| Titre : | Effects of Robot-Assisted Rehabilitation on Hand Function of People With Stroke: A Randomized, Crossover-Controlled, Assessor-Blinded Study (2021) |
| Auteurs : | Hsin-Chieh Lee ; Fen-Ling Kuo ; Yen-Nung Lin ; Tsan-Hon Liou ; Jui-Chi Lin ; Shih-Wei Huang |
| Type de document : | Article |
| Dans : | American journal of occupational therapy (Vol. 75, n° 1, January/February 2021) |
| Article en page(s) : | p. 1-11 |
| Note générale : | doi:10.5014/ajot.2021.038232 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Interventions chirurgicales robotisées ; Main |
| Résumé : |
Importance: The effects of robot-assisted task-oriented training with tangible objects among patients with stroke remain unknown.
Objective: To investigate the effects of robot-assisted therapy (RT) with a Gloreha device on sensorimotor and hand function and ability to perform activities of daily living (ADLs) among patients with stroke. Design: Randomized, crossover-controlled, assessor-blinded study. Setting: Rehabilitation clinic. Participants: Patients (N = 24) with moderate motor and sensory deficits. Intervention: Patients participated in 12 RT sessions and 12 conventional therapy (CT) sessions, with order counterbalanced, for 6 wk, with a 1-mo washout period. Outcomes and Measures: Performance was assessed four times: before and after RT and before and after CT. Outcomes were measured using the Fugl-Meyer Assessment–Upper Extremity (FMA–UE), Box and Block Test, electromyography of the extensor digitorum communis (EDC) and brachioradialis, and a grip dynamometer for motor function; Semmes–Weinstein hand monofilament and the Revised Nottingham Sensory Assessment for sensory function; and the Modified Barthel Index (MBI) for ADL ability. Results: RT resulted in significantly improved FMA–UE proximal (p =.038) and total (p =.046) and MBI (p =.030) scores. Participants' EDC muscles exhibited higher efficacy during the small-block grasping task of the Box and Block Test after RT than after CT (p =.050). Conclusions and Relevance: RT with the Gloreha device can facilitate whole-limb function, leading to beneficial effects on arm motor function, EDC muscle recruitment efficacy, and ADL ability for people with subacute and chronic stroke. What This Article Adds: The evidence suggests that a task-oriented approach combined with the Gloreha device can facilitate engagement in whole-limb active movement and efficiently promote functional recovery. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=147924414&site=ehost-live |
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