Robot-Assisted Therapy for Long-Term Upper-Limb Impairment after Stroke
| Autor: | Peter Guarino, Jodie K. Haselkorn, Grant D. Huang, George F. Wittenberg, Susan S. Conroy, Barbara H. Corn, Lorie Richards, Peter Peduzzi, Bruce T. Volpe, Albert C. Lo, Robert J. Ringer, Alysia D. Maffucci, Hermano Igo Krebs, Stephen E. Nadeau, Daniel G. Federman, Christopher T. Bever, Todd H. Wagner, Pamela W. Duncan, Janet M. Powell, Dawn M. Bravata |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Motor Activity Article law.invention Central nervous system disease Disability Evaluation Primary outcome Randomized controlled trial law medicine Humans Assisted therapy Stroke Physical Therapy Modalities Neuronal Plasticity business.industry Vascular disease Stroke Rehabilitation Brain General Medicine Recovery of Function Robotics medicine.disease Confidence interval medicine.anatomical_structure Physical therapy Upper limb business |
| Popis: | Background Effective rehabilitative therapies are needed for patients with long-term deficits after stroke. Methods In this multicenter, randomized, controlled trial involving 127 patients with moderate-to-severe upper-limb impairment 6 months or more after a stroke, we randomly assigned 49 patients to receive intensive robot-assisted therapy, 50 to receive intensive comparison therapy, and 28 to receive usual care. Therapy consisted of 36 1-hour sessions over a period of 12 weeks. The primary outcome was a change in motor function, as measured on the Fugl-Meyer Assessment of Sensorimotor Recovery after Stroke, at 12 weeks. Secondary outcomes were scores on the Wolf Motor Function Test and the Stroke Impact Scale. Secondary analyses assessed the treatment effect at 36 weeks. Results At 12 weeks, the mean Fugl-Meyer score for patients receiving robot-assisted therapy was better than that for patients receiving usual care (difference, 2.17 points; 95% confidence interval [CI], −0.23 to 4.58) and worse than ... |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|