Urvashy Gopaul
Jessica Babineau
Milos R. Popovic
Cesar Marquez-Chin
Industrial-grade collaborative robots for motor rehabilitation after stroke and spinal cord injury: a systematic narrative review
BioMedical Engineering OnLine
Collaborative robot (cobot)
Robotic rehabilitation
Stroke
Rehabilitation
Spinal cord injury
Upper extremity
title Industrial-grade collaborative robots for motor rehabilitation after stroke and spinal cord injury: a systematic narrative review
title_full Industrial-grade collaborative robots for motor rehabilitation after stroke and spinal cord injury: a systematic narrative review
title_fullStr Industrial-grade collaborative robots for motor rehabilitation after stroke and spinal cord injury: a systematic narrative review
title_full_unstemmed Industrial-grade collaborative robots for motor rehabilitation after stroke and spinal cord injury: a systematic narrative review
title_short Industrial-grade collaborative robots for motor rehabilitation after stroke and spinal cord injury: a systematic narrative review
title_sort industrial grade collaborative robots for motor rehabilitation after stroke and spinal cord injury a systematic narrative review
topic Collaborative robot (cobot)
Robotic rehabilitation
Stroke
Rehabilitation
Spinal cord injury
Upper extremity
url https://doi.org/10.1186/s12938-025-01362-z
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