Robot-assisted upper limb therapy improves shoulder joint proprioception after stroke
10.3760/cma.j.issn.0254-1424.2017.11.002
- VernacularTitle:上肢机器人辅助训练对恢复期脑卒中患者肩关节本体感觉的影响
- Author:
Ya SUN
1
;
Minmin JIN
;
Yan LI
;
Jianming FU
;
Meixia YANG
;
Weitao ZHANG
;
Bihua ZHU
Author Information
1. 浙江省嘉兴市第二医院康复医学中心
- Keywords:
Stroke;
Upper limbs;
Robots;
Shoulders;
Proprioception
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2017;39(11):806-810
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of robot-assisted therapy on the shoulder joint proprioception of convalescent stroke survivors.Methods Forty stroke survivors were enrolled and randomized into an experimental group (n =20) and a control group (n =20).Both groups received routine drug treatment and rehabilitation,including the traditional kinesitherapy,occupational therapy and physical therapy,but the experimental group was additionally provided with 20 minutes of robot-assisted upper limb therapy 6 times a week for 8 weeks.Before the intervention and at 4 and 8 weeks the multi-joint system (MJS) upper limb proprioception test system was used to evaluate the average trace error and test execution time of the upper limb.Shoulder joint proprioception was measured at 30° and 60° in intorsion and extorsion using an isokinetic dynamometer.Results Before the training there were no significant differences between the two groups in terms of any of the assessments.After 4 and 8 weeks of training,significant improvement was observed in the measurements,and those of the experimental group were significantly better than those of the control group at the same time points.Conclusion Robot-assisted therapy can facilitate the recovery of shoulder joint proprioception after a stroke.It is worthy of application in clinical practice.