Effects of hand robot-assisted training on hemiplegic stroke patients' recovery of upper-limb function : A randomized and controlled trial
10.3760/cma.j.issn.0254-1424.2018.02.004
- VernacularTitle:神经康复机械手强化训练对脑卒中偏瘫患者上肢运动功能恢复的影响
- Author:
Danqiao SUN
1
;
Qiang WANG
;
Guangtao BAI
;
Junqiang XUE
;
Yu DENG
;
Xinxin WANG
Author Information
1. 山东省青岛市青岛大学附属医院康复医学科
- Keywords:
Stroke;
Hemiplegia;
Upper extremity function;
Robot technology
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2018;40(2):96-99
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of intensive upper limb therapy assisted by a hand robot on motor function after stroke and performance in the activities of daily living.Methods Thirty-two hemiplegic stroke survivors were randomly divided into a conventional rehabilitation group (group A,n =10),a robot-assisted therapy group (group B,n=10),and a robot-assisted intensive therapy group (group C,n=12).The three groups all received routine drug therapy and daily 40 min sessions of conventional rehabilitation training 5 days a week for 4 weeks.Those in groups B and C were additionally provided with 20 min of robot-assisted therapy or 40 min of more intensive robot-assisted intensive therapy respectively.Before and after the intervention,the 3 groups were assessed using the Fugl-Meyer assessment for the upper extremities (FMA-UE),the action research arm test (ARAT) and the modified Barthel Index (MBI).Results No significant differences were observed among the 3 groups in any of the measurements before the treatment.In each group the average FMA-UE,MBI and ARAT scores had increased significantly after four weeks of treatment.The improvements in the average FMA-UE and ARAT scores were more significant in group B than in group A,while the FMA,MBI and ARAT scores suggested a significantly greater improvement in group C than in group B.Conclusion Robot assistance can help to improve upper extremity motor function after a stroke.It also has an obvious effect on improving performance in the activities of daily living.
