Effects of robot-assisted upper limb rehabilitation on daily function and real-world arm activity in patients with chronic stroke: a randomized controlled trial

Liao, Wan-Wen; Wu, Ching‐yi; Hsieh, Yu‐Wei; Lin, Keh‐chung; Chang, Wan-Ying

doi:10.1177/0269215511416383

Cited by 149 publications

(135 citation statements)

References 55 publications

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“…Clinicians should look forward to the threshold of motor proficiency that is considered as a reasonable target for increasing physical activity. Researchers [26][27][28] studied the role of robot-assisted rehabilitation on functional recovery and showed the improvement of coordination. Liao et al [26] studied the effect of robot-assisted upper limb rehabilitation on daily functional recovery in patients with chronic stroke.…”

Section: Discussionmentioning

confidence: 99%

Bruininks- Oseretsky Test Showed Strong Correlation Between Upper Limb Speed Dexterity and Upper Limb Coordination

Emara¹,

Elgohary²

2017

IJNPT

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Abstract:Background: Daily living activities such as walking, dressing and feeding require adequate proficiency in gross and fine motor skills; however inadequate proficiency leads to multiple difficulties that range from increased anxiety and poor self-esteem to significant difficulties with academic achievements. Recent research findings claimed that children's skill proficiency tends to lag behind the established developmental norms. Purpose: The aim of this study was to examine the interrelationship among different subtests of gross and fine motor skill in school aged children in Al-Madinah Al-Munawara. Methods: Children (N= 99) from 2nd, 3rd and 4th grades completed the gross and fine motor composite of the BruininksOseretsky Test of motor proficiency 2nd Edition (BOT-2). Results: Analysis revealed a weak correlation between gross motor composite and fine motor composite. A weak correlation was found for gross motor subtests except a significant correlation was found for the relationship between balance and bilateral coordination. Conclusion: Therapists should closely look at upper limb speed dexterity and upper limb coordination since they are significantly correlated.

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Section: Discussionmentioning

confidence: 99%

Bruininks- Oseretsky Test Showed Strong Correlation Between Upper Limb Speed Dexterity and Upper Limb Coordination

Emara¹,

Elgohary²

2017

IJNPT

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“…In particular, it was highlighted that specific and repetitive tasks are most effective in acceleration of neuroplasticity of the brain (Hubbard et al 2009;Timmermans et al 2010). Liao et al (2012) reported that repetitive robot-assisted upper limb rehabilitation can After 4 weeks of robot-assisted reach training for 3 directions, significant improvement on upper extremity kinematic performance (movement velocity) was observed in individuals with chronic stroke (P < 0.05). Interestingly, upper extremity kinematic performance (movement velocity) for 3 directions showed highest improvement after 2 weeks of intervention.…”

Section: Discussionmentioning

confidence: 99%

Robot-Assisted Reach Training for Improving Upper Extremity Function of Chronic Stroke

Cho

Song

2015

Tohoku J. Exp. Med.

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Stroke, as a major risk factor for chronic impairment of upper limb function, can severely restrict the activities of daily living. Recently, robotic devices have been used to enhance the functional upper extremity movement of stroke patients. The purpose of the current study was to assess whether a robotassisted reach training program using a whole arm manipulator (WAM) could improve upper extremity kinematic performance and functional movement for chronic stroke patients. Using a single-group design, this study followed 10 people with chronic stroke (6 men, 61.5 years; Mini-Mental State Examination score: 27.0; onset duration: 8.9 years). WAM with seven degrees of freedom for the shoulder, elbow, and wrist joints was used during robot-assisted reach exercises. Subjects participated in the training program for 40 minutes per day, 2 times a week, for 4 weeks. The main outcome measures were upper extremity kinematic performance (movement velocity) for three directions and functional movement (Action Research Arm Test). Upper extremity kinematic performance and functional movement measures were performed three times: at baseline, during intervention (at 2 weeks), and post intervention. Upper extremity kinematic performance and functional movement showed improvement after two weeks (P < 0.05) and four weeks (P < 0.05) of training compared to baseline. The findings of the current study demonstrated the positive effects of short-term robot-assisted reach training on upper extremity kinematic performance as well as functional movement in individuals with chronic stroke. In addition, the findings of the current study may provide valuable information for subsequent randomized controlled trials.

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“…Previous studies showed [56,57] that, even if patients accomplish the rehabilitation tasks in a good way during the therapy sessions, they are not able to repeat the same movements in real life situations. This happens especially for patients with cognitive deficits, because they are not able to relate the movement they perform under clinical conditions to the ones associated with activities in daily life (ADL).…”

Section: Patient's Virtualizationmentioning

confidence: 99%

A virtual reality system for strengthening awareness and participation in rehabilitation for post-stroke patients

Mottura

Fontana

Arlati

et al. 2015

J Multimodal User Interfaces

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This paper presents a system called REAPP, a virtual environment aiming at supporting upper-limb robotic neurorehabilitation for post-stroke patients. In the last few years different systems using either or both virtual environments and robots have been developed. However, such advanced systems often lack attention on the physical and psychological conditions perceived by the patient, who should be the key focus in therapies. In this context, REAPP aims not to be just an entertaining interface but also a means to investigate patients' feelings toward the therapy and to enhance their self-perception while performing the rehabilitation exercises. Before and after the rehabilitation session the patients are inquired about their emotional state, their physical condition and a self-evaluation of the performance is done. While performing the exercises patients look at a 2D/3D interface which has the aim of enhancing their self-awareness by showing them, through an avatar, the movements they are doing. Widgets and a virtual assistant provide additional feedback about the quality of the movements which is computed through a specifically developed B Stefano Mottura arm model that can be customized on the residual capabilities of each patient.

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Effects of robot-assisted upper limb rehabilitation on daily function and real-world arm activity in patients with chronic stroke: a randomized controlled trial

Abstract: Symmetrical and bilateral robotic practice, combined with functional task training, can significantly improve motor function, arm activity, and self-perceived bilateral arm ability in patients late after stroke.

Cited by 149 publications

References 55 publications

Bruininks- Oseretsky Test Showed Strong Correlation Between Upper Limb Speed Dexterity and Upper Limb Coordination

Bruininks- Oseretsky Test Showed Strong Correlation Between Upper Limb Speed Dexterity and Upper Limb Coordination

Robot-Assisted Reach Training for Improving Upper Extremity Function of Chronic Stroke

A virtual reality system for strengthening awareness and participation in rehabilitation for post-stroke patients

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