Alexandra N. T. D. Pulles

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About

Alexandra N. T. D. Pulles is a leading researcher in neurorehabilitation, with a focus on stroke recovery and the integration of robotics and wearable technology to restore upper limb function. Her most-cited work, a 2014 randomized controlled trial (57 citations), pioneered the use of accelerometry to objectively measure real-world arm-hand use in chronic stroke survivors. This study demonstrated that robot-supported task-oriented training significantly improves actual daily activity compared to task-oriented training alone—a critical advancement in quantifying rehabilitation outcomes beyond clinical settings. By validating accelerometers as an outcome measure, Pulles bridged the gap between lab-based assessments and home-based functional recovery, offering clinicians a practical tool to evaluate intervention effectiveness. Her contributions have shaped evidence-based protocols for robot-assisted therapy, emphasizing patient-centered, ecologically valid metrics. With her work cited by rehabilitation engineers, neurologists, and physiotherapists, Pulles continues to influence how technology-driven therapies are designed and assessed, ultimately aiming to enhance independence for individuals living with chronic stroke impairments.