{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T14:39:08Z","timestamp":1778164748614,"version":"3.51.4"},"reference-count":27,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T00:00:00Z","timestamp":1679875200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>Background: cervical spinal cord injury leads to loss of upper limb functionality, which causes a decrease in autonomy to perform activities of daily living. The use of robotic technologies in rehabilitation could contribute to improving upper limb functionality and treatment quality. This case report aims to describe the potential of robotic hand treatment with Gloreha Sinfonia, in combination with conventional rehabilitation, in a tetraparetic patient. Material: fifteen rehabilitative sessions were performed. Evaluations were conducted pre-treatment (T0), post-treatment (T1), and at two-months follow-up (T2) based on: the upper-limb range of motion and force assessment, the FMA-UE, the 9-Hole Peg Test (9HPT), and the DASH questionnaire. A virtual reality game-based rating system was used to evaluate the force control and modulation ability. Results: the patient reported greater ability to use hands with less compensation at T1 and T2 assessments. Improvements in clinical scales were reported in both hands at T1, however, at T2 only did the dominant hand show further improvement. Improved grip strength control and modulation ability were reported for T1. However a worsening was found in both hands at T2, significant only for the non-dominant hand. The maximum force exerted increased from T0 to T2 in both hands. Conclusion: hand treatment combining physical therapy and Gloreha Sinfonia seems to have benefits in functionality and dexterity in tetraparetic patient in the short term. Further studies are needed to confirm these findings, to verify long-term results, and to identify the most appropriate modalities of robotic rehabilitation.<\/jats:p>","DOI":"10.3390\/s23073484","type":"journal-article","created":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T03:01:14Z","timestamp":1679886074000},"page":"3484","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Treatment of the Paretic Hand with a Robotic Glove Combined with Physiotherapy in a Patient Suffering from Traumatic Tetraparesis: A Case Report"],"prefix":"10.3390","volume":"23","author":[{"given":"Federica","family":"Bressi","sequence":"first","affiliation":[{"name":"Physical Medicine and Rehabilitation Unit, Campus Bio-Medico University Polyclinic Foundation of Rome, 00128 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1757-1753","authenticated-orcid":false,"given":"Laura","family":"Cricenti","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation Unit, Campus Bio-Medico University Polyclinic Foundation of Rome, 00128 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3396-4100","authenticated-orcid":false,"given":"Marco","family":"Bravi","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation Unit, Campus Bio-Medico University Polyclinic Foundation of Rome, 00128 Rome, Italy"},{"name":"Department of Movement, Human and Health Sciences, University of Rome \u201cForo Italico\u201d, 00135 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabiana","family":"Pannunzio","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation Unit, Campus Bio-Medico University Polyclinic Foundation of Rome, 00128 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Cordella","sequence":"additional","affiliation":[{"name":"Unit of Advanced Robotics and Human-Centred Technologies, Campus Bio-Medico University of Rome, 00128 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1391-4357","authenticated-orcid":false,"given":"Martina","family":"Lapresa","sequence":"additional","affiliation":[{"name":"Unit of Advanced Robotics and Human-Centred Technologies, Campus Bio-Medico University of Rome, 00128 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Miccinilli","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation Unit, Campus Bio-Medico University Polyclinic Foundation of Rome, 00128 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6142-3096","authenticated-orcid":false,"given":"Fabio","family":"Santacaterina","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation Unit, Campus Bio-Medico University Polyclinic Foundation of Rome, 00128 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Loredana","family":"Zollo","sequence":"additional","affiliation":[{"name":"Unit of Advanced Robotics and Human-Centred Technologies, Campus Bio-Medico University of Rome, 00128 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Sterzi","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation Unit, Campus Bio-Medico University Polyclinic Foundation of Rome, 00128 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7536-8382","authenticated-orcid":false,"given":"Benedetta","family":"Campagnola","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation Unit, Campus Bio-Medico University Polyclinic Foundation of Rome, 00128 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,3,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1038\/sj.sc.3101893","article-title":"Incidence, Prevalence and Epidemiology of Spinal Cord Injury: What Learns a Worldwide Literature Survey?","volume":"44","author":"Wyndaele","year":"2006","journal-title":"Spinal. 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