A single-subject study of robotic upper limb training in the subacute phase for four persons with cervical spinal cord injury
Autor: | Linda Sørensen, Grethe Månum |
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Rok vydání: | 2019 |
Předmět: |
Adult
Male Occupational therapy medicine.medical_specialty Activities of daily living education Powered exoskeleton Dermatology Quadriplegia Article Single-Case Studies as Topic Upper Extremity Young Adult Physical medicine and rehabilitation Occupational Therapy Activities of Daily Living medicine Humans Young adult Spinal cord injury Spinal Cord Injuries business.industry Robotics Middle Aged Exoskeleton Device medicine.disease body regions medicine.anatomical_structure Neurology Cervical spinal cord injury Cervical Vertebrae Upper limb business human activities Cervical vertebrae |
Zdroj: | Spinal Cord Series and Cases. 5 |
ISSN: | 2058-6124 |
Popis: | STUDY DESIGN: Single-subject design, standard training (“B”) compared with Robotic training (“C”). OBJECTIVES: To explore the impact of robotic training on upper limb function, activities of daily living (ADL) and training experience in subacute tetraplegic inpatients. SETTING: Inpatient subacute Norwegian spinal cord injury (SCI) unit. METHODS: Four participants (C4–7, AIS A-C) completed 11 sessions of robotic training using a passive robotic exoskeleton (Armeo Spring®). Descriptive statistics and visual analyses were used for comparing standard occupational therapy and robotic training. Outcome measures included the Spinal Cord Independence Measure (SCIM-III), the Graded Redefined Assessment of Strength Sensibility and Prehension (GRASSP), and a questionnaire. RESULTS: All of the participants exhibited an increase in assessments of upper limb function (GRASSP-total) right side (0.4%–61.2%), and all except for one participant (−8%) showed an increase on their left side (20.9%–106.2%). Three out of four participants had improvements in ADL function SCIM-III (ranging from 5.6% to 46.7%). Results demonstrated improvements during the robotic intervention period in five out of 28 measurements. The participants enjoyed the exercise, and found it motivating and relevant to their injury (median ranged from 3.5 to 6.5 on a 0–7 scale). CONCLUSIONS: Three out of four participants improved upper limb function and ADL independence, but the study could not confirm that improvements were due to the robotic intervention. The participants enjoyed the robotic training and found it relevant to their injury. |
Databáze: | OpenAIRE |
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