Sequentially applied myoelectrically controlled FES in a task-oriented approach and robotic therapy for the recovery of upper limb in post-stroke patients: A randomized controlled pilot study
| Autor: | Johanna Jonsdottir, Tiziana Lencioni, Gloria Perini, Maurizio Ferrarin, Rita Bertoni, Rune Thorsen, Ilaria Carpinella |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
030506 rehabilitation medicine.medical_specialty medicine.medical_treatment Biomedical Engineering Biophysics Health Informatics Bioengineering Pilot Projects Biomaterials Upper Extremity 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Robotic Surgical Procedures Arm function medicine Task oriented Humans Stroke Robotic therapy Functional movement Aged Rehabilitation business.industry Stroke Rehabilitation Recovery of Function Robotics Middle Aged medicine.disease medicine.anatomical_structure Treatment Outcome Upper limb 0305 other medical science Motor learning business 030217 neurology & neurosurgery Information Systems |
| Zdroj: | Technology and health care : official journal of the European Society for Engineering and Medicine. 29(3) |
| ISSN: | 1878-7401 |
| Popis: | BACKGROUND: Functional recovery of the plegic upper limb in post-stroke patients may be enhanced by sequentially applying a myoelectrically controlled FES (MeCFES), which allows the patient to voluntarily control the muscle contraction during a functional movement, and robotic therapy which allows many repetitions of movements. OBJECTIVE: Evaluate the efficacy of MeCFES followed by robotic therapy compared to standard care arm rehabilitation for post-stroke patients. METHODS: Eighteen stroke subjects (onset ⩾ 3 months, age 60.1 ± 15.5) were recruited and randomized to receive an experimental combination of MeCFES during task-oriented reaching followed by robot therapy (MRG) or same intensity conventional rehabilitation care (CG) aimed at the recovery of the upper limb (20 sessions/45 minutes). Change was evaluated through Fugl-Meyer upper extremity (FMA-UE), Reaching Performance Scale and Box and Block Test. RESULTS: The experimental treatment resulted in higher improvement on the FMA-UE compared with CG (P= 0.04), with a 10-point increase following intervention. Effect sizes were moderate in favor of the MRG group on FMA-UE, FMA-UE proximal and RPS (0.37–0.56). CONCLUSIONS: Preliminary findings indicate that a combination of MeCFES and robotic treatment may be more effective than standard care for recovery of the plegic arm in persons > 3 months after stroke. The mix of motor learning techniques may be important for successful rehabilitation of arm function. |
| Databáze: | OpenAIRE |
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