The effect of different types of robotic-assisted therapy on sub-acute stroke patients with mild hemipare-sis of the upper extremity
10.3969/j.issn.1001-1242.2025.03.012
- VernacularTitle:不同类型的机器人对亚急性期轻度偏瘫的脑卒中患者上肢功能的影响
- Author:
Zihao WANG
1
;
Chuan HU
;
Haiquan ZHANG
Author Information
1. 山东体育学院,山东省济南市,250102
- Publication Type:Journal Article
- Keywords:
stroke;
exoskeleton robot;
end-effector robot;
upper extremity function
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(3):397-403
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the rehabilitation effects of exoskeleton(EX)robots and end-effector(EE)robots in patients with mild upper limb hemiparesis in the subacute phase of stroke.Method:From February 2022 to February 2023,30 patients with mild hemiparesis due to stroke were recruit-ed at the Rehabilitation Treatment Center of Shandong University Affiliated Provincial Third Hospital.Using a single-blind design,these patients were randomly assigned to either the EX group or the EE group,with 15 patients in each group.Both groups received robot-assisted therapy in addition to standard rehabilitation treat-ment.The therapy sessions were conducted five days a week for four weeks,with each session lasting 25 min-utes.The affected upper limb was evaluated using the upper extremity Fugl-Meyer assessment(FMA-UE),Wolf motor function test(WMFT),and modified Barthel index(MBI).Assessments were performed at base-line,2 weeks,and 4 weeks.Result:Within-group comparisons revealed that both groups had significant improvements in FMA-UE,WMFT,and MBI scores at the 2-week and 4-week after treatment compared to baseline(P＜0.05).However,only the EX group showed continued improvement between 2 and 4 weeks after treatment(P＜0.05).Inter-group comparisons demonstrated that the EX group had significantly greater improvement in FMA-UE scores than the EE group at the 4-week assessment(P＜0.05),while no significant differences were observed between the two groups for WMFT and MBI scores.Conclusion:The EX robot demonstrated superior upper limb motor function improvement in patients with mild upper limb hemiparesis in subacute phase of stroke.However,no significant differences were observed be-tween the two robots in improving upper limb functional tasks and enhancing independence in activities of dai-ly living.
