stroke with upper extremity paresis Stroke, Rehabilitation robot, Upper extremity, Rehabilitation
Conditions
Interventions
The intervention group underwent upper limb occupational therapy similar to the control group for 60 minutes per day, 2-3 days per week, and trained with the MDR-1 robotic upper limb trainer for 30 mi
s abilities.,The control group underwent upper limb occupational therapy for 60 minutes per day, 2-3 days per week, totaling 20 sessions.
Robotic upper limb rehabilitation ,Conventional upper limb rehabilitation
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Aged between 18-80 years. 2. Patient was diagnosed with the first occurrence of stroke or having a history of stroke but fully recovered from the previous episode. 3. Subacute or chronic phase of stroke recovery, with the duration from diagnosis to enrollment in the study between 1 month and 1 year. 4. Presenting with unilateral weakness of a limb. 5. FMA UE motor score of the affected upper limb in the moderate range (20-47 points for subacute stroke patients and 29-42 points for chronic stroke patients. 6. Not currently participating in the other research studies related to the rehabilitation of the affected limb. 7. Providing informed consent to participate in the study independently or through a legally authorized representative.
Exclusion criteria
Exclusion criteria: 1. Unstable vital signs or neurological symptoms. 2. Severe communication or cognitive impairments that hinder the ability to follow instructions or cooperate in training (e.g., sensory aphasia, global aphasia, Thai Mental State Examination score < 24). 3. Ability to follow only one-step commands. 4. Presence of cerebellar lesions with severe dysmetria detected. 5. Severe unilateral neglect on the opposite side of the lesion (average deviation greater than 6 cm to the right of the center on the bisectional test. 6. Inability to clearly see the training screen used with the robot at a distance of 1 to 2 meters, even after vision correction. 7. Spasticity of the upper limb muscles with a Modified Ashworth Scale score of 3 or higher. 8. Fixed contracture of the shoulder or elbow joints in the affected arm. 9. Moderate to severe pain in the affected upper limb (verbal rating scale of 4 or higher). 10. Inability to sit independently on a chair with a backrest for at least 30 minutes.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| post stroke upper limb recovery after completing 10 sessions, 20 sessions, and at 4 weeks post-completion of 20 sessions. Fugl Meyer Assessment for upper extremity, used to evaluate recovery and motor. Total score from 0-66 points, 42 points for the proximal and 24 points for the distal upper limb. | — |
Secondary
| Measure | Time frame |
|---|---|
| Muscle Strength, Muscle Spasticity, and Activities of Daily Living after completing 10 sessions, 20 sessions, and at 4 weeks post-completion of 20 sessions. Medical Research Council, Modified Ashworth Scale (MAS), Barthel ADL Index | — |
Countries
Thailand
Contacts
Public ContactNanticha Semsawat
Faculty of medicine, Chulalongkorn university
Outcome results
None listed