Stroke Rehabilitation
Conditions
Keywords
Stroke, Robotic-Assisted Therapy, Bilateral Practice, Task-specific Training, Rehabilitation
Brief summary
Task-specific repetitive training, an usual care in occupational therapy practice, and robotic-aided rehabilitation with bilateral practice to improve limb's movement control has been popularised; however the difference in treatment effects between this two therapeutic strategies has been rarely described. The aim of the study was to compare the efficacy of robotic-assisted therapy with bilateral practice (RTBP) and usual care on task and motor performance for chronic stroke patients.
Interventions
OTHERRobotic-assisted Therapy with Bilateral Practice
40-minute robotic-assisted therapy with bilateral practice program for wrist and forearm repetitive movement training was performed during each session.
40 -minute unilateral task-specific training using various tasks: picks up beans with spoon, pouring water from one glass to another glass, opening and closing a drawer, drinking from a mug, and wiping the table were chosen for facilitating multitude of upper extremity functions. Three tasks per session were chosen for various specific components of hand-arm function training.
OTHERSensorimotor Stimulation Program
10-minute sensorimotor stimulation program with repetitive range of motion exercises of upper extremity, proprioceptive neuromuscular facilitation and Rood approach
Sponsors
National Cheng-Kung University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* chronic stroke patients with unilateral cerebral infarction or hemorrhage and whose disease duration was more than six months following stroke * no evidence of any other cerebral pathology in study screening CT scan * a score for the Fugl-Meyer upper extremity motor assessment ranging from 23-53 corresponding to poor to notable arm-hand capacity * pre stroke ability to speak the Chinese * without any other possible somatic sensory impairment, no major cognitive-perceptual deficit based on the results of selective neuropsychological tests, such as the mini-mental state examination (MMSE) and Lowenstein occupational therapy cognitive assessment (LOTCA) * premorbid right-handedness
Exclusion criteria
* less than six months following stroke * CT shows multiple cerebral infarction or hemorrhage * whose comprehension skills were insufficient to understand instructions * individuals whose score of MMSE was lower than 24 or sub-item scores of visual perception, spatial perception, praxis, and visuomotor organization in LOTCA was lower than 8, 6, 6, and 14, respectively * premorbid left-handedness
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the result of Motor Activity Log | Baseline, endpoint (4 weeks) and follow-up (16 weeks) assessments | Motor activity log is a structured interview with testing sensitivity used to examine how much (amount of use, AOU) and how well (quality of movement, QOM) the subject uses their more-affected arm. For the 30 items MAL, each item is scored on a 0-5-ordinal scale. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in the result of Fugl-Meyer assessment for UE motor function | Baseline, endpoint (4 weeks) and follow-up (16 weeks) assessments | Each item is rated on a three-point ordinal scale (2 points for the detail being performed completely, 1 point for the detail being performed partially, and 0 for the detail not being performed). The maximum motor performance score is 66 points for the upper extremity.completely, 1 point for the detail being performed partially, and 0 for the detail not being performed). The maximum motor performance score is 66 points for the upper extremity. |
| Change in root mean square (RMS) value and the median frequency of the power spectrum of each detected motor unit action potential during maximum voluntary contraction | Baseline, endpoint (4 weeks) and follow-up (16 weeks) assessments | Power and frequency function of Surface Electromyogram signals are reliable parameter to evaluate motor behavior of stroke survivors. The location sEMG electrodes were placed on the muscle belly of the anterior deltoid, flexor carpi radialis and extensor carpi radialis of the affected forearm. |
Countries
Taiwan
Outcome results
None listed