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Efficacy of robot-assisted rehabilitation for the functional recovery of the upper limb in post-stroke patients: a randomized controlled study.
Eur J Phys Rehabil Med. 2016 Dec; 52(6):767-773.EJ

Abstract

BACKGROUND

A prompt and effective physical and rehabilitation medicine approach is essential to obtain recovery of an impaired limb to prevent tendon shortening, spasticity and pain. Robot-assisted virtual reality intervention has been shown to be more effective than conventional interventions and achieved greater improvement in upper limb function.

AIM

The aim of this study was to evaluate the effectiveness of robotic-assisted motion and activity in addition to PRM for the rehabilitation of the upper limb in post-stroke inpatients.

DESIGN

Randomized controlled trial.

SETTING

Departments of Physical and Rehabilitation Medicine from three different hospitals (Sarnico, Brescia; Bergamo; Milan).

POPULATION

A total of 54 patients and enrolled 23 men and 31 women with post-stroke hemiparesis, aged 18 to 80 years old, enrolled from July 2014 to February 2015.

METHODS

Of the 54 enrolled patients, 57% were female (mean age 71±12 years), and all had upper limb function deficit post-stroke. The experimental group received a passive mobilization of the upper limb through the robotic device ARMEO Spring and the control group received PRM for 6 consecutive weeks (5 days/week) in addition to traditional PRM. We assessed the impact on functional recovery (Functional Independence Measure [FIM] scale), strength (Motricity Index [MI]), spasticity (Modified Ashworth Scale [MAS]) and pain (Numeric Rating Pain Scale [NRPS]). All patients were evaluated by a blinded observer using the outcomes tests at enrollment (T0), after the treatment (T1) and at follow up 6 weeks later (T2).

RESULTS

Both control and experimental groups evidenced an improvement of the outcomes after the treatment (MI, Ashworth and NRPS with P<0.05). The experimental group showed further improvements after the follow up (all outcomes with P<0.01).

CONCLUSIONS

In the treatment of pain, disability and spasticity in upper limb after stroke, robot-assisted mobilization associated to PRM is as effective as traditional rehabilitation.

CLINICAL REHABILITATION IMPACT

Robot-assisted treatment has an impact on upper limb motor function in stroke patients.

Authors+Show Affiliations

Habilita, Sarnico Hospital, Sarnico, Bergamo, Italy.Department of Mechanical and Industrial Engineering, University of Brescia, Brescia, Italy - alberto.borboni@ing.unibs.it.Habilita, Sarnico Hospital, Sarnico, Bergamo, Italy.Habilita, Sarnico Hospital, Sarnico, Bergamo, Italy.Habilita, Sarnico Hospital, Sarnico, Bergamo, Italy.I.R.C.C.S. Don Gnocchi Foundation and Institute for Scientific Research, Milan, Italy.Habilita, Sarnico Hospital, Sarnico, Bergamo, Italy.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27406879

Citation

Taveggia, Giovanni, et al. "Efficacy of Robot-assisted Rehabilitation for the Functional Recovery of the Upper Limb in Post-stroke Patients: a Randomized Controlled Study." European Journal of Physical and Rehabilitation Medicine, vol. 52, no. 6, 2016, pp. 767-773.
Taveggia G, Borboni A, Salvi L, et al. Efficacy of robot-assisted rehabilitation for the functional recovery of the upper limb in post-stroke patients: a randomized controlled study. Eur J Phys Rehabil Med. 2016;52(6):767-773.
Taveggia, G., Borboni, A., Salvi, L., Mulé, C., Fogliaresi, S., Villafañe, J. H., & Casale, R. (2016). Efficacy of robot-assisted rehabilitation for the functional recovery of the upper limb in post-stroke patients: a randomized controlled study. European Journal of Physical and Rehabilitation Medicine, 52(6), 767-773.
Taveggia G, et al. Efficacy of Robot-assisted Rehabilitation for the Functional Recovery of the Upper Limb in Post-stroke Patients: a Randomized Controlled Study. Eur J Phys Rehabil Med. 2016;52(6):767-773. PubMed PMID: 27406879.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Efficacy of robot-assisted rehabilitation for the functional recovery of the upper limb in post-stroke patients: a randomized controlled study. AU - Taveggia,Giovanni, AU - Borboni,Alberto, AU - Salvi,Lorena, AU - Mulé,Chiara, AU - Fogliaresi,Stefania, AU - Villafañe,Jorge H, AU - Casale,Roberto, Y1 - 2016/07/13/ PY - 2016/7/14/pubmed PY - 2017/6/20/medline PY - 2016/7/14/entrez SP - 767 EP - 773 JF - European journal of physical and rehabilitation medicine JO - Eur J Phys Rehabil Med VL - 52 IS - 6 N2 - BACKGROUND: A prompt and effective physical and rehabilitation medicine approach is essential to obtain recovery of an impaired limb to prevent tendon shortening, spasticity and pain. Robot-assisted virtual reality intervention has been shown to be more effective than conventional interventions and achieved greater improvement in upper limb function. AIM: The aim of this study was to evaluate the effectiveness of robotic-assisted motion and activity in addition to PRM for the rehabilitation of the upper limb in post-stroke inpatients. DESIGN: Randomized controlled trial. SETTING: Departments of Physical and Rehabilitation Medicine from three different hospitals (Sarnico, Brescia; Bergamo; Milan). POPULATION: A total of 54 patients and enrolled 23 men and 31 women with post-stroke hemiparesis, aged 18 to 80 years old, enrolled from July 2014 to February 2015. METHODS: Of the 54 enrolled patients, 57% were female (mean age 71±12 years), and all had upper limb function deficit post-stroke. The experimental group received a passive mobilization of the upper limb through the robotic device ARMEO Spring and the control group received PRM for 6 consecutive weeks (5 days/week) in addition to traditional PRM. We assessed the impact on functional recovery (Functional Independence Measure [FIM] scale), strength (Motricity Index [MI]), spasticity (Modified Ashworth Scale [MAS]) and pain (Numeric Rating Pain Scale [NRPS]). All patients were evaluated by a blinded observer using the outcomes tests at enrollment (T0), after the treatment (T1) and at follow up 6 weeks later (T2). RESULTS: Both control and experimental groups evidenced an improvement of the outcomes after the treatment (MI, Ashworth and NRPS with P<0.05). The experimental group showed further improvements after the follow up (all outcomes with P<0.01). CONCLUSIONS: In the treatment of pain, disability and spasticity in upper limb after stroke, robot-assisted mobilization associated to PRM is as effective as traditional rehabilitation. CLINICAL REHABILITATION IMPACT: Robot-assisted treatment has an impact on upper limb motor function in stroke patients. SN - 1973-9095 UR - https://www.unboundmedicine.com/medline/citation/27406879/Efficacy_of_robot_assisted_rehabilitation_for_the_functional_recovery_of_the_upper_limb_in_post_stroke_patients:_a_randomized_controlled_study_ L2 - http://www.minervamedica.it/index2.t?show=R33Y2016N06A0767 DB - PRIME DP - Unbound Medicine ER -