Applications of Robotics to Assessment and Physical Therapy of Upper Limbs of Stroke Patients

Recovery of lower extremity (LE) function in chronic stroke patients is considered a barrier to community reintegration. An adequate training program is required to improve neural and functional performance of the affected LE in chronic stroke patients. The current study aimed to evaluate the effect of somatosensory rehabilitation on neural and functional recovery of LE in stroke patients. Thirty male and female patients were recruited and randomized to equal groups: control group (GI) and intervention group (GII). All patients were matched for age, duration of stroke, and degree of motor impairment of the affected LE. Both groups received standard program of physical therapy in addition to somatosensory rehabilitation for GII. The duration of treatment for both groups was eight consecutive weeks. Outcome measures used were Functional Independent Measure (FIM) and Quantitative Electroencephalography (QEEG), obtained pre- and post-treatment. A significant improvement was found in the FIM scores of the intervention group (GII), as compared to the control group (GI) (p < 0.001). Additionally, QEEG scores improved within the intervention group post-treatment. QEEG scores did not improve within the control group post-treatment, except for “Cz-AR”, compared to pretreatment, with no significant difference between groups. Adding somatosensory training to standard physical therapy program results in better improvement of neuromuscular control of LE function in chronic stroke patients.

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Transcranial direct current stimulation associated with physical-therapy in acute stroke patients - A randomized, triple blind, sham-controlled study

Brain Stimulation ◽

10.1016/j.brs.2019.10.019 ◽

2020 ◽

Vol 13 (2) ◽

pp. 329-336 ◽

Cited By ~ 4

Author(s):

Stephen Bornheim ◽

Jean-Louis Croisier ◽

Pierre Maquet ◽

Jean-François Kaux

Keyword(s):

Physical Therapy ◽

Acute Stroke ◽

Direct Current ◽

Transcranial Direct Current Stimulation ◽

Controlled Study ◽

Stroke Patients ◽

Direct Current Stimulation

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Evidence that amphetamine with physical therapy promotes recovery of motor function in stroke patients

Annals of Neurology ◽

10.1002/ana.410230117 ◽

1988 ◽

Vol 23 (1) ◽

pp. 94-97 ◽

Cited By ~ 248

Author(s):

Edgardo A. Crisostomo ◽

Pamela W. Duncan ◽

Martha Propst ◽

Deborah V. Dawson ◽

James N. Davis

Keyword(s):

Physical Therapy ◽

Motor Function ◽

Stroke Patients ◽

Recovery Of Motor Function

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Effects of galvanic vestibular stimulation combined with physical therapy on pusher behavior in stroke patients: A case series

Neurorehabilitation ◽

10.3233/nre-141094 ◽

2014 ◽

Vol 35 (1) ◽

pp. 31-37 ◽

Cited By ~ 8

Author(s):

Junji Nakamura ◽

Yorihiro Kita ◽

Tomohisa Yuda ◽

Koki Ikuno ◽

Yohei Okada ◽

...

Keyword(s):

Physical Therapy ◽

Case Series ◽

Vestibular Stimulation ◽

Galvanic Vestibular Stimulation ◽

Stroke Patients

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Abstract TP380: Significant Factors of Early Independent Gait in Acute Ischemic Stroke Patients

Stroke ◽

10.1161/str.51.suppl_1.tp380 ◽

2020 ◽

Vol 51 (Suppl_1) ◽

Author(s):

Yuna Hosaka ◽

Takahisa Mori ◽

Yuki Sawada

Keyword(s):

Ischemic Stroke ◽

Acute Stroke ◽

Acute Ischemic Stroke ◽

Mmse Score ◽

Lower Limbs ◽

Upper Limbs ◽

Stroke Patients ◽

Trunk Control ◽

Stroke Subtypes ◽

Significant Factors

Introduction: Acute stroke patients have problems with gait disturbance. Independent gait in hospitalized patients is important for early discharge to home. Therefore, we must find factors of disturbing independent gait following acute stroke and intensively treat them. Hypothesis: Impaired trunk control and cognitive function are factors of disturbing early independent gait. Methods: We included acute ischemic stroke patients who were admitted in our hospital from June 2017 to May 2018 and excluded patients with disturbed level of consciousness. We defined a score of 6 (modified Independence) or 7 (complete independence) in the Functional Independence Measure (FIM) as gait independence. We evaluated association of stroke subtypes, Brunnstrom recovery stage (BRS) of upper limbs, fingers and lower limbs, trunk control test (TCT) score and Mini-Mental State Examination (MMSE) score with early gait independence on the 7th day of a stroke onset. Results: One hundred twenty- six patients met our inclusive criteria and we analyzed them. Stroke subtypes had no relation to early gait independence. In gait independent and dependent patients on the 7th day, median BRS score of upper limbs was 5 and 5 (ns), median BRS score of fingers was 5 and5 (ns), median BRS score of lower limbs was 6 and 5 (p<0.01), TCT score was 100and 75 (p<0.01) and MMSE score was 28.5 and 24.5 (p<0.01), respectively. Multiple logistic regression analysis that TCT (p<0.01) and BRS lower limbs (p<0.01) were independent factors for early independent gat. Receiver operating characteristic curve (ROC) for early gait independence demonstrated that cut-off values of TCT score and BRS of lower limbs and were 100 and 5. Conclusions: Impaired trunk control and muscle weakness of lower limbs were significant factors of disturbing early gait independence.

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Upper limb robot-assisted rehabilitation versus physical therapy on subacute stroke patients: A follow-up study

Journal of Bodywork and Movement Therapies ◽

10.1016/j.jbmt.2019.03.016 ◽

2020 ◽

Vol 24 (1) ◽

pp. 194-198 ◽

Cited By ~ 3

Author(s):

Marco Franceschini ◽

Stefano Mazzoleni ◽

Michela Goffredo ◽

Sanaz Pournajaf ◽

Daniele Galafate ◽

...

Keyword(s):

Physical Therapy ◽

Upper Limb ◽

Stroke Patients ◽

Robot Assisted ◽

Follow Up Study ◽

Subacute Stroke

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Three Wheel Bike as Physical Therapy Equipment for Post-Stroke Patient

Applied Mechanics and Materials ◽

10.4028/www.scientific.net/amm.776.337 ◽

2015 ◽

Vol 776 ◽

pp. 337-342 ◽

Cited By ~ 1

Author(s):

I. Made Londen Batan ◽

Rodika ◽

Muhamad Riva'i

Keyword(s):

Body Mass Index ◽

Energy Consumption ◽

Physical Therapy ◽

Body Mass ◽

Stroke Patient ◽

Stroke Patients ◽

Post Stroke ◽

A Value ◽

Risk Of Injury ◽

Before And After

Three wheel bike as a physical therapy equipment for post-stroke patients was designed with length of 1937 mm, 1010 mm in width and height of 905 mm. The bike is designd ergonomic and can be driven by rider foot or hand simultaneously. By using CATIA software the strength of material bike frame was analyst to support 100 kg of load. The design is realized into a prototype. The performance of bike prototype is tested, and the result sows that the function of bike mechanisme is fulfilled. By 10 respondents, who have a standard body mass index, the pedal test was conducted, and the result indicates that, the higher the speed of the pedal, the higher the energy consumption to pedaling. Leg tension muscles is measured by leg-dynamometer before and after pedaling, and the result shows the tension muscle is proportional to the increase of pedal speed. In order to evaluate the ergonomic aspect of bike design, the risk angle of extrem position of body during cycling are measured by goneo-set. By RULA method the risk of injury value of rider body is calculated while pedaling, and the result showed that 70% of respondents have a value of risk injury 2, while 30% had a value of 3. It means that, the bike design is ergonomic and comfortable to ride. In oder to evaluate the benefits of disigned bike, the pedal test is conducted by 4 post-stroke patients for 30 days periodical once every 3 days. The result shows that during 1 month exercise, the average number of cycling to pedal increase up to 100%. This means that the ability of post-stroke patients to pedal the bike increase significantly. That result showed that the bike design is useful as a tool for physical therapy post-stroke patients.

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