Faculty Information |
|
Article types | Original article |
Language | English |
Refereed paper | Refereed |
Title | Efficacy of Upper Extremity Robotic Therapy in Subacute Poststroke Hemiplegia: An Exploratory Randomized Trial. |
Journal | Formal name:Stroke Abbreviation:Stroke ISSN code:1524-4628(Electronic)0039-2499(Linking) |
Domestic / Foregin | Foregin |
Volume, Number, Page | 47(5),pp.1385-8 |
Papers・Author | Takahashi Kayoko, Domen Kazuhisa, Sakamoto Tomosaburo, Toshima Masahiko, Otaka Yohei, Seto Makiko, Irie Katsumi, Haga Bin, Takebayashi Takashi, Hachisuka Kenji |
Publication date | 2016/05 |
Papers・Description | 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 |