Effects of robotic therapy on motor impairment and recovery in chronic stroke - PubMed (original) (raw)
Clinical Trial
Effects of robotic therapy on motor impairment and recovery in chronic stroke
Susan E Fasoli et al. Arch Phys Med Rehabil. 2003 Apr.
Abstract
Objective: To examine whether robotic therapy can reduce motor impairment and enhance recovery of the hemiparetic arm in persons with chronic stroke.
Design: Pre-posttest design.
Setting: Rehabilitation hospital, outpatient care.
Participants: Volunteer sample of 20 persons diagnosed with a single, unilateral stroke within the past 1 to 5 years, with persistent hemiparesis.
Interventions: Robotic therapy was provided 3 times weekly for 6 weeks. Subjects able to reach robot targets were randomly assigned to sensorimotor or progressive-resistive robotic therapy groups. Robotic therapy consisted of goal-directed, planar reaching tasks to exercise the hemiparetic shoulder and elbow.
Main outcome measures: The Modified Ashworth Scale, Fugl-Meyer test of upper-extremity function, Motor Status Scale (MSS) score, and Medical Research Council motor power score.
Results: Evaluations by a single blinded therapist revealed statistically significant gains from admission to discharge (P<.05) on the Fugl-Meyer test, MSS score, and motor power score. Secondary analyses revealed group differences: the progressive-resistive therapy group experienced nonspecific improvements on wrist and hand MSS scores that were not observed in the sensorimotor group.
Conclusions: Robotic therapy may complement other treatment approaches by reducing motor impairment in persons with moderate to severe chronic impairments.
Similar articles
- Robotic-assisted rehabilitation of the upper limb after acute stroke.
Masiero S, Celia A, Rosati G, Armani M. Masiero S, et al. Arch Phys Med Rehabil. 2007 Feb;88(2):142-9. doi: 10.1016/j.apmr.2006.10.032. Arch Phys Med Rehabil. 2007. PMID: 17270510 Clinical Trial. - Robotic therapy for chronic motor impairments after stroke: Follow-up results.
Fasoli SE, Krebs HI, Stein J, Frontera WR, Hughes R, Hogan N. Fasoli SE, et al. Arch Phys Med Rehabil. 2004 Jul;85(7):1106-11. doi: 10.1016/j.apmr.2003.11.028. Arch Phys Med Rehabil. 2004. PMID: 15241758 Clinical Trial. - A comparison of functional and impairment-based robotic training in severe to moderate chronic stroke: a pilot study.
Krebs HI, Mernoff S, Fasoli SE, Hughes R, Stein J, Hogan N. Krebs HI, et al. NeuroRehabilitation. 2008;23(1):81-7. NeuroRehabilitation. 2008. PMID: 18356591 Free PMC article. Clinical Trial. - Systematic review of the effect of robot-aided therapy on recovery of the hemiparetic arm after stroke.
Prange GB, Jannink MJ, Groothuis-Oudshoorn CG, Hermens HJ, Ijzerman MJ. Prange GB, et al. J Rehabil Res Dev. 2006 Mar-Apr;43(2):171-84. doi: 10.1682/jrrd.2005.04.0076. J Rehabil Res Dev. 2006. PMID: 16847784 Review. - Effects of robot-assisted therapy on stroke rehabilitation in upper limbs: systematic review and meta-analysis of the literature.
Norouzi-Gheidari N, Archambault PS, Fung J. Norouzi-Gheidari N, et al. J Rehabil Res Dev. 2012;49(4):479-96. doi: 10.1682/jrrd.2010.10.0210. J Rehabil Res Dev. 2012. PMID: 22773253 Review.
Cited by
- Error Enhancement for Upper Limb Rehabilitation in the Chronic Phase after Stroke: A 5-Day Pre-Post Intervention Study.
Coremans M, Carmeli E, De Bauw I, Essers B, Lemmens R, Verheyden G. Coremans M, et al. Sensors (Basel). 2024 Jan 12;24(2):471. doi: 10.3390/s24020471. Sensors (Basel). 2024. PMID: 38257564 Free PMC article. - Characteristics and Emerging Trends in Research on Rehabilitation Robots from 2001 to 2020: Bibliometric Study.
Zhang Y, Liu X, Qiao X, Fan Y. Zhang Y, et al. J Med Internet Res. 2023 May 31;25:e42901. doi: 10.2196/42901. J Med Internet Res. 2023. PMID: 37256670 Free PMC article. - Design and Development of a Spherical 5-Bar Thumb Exoskeleton Mechanism for Poststroke Rehabilitation.
Ketkar VD, Wolbrecht ET, Perry JC, Farrens A. Ketkar VD, et al. J Med Device. 2023 Jun 1;17(2):021002. doi: 10.1115/1.4056864. Epub 2023 Apr 17. J Med Device. 2023. PMID: 37152413 Free PMC article. - Effects of Sensory Interventions on Fatigue in People With Multiple Sclerosis: A Systematic Review.
Mohebbirad M, Motaharinezhad F, Shahsavary M, Joveini G. Mohebbirad M, et al. Int J MS Care. 2022 Jan-Feb;24(1):29-34. doi: 10.7224/1537-2073.2020-123. Epub 2021 May 24. Int J MS Care. 2022. PMID: 35261569 Free PMC article. - Dissociation between abnormal motor synergies and impaired reaching dexterity after stroke.
Hadjiosif AM, Branscheidt M, Anaya MA, Runnalls KD, Keller J, Bastian AJ, Celnik PA, Krakauer JW. Hadjiosif AM, et al. J Neurophysiol. 2022 Apr 1;127(4):856-868. doi: 10.1152/jn.00447.2021. Epub 2022 Feb 2. J Neurophysiol. 2022. PMID: 35108107 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Miscellaneous