Abstract
Stroke rehabilitation is entering a new era of technological innovation, including the development of robotic aids for therapy, peripheral electrical stimulation devices, and brain stimulation systems. These technologies have the potential to significantly improve the efficiency and efficacy of stroke rehabilitation. The United States health care system creates both opportunities for new technologies to be created and adopted, as well as important barriers. Inadequate support of clinical trials of the efficacy of new non-invasive devices is a particular concern for practitioners seeking to determine if new devices are clinically useful. Government support of clinical trials of efficacy, coupled with reform of FDA approval processes for novel therapies, is needed to create an evidence-based approach to improving stroke rehabilitation.
MeSH terms
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Biomedical Technology / economics
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Biomedical Technology / instrumentation*
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Biomedical Technology / trends
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Deep Brain Stimulation / economics
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Deep Brain Stimulation / instrumentation
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Deep Brain Stimulation / trends
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Delivery of Health Care / methods
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Delivery of Health Care / organization & administration*
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Electric Stimulation Therapy / economics
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Electric Stimulation Therapy / instrumentation
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Electric Stimulation Therapy / trends
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Evidence-Based Medicine / economics
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Humans
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Insurance, Health, Reimbursement / economics
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Medicaid / economics
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Medicare / economics
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Physical and Rehabilitation Medicine / economics
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Physical and Rehabilitation Medicine / instrumentation*
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Physical and Rehabilitation Medicine / trends
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Psychomotor Performance / physiology
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Robotics / economics
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Robotics / instrumentation
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Robotics / trends
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Stroke / economics
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Stroke / therapy
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Stroke Rehabilitation*
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United States