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Titre : | Combined Clinic-Home Approach for Upper Limb Robotic Therapy After Stroke: A Pilot Study (2015) |
Auteurs : | Grace J. Kim ; Lisa Rivera ; Joel Stein |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2015/12, 2015) |
Article en page(s) : | pp. 22432248 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Rééducation et réadaptation ; Robotique |
Mots-clés: | Paresis ; Parésie ; Robotics ; Stroke |
Résumé : |
Objective To investigate the feasibility of a combined clinic-home intervention using a robotic elbow brace and, secondarily, to collect preliminary data on the efficacy of this clinic-home intervention. Design Nonrandomized pre-/postinterventional study. Setting Outpatient clinic and participants' homes. Participants Individuals at least 6 months after stroke (N=11; 5 women and 6 men; mean age, 51.7y; mean time since stroke, 7.6y; mean Fugl-Meyer Assessment of the Upper Extremity [FMA-UE] score, 22 of 66) were enrolled from the community. Interventions Participants received training in an outpatient clinic from an experienced occupational therapist to gain independence with use of the device (39 sessions) followed by a 6-week home program using the device at home. Main Outcome Measures Five instruments were administered before and after the study intervention: Modified Ashworth Scale, Box and Blocks test, FMA-UE, Arm Motor Ability Test, and Motor Activity Log-Amount of Use and Motor Activity Log-How Well subscales (MAL-AOU, MAL-HW). Results Nine participants completed the study. Participants used the device on average 42.9min/d, 5.3d/wk. The FMA-UE (t=3.32; P=.01), MAL-AOU (t=4.40; P=.002), and MAL-HW (t=4.02; P=.004) scores showed statistically significant improvement from baseline to discharge; the MAL-AOU (t=2.61; P=.035) and MAL-HW (t=2.47; P=.043) scores were also significantly improved from baseline to 3-month follow-up. Conclusions This combined clinic-home intervention was feasible and effective. Participants demonstrated improvements in arm impairment and self-reported use of the arm from baseline to discharge; they continued to report significant improvement in actual use of the arm at 3-month follow-up. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999315005626 |