The Effect of Robot-Assisted Upper Limb Training Combined with Trunk Restraint in Early Stroke Patients: Randomized Controlled Pilot Study

2017 ◽  
Author(s):  
Jung Jin
Keyword(s):  
Pilot Study ◽  
Upper Limb ◽  
Stroke Patients ◽  
Robot Assisted ◽  
Randomized Controlled ◽  
Early Stroke

Upper limb robot-assisted therapy in subacute and chronic stroke patients using an innovative end-effector haptic device: A pilot study

2018 ◽  
Vol 42 (1) ◽  
pp. 43-52 ◽  
Author(s):  
S. Mazzoleni ◽  
E. Battini ◽  
R. Crecchi ◽  
P. Dario ◽  
F. Posteraro
Keyword(s):  
Pilot Study ◽  
Upper Limb ◽  
Chronic Stroke ◽  
Haptic Device ◽  
Stroke Patients ◽  
Robot Assisted ◽  
End Effector

Modified Constraint-Induced Therapy in Acute Stroke: A Randomized Controlled Pilot Study

2005 ◽  
Vol 19 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Stephen J. Page ◽  
Peter Levine ◽  
Anthony C. Leonard
Keyword(s):  
Pilot Study ◽  
Acute Stroke ◽  
Upper Limb ◽  
Motor Deficits ◽  
Stroke Patients ◽  
Rehabilitation Hospital ◽  
Randomized Controlled ◽  
Hospital Patients ◽  
Upper Limb Hemiparesis ◽  
And Function

To determine modified constraint-induced therapy (mCIT) feasibility and compare its efficacy to traditional rehabilitation (TR) in acute stroke patients exhibiting upper limb hemiparesis. Method. Before-after, multiple baseline, randomized controlled pilot study. Setting. Rehabilitation hospital. Patients. Ten stroke patients < 14 d poststroke and exhibiting upper limb hemiparesis and affected limb nonuse. Interventions. Five patients were administered mCIT, consisting of structured therapy emphasizing more affected arm use in valued activities 3 d/week for 10 weeks and less affected arm restraint 5 d/week for 5 h. Five other patients received 1/2 sessions of traditional motor rehabilitation for the affected arm, which included affected limb manual dexterity exercises and stretching, as well as compensatory strategies with the unaffected limb. The TR regimens occurred 3 d/week for 10 weeks. Main Outcome Measures. The Fugl-Meyer Assessment of Motor Recovery (Fugl-Meyer), Action Research Arm Test (ARA), and Motor Activity Log (MAL). Results. Before intervention, all patients exhibited stable motor deficits and more affected arm nonuse. After intervention, mCIT patients displayed increased affected arm use (+ 2.43 on the MAL amount of use scale), uniformly exhibited increases on the Fugl-Meyer and ARA (mean change scores = + 18.7 and + 21.7, respectively), and were able to again perform valued activities. TR patients exhibited nominal change in affected limb use (+ 0.07 on the MAL amount of use scale) and modest changes on the Fugl-Meyer and ARA (+ 4.4 and + 4.8, respectively). Fugl-Meyer and ARA changes were significant for the mCIT group only (P < 0.01). Conclusions. mCIT is a promising regimen for improving more affected limb use and function in acute cerebrovascular accident. However, larger confirmatory studies need to be performed.

scholarly journals A RANDOMIZED CONTROLLED TRIAL ON THE EFFECTS OF OCCUPATIONAL THERAPY INTERVENTIONS USING PATIENT-CENTERED ROBOT-ASSISTED REHABILITATION FOR FUNCTIONAL IMPROVEMENT IN SUBACUTE STROKE PATIENTS

2021 ◽  
pp. 2140040
Author(s):  
DAESEOK YOON ◽  
SEUNGBOK LEE ◽  
SANG-HYUN CHO ◽  
HAEYEAN PARK ◽  
JONGBAE KIM
Keyword(s):  
Upper Limb ◽  
Controlled Trial ◽  
Stroke Patients ◽  
Robot Assisted ◽  
Patient Centered ◽  
Limb Function ◽  
Randomized Controlled ◽  
Upper Limb Function ◽  
Experimental Group ◽  
Adl Performance

The objective of this research study was to investigate the effect of patient-centered robot-assisted intervention for upper limb function improvement in stroke patients. Design: A double-blind randomized controlled trial. Intervention: Subjectively preferred areas of need for performing daily activities were identified by pre-interviewing and applied as target goals in the experimental group using a robotic device. Control-1 underwent a program focused on the robot system involving movements of upper limb joints. Control-2 participated in a conventional rehabilitation program. Methods: Forty-five participants engaged in 60 min of daily therapy, five times weekly for 3 weeks. The experimental group used the Canadian occupational performance measure (COPM) to identify subjectively preferred “patient-centered” focus needed areas to perform robotic device aided daily activities. Control-1 used a robot device-focused rehabilitation involving upper limb joint movements. Control-2 participated in conventional rehabilitation. Pre-post intervention measurements of hand, grip, power, and upper limb ROM were acquired by FMA-UE, MFT, and K-MBI. Results: A significant increase of function in the experimental group was observed in each subclass of function and activities of daily living (ADL) performance. Control-1 showed an increase in function without ADL improvement. Control-2 showed an increase in ADL and proximal areas of upper limb function without an increase in other areas. Conclusion: The “patient-centered” approach significantly improved upper limb function and ADL performance compared to “robot-centered” rehabilitation. Further studies are warranted to confirm these results and for generalizability in clinical application.

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