Short-duration robotic therapy in stroke patients with severe upper-limb motor impairment.

作者: Margaret A. Finley , Susan E. Fasoli , Laura Dipietro , Jill Ohlhoff , Leah MacClellan

DOI: 10.1682/JRRD.2004.12.0153

关键词:

摘要: Chronic motor deficits in the upper limb (UL) are a major contributor to disability following stroke. This study investigated effect of short-duration robot-assisted therapy on impairment, as measured by clinical scales and robot- derived performance measures patients with chronic, severe UL impairments after As part larger study, 15 indi- viduals paresis (Fugl-Meyer < 15) stroke (minimum 6 mo postonset) performed 18 sessions rehabilitation that consisted goal- directed planar reaching tasks over period 3 weeks. Out- come included Fugl-Meyer Assessment, Motor Power Wolf Function Test, Stroke Impact Scale, five robot-derived reflect control (aiming error, mean speed, peak mean:peak speed ratio, movement duration). Robot- assisted training produced statistically significant improve- ments from baseline posttreatment Assessment scores quality motion (quantified reduction aiming error dura- tion an increase ratio). Our findings indicate rehabili- tation can reduce impairment improve chronic

参考文章(33)
David J. Reinkensmeyer, W. Zev Rymer, Michele Averbuch, Leonard E. Kahn, Comparison of Robot-Assisted Reaching to Free Reaching in Promoting Recovery From Chronic Stroke ,(2001)
H F Machiel Van der Loos, P C Shor, P S Lum, C G Burgar, Development of robots for rehabilitation therapy: the Palo Alto VA/Stanford experience. Journal of Rehabilitation Research and Development. ,vol. 37, pp. 663- 673 ,(2000)
J E Crago, E Taub, N E Miller, T A Novack, J S Connell, C S Nepomuceno, W C Fleming, E W Cook rd, Technique to improve chronic motor deficit after stroke Archives of Physical Medicine and Rehabilitation. ,vol. 74, pp. 347- 354 ,(1993)
M. Ferraro, J. J. Palazzolo, J. Krol, H. I. Krebs, N. Hogan, B. T. Volpe, Robot-aided sensorimotor arm training improves outcome in patients with chronic stroke. Neurology. ,vol. 61, pp. 1604- 1607 ,(2003) , 10.1212/01.WNL.0000095963.00970.68
Bruce T. Volpe, Hermano I. Krebs, Neville Hogan, Is robot-aided sensorimotor training in stroke rehabilitation a realistic option? Current Opinion in Neurology. ,vol. 14, pp. 745- 752 ,(2001) , 10.1097/00019052-200112000-00011
M. L. Aisen, H. I. Krebs, N. Hogan, F. McDowell, B. T. Volpe, The Effect of Robot-Assisted Therapy and Rehabilitative Training on Motor Recovery Following Stroke JAMA Neurology. ,vol. 54, pp. 443- 446 ,(1997) , 10.1001/ARCHNEUR.1997.00550160075019
B. T. Volpe, H. I. Krebs, N. Hogan, L. Edelstein, C. Diels, M. Aisen, A novel approach to stroke rehabilitation Robot-aided sensorimotor stimulation Neurology. ,vol. 54, pp. 1938- 1944 ,(2000) , 10.1212/WNL.54.10.1938
Bruce T. Volpe, Mark Ferraro, Hermano I. Krebs, Neville Hogan, Robotics in the rehabilitation treatment of patients with stroke. Current Atherosclerosis Reports. ,vol. 4, pp. 270- 276 ,(2002) , 10.1007/S11883-002-0005-7
Henrik S. Jørgensen, Hirofumi Nakayama, Hans O. Raaschou, Jørgen Vive-Larsen, Mogens Støier, Tom S. Olsen, Outcome and time course of recovery in stroke. Part II: Time course of recovery. The copenhagen stroke study Archives of Physical Medicine and Rehabilitation. ,vol. 76, pp. 406- 412 ,(1995) , 10.1016/S0003-9993(95)80568-0
Stephen J Page, SueAnn Sisto, Peter Levine, Robert E McGrath, Efficacy of modified constraint-induced movement therapy in chronic stroke: a single-blinded randomized controlled trial. Archives of Physical Medicine and Rehabilitation. ,vol. 85, pp. 14- 18 ,(2004) , 10.1016/S0003-9993(03)00481-7