Robotic therapy provides a stimulus for upper limb motor recovery after stroke that is complementary to and distinct from conventional therapy
| Autor: | Rahsaan J. Holley, Diane Nichols, Peter S. Lum, Elizabeth B. Brokaw |
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| Rok vydání: | 2013 |
| Předmět: |
Male
Functional training medicine.medical_specialty Activities of daily living Time Factors Stimulus (physiology) Severity of Illness Index Upper Extremity User-Computer Interface Physical medicine and rehabilitation Arm function medicine Humans Rehabilitation robotics Robotic therapy Cross-Over Studies business.industry Stroke Rehabilitation General Medicine Recovery of Function Robotics Middle Aged Exercise Therapy Stroke medicine.anatomical_structure Treatment Outcome Chronic Disease Physical therapy Upper limb Motor recovery Female business |
| Zdroj: | Neurorehabilitation and neural repair. 28(4) |
| ISSN: | 1552-6844 |
| Popis: | Background. Individuals with chronic stroke often have long-lasting upper extremity impairments that impede function during activities of daily living. Rehabilitation robotics have shown promise in improving arm function, but current systems do not allow realistic training of activities of daily living. We have incorporated the ARMin III and HandSOME device into a novel robotic therapy modality that provides functional training of reach and grasp tasks. Objective. To compare the effects of equal doses of robotic and conventional therapy in individuals with chronic stroke. Methods. Subjects were randomized to 12 hours of robotic or conventional therapy and then crossed over to the other therapy type after a 1-month washout period. Twelve moderate to severely impaired individuals with chronic stroke were enrolled, and 10 completed the study. Results. Across the 3-month study period, subjects showed significant improvements in the Fugl-Meyer ( P = .013) and Box and Blocks tests ( P = .028). The robotic intervention produced significantly greater improvements in the Action Research Arm Test than conventional therapy ( P = .033). Gains in the Box and Blocks test from conventional therapy were larger than from robotic therapy in subjects who received conventional therapy after robotic therapy ( P = .044). Conclusions. Data suggest that robotic therapy can elicit improvements in arm function that are distinct from conventional therapy and supplements conventional methods to improve outcomes. Results from this pilot study should be confirmed in a larger study. |
| Databáze: | OpenAIRE |
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