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Upper limb robot-assisted rehabilitation versus physical therapy on subacute stroke patients: A follow-up study

机译:上肢机器人辅助康复对亚急性中风患者的物理治疗:后续研究

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This study aims to analyse the long-term effects (6 months follow-up) of upper limb Robot-assisted Therapy (RT) compared to Traditional physical Therapy (TT), in subacute stroke patients. Although the literature on upper-limb rehabilitation with robots shows increasing evidence of its effectiveness in stroke survivors, the length of time for which the re-learned motor abilities could be maintained is still understudied. A randomized controlled follow-up study was conducted on 48 subacute stroke patients who performed the upper-limb therapy using a planar end-effector robotic system (Experimental Group-EG) or TT (Control Group-CG). The clinical assessments were collected at T0 (baseline), T1 (end of treatment) and T2 (6 months follow-up): Upper Limb part of Fugl-Meyer assessment (FM-UL), total passive Range Of Motion (pROM), Modified Ashworth Scale Shoulder (MAS-S) and Elbow (MAS-E). At T1, the intra-group analysis showed significant gain of FM-UL in both EG and CG, while significant improvement in MAS-S, MAS-E, and pROM were found in the EG only. At T2, significant increase in MASS were revealed only in the CG. In FM-UL, pROM and MAS-E the improvements obtained at the end of treatment seem to be maintained at 6 months follow-up in both groups. The inter-groups analysis of FM-UL values at T1 and T2 demonstrated significant differences in favour of EG. In conclusion, upper limb Robot-assisted Therapy may lead a greater reduction of motor impairment in subacute stroke patients compared to Traditional Therapy. The gains observed at the end of treatment persisted over time. No serious adverse events related to the study occurred. (C) 2019 Elsevier Ltd. All rights reserved.
机译:该研究旨在与传统的物理治疗(TT)相比,分析上肢机器人辅助治疗(RT)的长期效应(6个月随访),亚急性中风患者。虽然与机器人的上肢康复的文献显示其在中风幸存者中的有效性的增加,但仍然会被保留重新学习的电动机能力的时间长度。对48个亚急性中风患者进行随机对照后续研究,使用平面末端效应器机器人系统(实验组-EG)或TT(对照组-CG)进行上肢治疗。在T0(基线),T1(治疗结束)和T2(6个月后续)中收集临床评估:Fugl-Meyer评估的上肢部分(FM-UL),总经动量的运动范围(PROM),改进的Ashworth尺寸肩(Mas-S)和肘部(MAS-E)。在T1时,组内分析显示出在例如CG中的FM-UL的显着增益,而MAS-S,MAS-E和PROM的显着改善是在例如EG中的。在T2,仅在CG中显着肿块肿块。在FM-UL中,PROM和MAS-E在治疗结束时获得的改进似乎在两组的6个月内维持。 T1和T2在T1和T2处对FM-UL值的群体分析表现出具有显着的差异,并且有利于例如。总之,与传统治疗相比,上肢机器人辅助治疗可能导致亚急性中风患者的电动机损伤减少。在治疗结束时观察到的增益随着时间的推移而持续存在。没有发生与研究有关的严重不良事件。 (c)2019年elestvier有限公司保留所有权利。

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