A novel approach to stroke rehabilitation: robot-aided sensorimotor stimulation
- PMID: 10822433
- DOI: 10.1212/wnl.54.10.1938
A novel approach to stroke rehabilitation: robot-aided sensorimotor stimulation
Abstract
Objective: In patients with stroke, the authors tested whether additional sensorimotor training of the paralyzed or paretic upper limb delivered by a robotic device enhanced motor outcome.
Methods: Fifty-six patients with stroke and hemiparesis or hemiplegia received standard poststroke multidisciplinary rehabilitation, and were randomly assigned either to receive robotic training (at least 25 hours) or exposure to the robotic device without training. Outcomes were assessed by the same masked raters, before treatment began and at the end of treatment, with the upper extremity component of the Fugl-Meyer Motor Assessment, the Motor Status score, the Motor Power score, and Functional Independence Measurement.
Result: The robot treatment and control group had comparable clinical characteristics, lesion size, and pretreatment impairment scores. By the end of treatment, the robot-trained group demonstrated improvement in motor outcome for the trained shoulder and elbow (Motor Power score, p < 0.001; Motor Status score, p < 0. 01) that did not generalize to untrained wrist and hand. The robot-treated group also demonstrated significantly improved functional outcome (Functional Independence Measurement-Motor, p < 0. 01).
Conclusion: Robot-delivered quantitative and reproducible sensorimotor training enhanced the motor performance of the exercised shoulder and elbow. The robot-treated group also demonstrated improved functional outcome. When added to standard multidisciplinary rehabilitation, robotics provides novel therapeutic strategies that focus on impairment reduction and improved motor performance.
Similar articles
-
Clinical improvement with intensive robot-assisted arm training in chronic stroke is unchanged by supplementary tDCS.Restor Neurol Neurosci. 2019;37(2):167-180. doi: 10.3233/RNN-180869. Restor Neurol Neurosci. 2019. PMID: 30932903 Clinical Trial.
-
Effects of Robot-Assisted Therapy for the Upper Limb After Stroke.Neurorehabil Neural Repair. 2017 Feb;31(2):107-121. doi: 10.1177/1545968316666957. Epub 2016 Sep 24. Neurorehabil Neural Repair. 2017. PMID: 27597165 Review.
-
Robotic-assisted rehabilitation of the upper limb after acute stroke.Arch Phys Med Rehabil. 2007 Feb;88(2):142-9. doi: 10.1016/j.apmr.2006.10.032. Arch Phys Med Rehabil. 2007. PMID: 17270510 Clinical Trial.
-
A novel robot device in rehabilitation of post-stroke hemiplegic upper limbs.Aging Clin Exp Res. 2006 Dec;18(6):531-5. doi: 10.1007/BF03324854. Aging Clin Exp Res. 2006. PMID: 17255643 Clinical Trial.
-
Is robot-aided sensorimotor training in stroke rehabilitation a realistic option?Curr Opin Neurol. 2001 Dec;14(6):745-52. doi: 10.1097/00019052-200112000-00011. Curr Opin Neurol. 2001. PMID: 11723383 Review.
Cited by
-
Upper limb home-based robotic rehabilitation in chronic stroke patients: A pilot study.Front Neurorobot. 2023 Mar 16;17:1130770. doi: 10.3389/fnbot.2023.1130770. eCollection 2023. Front Neurorobot. 2023. PMID: 37009638 Free PMC article.
-
Interaction with a Hand Rehabilitation Exoskeleton in EMG-Driven Bilateral Therapy: Influence of Visual Biofeedback on the Users' Performance.Sensors (Basel). 2023 Feb 11;23(4):2048. doi: 10.3390/s23042048. Sensors (Basel). 2023. PMID: 36850650 Free PMC article.
-
Application of Robotic Recovery Techniques to Stroke Survivors-Bibliometric Analysis.J Pers Med. 2022 Dec 14;12(12):2066. doi: 10.3390/jpm12122066. J Pers Med. 2022. PMID: 36556286 Free PMC article.
-
Effects of robotic upper limb treatment after stroke on cognitive patterns: A systematic review.NeuroRehabilitation. 2022;51(4):541-558. doi: 10.3233/NRE-220149. NeuroRehabilitation. 2022. PMID: 36530099 Free PMC article. Review.
-
The effects of robotic assistance on upper limb spatial muscle synergies in healthy people during planar upper-limb training.PLoS One. 2022 Aug 8;17(8):e0272813. doi: 10.1371/journal.pone.0272813. eCollection 2022. PLoS One. 2022. PMID: 35939495 Free PMC article.
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical