Robot assisted training for the upper limb after stroke

Conditions

Stroke rehabilitation Circulatory System

Cristina Fernandez-García, Laura Ternent, Tara Homer, Helen Rodgers, Helen Bosomworth et al. (22 authors)

BMJ Open2021-05-0116 citations

10.1136/bmjopen-2020-042081

Robot-assisted training compared with an enhanced upper limb therapy programme and with usual care for upper limb functional limitation after stroke: the RATULS three-group RCT

Helen Rodgers, Helen Bosomworth, Hermano Igo Krebs, Frederike van Wijck, Denise Howel et al. (23 authors)

Health Technology Assessment2020-10-0133 citations

10.3310/hta24540

Robot assisted training for the upper limb after stroke (RATULS): a multicentre randomised controlled trial.

Rodgers H, Bosomworth H, Krebs HI, van Wijck F, Howel D, Wilson N, Aird L, Alvarado N, Andole S, Cohen DL, Dawson J, Fernandez-Garcia C, Finch T, Ford GA, Francis R, Hogg S, Hughes N, Price CI, Ternent L, Turner DL, Vale L, Wilkes S, Shaw L.

2019-05-22268 citations

10.1016/s0140-6736(19)31055-4

Robot Assisted Training for the Upper Limb after Stroke (RATULS): study protocol for a randomised controlled trial.

Rodgers H, Shaw L, Bosomworth H, Aird L, Alvarado N, Andole S, Cohen DL, Dawson J, Eyre J, Finch T, Ford GA, Hislop J, Hogg S, Howel D, Hughes N, Krebs HI, Price C, Rochester L, Stamp E, Ternent L, Turner D, Vale L, Warburton E, van Wijck F, Wilkes S.

2017-07-2019 citations

10.1186/s13063-017-2083-4

Interventions

This is a three-group randomised controlled trial. Group 1: Robot-assisted training Robot-assisted training will use the InMotion robotic gym system which comprises th

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Adults with a first ever stroke who fulfil the following criteria are eligible: 1. Age 18 years and over 2. Clinical diagnosis of stroke (cerebral infarction, primary intracerebral haemorrhage, subarachnoid haemorrhage) 3. Between one week and five years since stroke 4. Moderate to severe upper limb functional limitation (Action Research Arm Test (ARAT) score 0-39) due to stroke 5. Able to provide consent to take part in the study and to comply with the requirements of the protocol

Exclusion criteria

Exclusion criteria: 1. More than one stroke (patients with previous transient ischaemic attack (TIA) may be invited to participate) 2. Other current significant impairment of the upper limb affected by stroke e.g. fixed contracture, frozen shoulder, severe arthritis, recent fracture 3. Diagnosis likely to interfere with rehabilitation or outcome assessments e.g. registered blind 4. Previous use of the InMotion robotic gym system or other arm rehabilitation robot 5. Current participation in a rehabilitation trial evaluating upper limb rehabilitation after stroke 6. Previous enrolment in this study

Design outcomes

Primary

Measure	Time frame
Upper limb function measured using the Action Research Arm Test (ARAT) at 3 months post randomisation	—

Secondary

Measure	Time frame
1. Upper limb impairment, measured using the Fugl-Meyer Test (motor and sensory arm sections) 2. Activities of daily living (measured using the Barthel ADL Index), quality of life (measured using EQ-5D-5L) 3. Upper limb pain, measured using a numerical rating scale 4. Resource use, measured using an adaption of the Client Services Receipt Inventory 5. Adverse events, measured at 3 and 6 months post randomisation	—

Measure

Time frame

1. Upper limb impairment, measured using the Fugl-Meyer Test (motor and sensory arm sections) 2. Activities of daily living (measured using the Barthel ADL Index), quality of life (measured using EQ-5D-5L) 3. Upper limb pain, measured using a numerical rating scale 4. Resource use, measured using an adaption of the Client Services Receipt Inventory 5. Adverse events, measured at 3 and 6 months post randomisation

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Countries

United Kingdom

Outcome results

None listed