Exoskeleton-assisted upper limb rehabilitation after stroke: a randomized controlled trial.
| Autor: | Akgün İ; Department of Physiothearpy and Rehabilitation, Faculty of Health Sciences, University of Marmara, Istanbul, Turkey., Demirbüken İ; Department of Physiothearpy and Rehabilitation, Faculty of Health Sciences, University of Marmara, Istanbul, Turkey., Timurtaş E; Department of Physiothearpy and Rehabilitation, Faculty of Health Sciences, University of Marmara, Istanbul, Turkey., Pehlivan MK; HoustonBionics, Inc, Santa Clara, CA, USA., Pehlivan AU; HoustonBionics, Inc, Santa Clara, CA, USA., Polat MG; Department of Physiothearpy and Rehabilitation, Faculty of Health Sciences, University of Marmara, Istanbul, Turkey., Francisco GE; Department of Physical Medicine and Rehabilitation, McGovern Medical School, University of Texas Health Science Center at Houston, The NeuroRecovery Research Center at TIRR Memorial Hermann, Houston, TX, USA., Yozbatiran N; Department of Physical Medicine and Rehabilitation, McGovern Medical School, University of Texas Health Science Center at Houston, The NeuroRecovery Research Center at TIRR Memorial Hermann, Houston, TX, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Neurological research [Neurol Res] 2024 Nov; Vol. 46 (11), pp. 1074-1082. Date of Electronic Publication: 2024 Jul 26. |
| DOI: | 10.1080/01616412.2024.2381385 |
| Abstrakt: | Objectives: The upper-limb exoskeleton training program which is repetetive and task-specific therapy can improve motor functions in patients with stroke. To compare the effect of an upper-limb exoskeleton training program with Bobath concept on upper limb motor functions in individuals with chronic stroke. Methods: Participants were randomly assigned to exoskeleton group (EG, n = 12) or to Bobath group (BG, n = 12). Interventions were matched in terms of session duration and total number of sessions and performed 2 times per week for 6-weeks. Primary outcome was Fugl-Meyer-Upper Extremity (FMA-UE). Secondary outcomes were Modified Ashworth Scale (elbow and wrist flexor muscles), Motor Activity Log-30 which is consist of two parts as an amount of use (AOU) and quality of movement (QOM), and The Nottingham Extended Activities of Daily Living (NEADL) index. Results: After 12-sessions of training, the mean (SD) FMA-UE score increased by 5.7 (2.9) in the EG, and 1.9 (1.5) points in the BG ( p < .05). In total, 40% of participants (5/12) demonstrated a clinically meaningful improvement (≥5.25 points) in the FM-UE, while none of the participants reached MCID score in the bobath group. Changes in the AOU, QOM, and NEADL were significantly larger in the EG compared to BG ( p < .05). 7/12 (58.33%) of participants for AOU and 5/12 (42%) of participants for QOM in the EG showed that clinically meaningful change. 5/12 of participants (42%) in the EG demonstrated ≥4.9-point increase in NEADL score. Discussion: High-intensity repetitive arm and hand exercises with an exoskeleton device was safe and feasible. Exoskeleton-assisted training demonstrated significant benefits in improving upper limb functions and quality of life in individuals after stroke. |
| Databáze: | MEDLINE |
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