教員業績データベース |
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論文種別 | 原著 |
言語種別 | 英語 |
査読の有無 | 査読あり |
表題 | Efficacy of Upper Extremity Robotic Therapy in Subacute Poststroke Hemiplegia: An Exploratory Randomized Trial. |
掲載誌名 | 正式名:Stroke 略 称:Stroke ISSNコード:1524-4628(Electronic)0039-2499(Linking) |
掲載区分 | 国外 |
巻・号・頁 | 47(5),pp.1385-8 |
著者・共著者 | Takahashi Kayoko, Domen Kazuhisa, Sakamoto Tomosaburo, Toshima Masahiko, Otaka Yohei, Seto Makiko, Irie Katsumi, Haga Bin, Takebayashi Takashi, Hachisuka Kenji |
発行年月 | 2016/05 |
概要 | BACKGROUND AND PURPOSE:Our aim was to study the efficacy of robotic therapy as an adjuvant to standard therapy during poststroke rehabilitation.METHODS:Prospective, open, blinded end point, randomized, multicenter exploratory clinical trial in Japan of 60 individuals with mild to moderate hemiplegia 4 to 8 weeks post stroke randomized to receive standard therapy plus 40 minutes of either robotic or self-guided therapy for 6 weeks (7 days/week). Upper extremity impairment before and after intervention was measured using the Fugl-Meyer assessment, Wolf Motor Function Test, and Motor Activity Log.RESULTS:Robotic therapy significantly improved Fugl-Meyer assessment flexor synergy (2.1±2.7 versus -0.1±2.4; P<0.01) andproximal upper extremity (4.8±5.0 versus 1.9±5.5; P<0.05) compared with self-guided therapy. No significant changes in Wolf Motor Function Test or Motor Activity Log were observed. Robotic therapy also significantly improved Fugl-Meyer assessment proximal upper extremity among low-functioning patients (baseline Fugl-Meyer assessment score<30) and among patients with Wolf Motor Function Test ≥120 at baseline compared with self-guided therapy (P<0.05 for both).CONCLUSIONS:Robotic therapy as an adjuvant to standard rehabilitation may improve upper extremity recovery in moderately impaired poststroke patients. Results of this exploratory study should be interpreted with caution.CLINICAL TRIAL REGISTRATION:URL: http://www.umin.ac.jp/. Unique identifier: UMIN000001619. |
DOI | 10.1161/STROKEAHA.115.012520 |
PMID | 27006452 |