Effect of Therapist-Based Versus Robot-Assisted Bilateral Arm Training on Motor Control, Functional Performance, and Quality of Life After Chronic Stroke: A Clinical Trial

Wu, Ching‐yi; Yang, Chieh-ling; Chuang, Li-Ling; Lin, Keh‐chung; Chen, Hsieh-Ching; Chen, Ming‐De; Huang, Wan-chien

doi:10.2522/ptj.20110282

Cited by 72 publications

(56 citation statements)

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“…The same research group carried out an RCT with patients with chronic stroke, comparing Bi-Manu-Track bilateral upper limb training with therapist-based bilateral upper limb training and a control treatment [46]. All groups received treatment for 90–105 minutes per session, 5 sessions per week, for 4 weeks.…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review of Bilateral Upper Limb Training Devices for Poststroke Rehabilitation

Delden

Peper

Kwakkel

et al. 2012

Stroke Research and Treatment

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Introduction. In stroke rehabilitation, bilateral upper limb training is gaining ground. As a result, a growing number of mechanical and robotic bilateral upper limb training devices have been proposed. Objective. To provide an overview and qualitative evaluation of the clinical applicability of bilateral upper limb training devices. Methods. Potentially relevant literature was searched in the PubMed, Web of Science, and Google Scholar databases from 1990 onwards. Devices were categorized as mechanical or robotic (according to the PubMed MeSH term of robotics). Results. In total, 6 mechanical and 14 robotic bilateral upper limb training devices were evaluated in terms of mechanical and electromechanical characteristics, supported movement patterns, targeted part and active involvement of the upper limb, training protocols, outcomes of clinical trials, and commercial availability. Conclusion. Initial clinical results are not yet of such caliber that the devices in question and the concepts on which they are based are firmly established. However, the clinical outcomes do not rule out the possibility that the concept of bilateral training and the accompanied devices may provide a useful extension of currently available forms of therapy. To actually demonstrate their (surplus) value, more research with adequate experimental, dose-matched designs, and sufficient statistical power are required.

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Section: Resultsmentioning

confidence: 99%

A Systematic Review of Bilateral Upper Limb Training Devices for Poststroke Rehabilitation

Delden

Peper

Kwakkel

et al. 2012

Stroke Research and Treatment

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“…29-41 The meta-analysis in a 2012 Cochrane review demonstrated that robot-assisted arm training improved upper limb function (standardized mean difference 0.45; 95% confidence interval (CI), 0.20 to 0.69; P =0.0004) 42. However, more detailed analysis is needed to develop guidelines for individual stroke rehabilitation.…”

Section: Robot-assisted Therapy For Upper Limb and Hand Motor Functionmentioning

confidence: 99%

“…Nine of the 14 randomized controlled trials that examined robot-assisted therapy with end-effector-type devices assessed the influence of robot-assisted training on activities of daily living (ADL) in patients with stroke 29,30,32-35,38-41. These nine reports demonstrated that robot-assisted training yielded similar or better effects on ADL in comparison with conventional therapy.…”

Section: Robot-assisted Therapy For Upper Limb and Hand Motor Functionmentioning

confidence: 99%

Robot-assisted Therapy in Stroke Rehabilitation

2013

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Research into rehabilitation robotics has grown rapidly and the number of therapeutic rehabilitation robots has expanded dramatically during the last two decades. Robotic rehabilitation therapy can deliver high-dosage and high-intensity training, making it useful for patients with motor disorders caused by stroke or spinal cord disease. Robotic devices used for motor rehabilitation include end-effector and exoskeleton types; herein, we review the clinical use of both types. One application of robot-assisted therapy is improvement of gait function in patients with stroke. Both end-effector and the exoskeleton devices have proven to be effective complements to conventional physiotherapy in patients with subacute stroke, but there is no clear evidence that robotic gait training is superior to conventional physiotherapy in patients with chronic stroke or when delivered alone. In another application, upper limb motor function training in patients recovering from stroke, robot-assisted therapy was comparable or superior to conventional therapy in patients with subacute stroke. With end-effector devices, the intensity of therapy was the most important determinant of upper limb motor recovery. However, there is insufficient evidence for the use of exoskeleton devices for upper limb motor function in patients with stroke. For rehabilitation of hand motor function, either end-effector and exoskeleton devices showed similar or additive effects relative to conventional therapy in patients with chronic stroke. The present evidence supports the use of robot-assisted therapy for improving motor function in stroke patients as an additional therapeutic intervention in combination with the conventional rehabilitation therapies. Nevertheless, there will be substantial opportunities for technical development in near future.

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“…9 Motor replacement system controlled through an invasive BMI system. Source BBC demonstrated [95][96]. The main drawback is that these robotic systems can lead patients to passively perform their rehabilitation movements since the device executes sufficient force to impose the required movements and they are not sensitive to the effort exerted by the patients [97][98].…”

Section: Rehabilitation Robotic Systemsmentioning

confidence: 99%

“…These therapeutic applications include motor relearning for upper and lower limb and shoulder pain reduction after stroke. There is growing evidence that muscle electrostimulation, especially those approaches that incorporate specific task strategies, is effective in this motor learning [95].…”

Section: Rehabilitation Robotic Systemsmentioning

confidence: 99%

Brain-Machine Interfaces for Assistance and Rehabilitation of People with Reduced Mobility

Hortal¹

2019

Springer Theses

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Effect of Therapist-Based Versus Robot-Assisted Bilateral Arm Training on Motor Control, Functional Performance, and Quality of Life After Chronic Stroke: A Clinical Trial

Abstract: Compared with CT, TBAT and RBAT exhibited differential effects on outcome measures. Therapist-based BAT may improve temporal efficiency, smoothness, trunk control, and motor impairment of the distal upper limb. Robot-assisted BAT may improve shoulder flexion and quality of life.

Cited by 72 publications

References 50 publications

A Systematic Review of Bilateral Upper Limb Training Devices for Poststroke Rehabilitation

A Systematic Review of Bilateral Upper Limb Training Devices for Poststroke Rehabilitation

Robot-assisted Therapy in Stroke Rehabilitation

Brain-Machine Interfaces for Assistance and Rehabilitation of People with Reduced Mobility

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