Efficacy of Short-Term Robot-Assisted Rehabilitation in Patients With Hand Paralysis After Stroke: A Randomized Clinical Trial

Villafañe, Jorge Hugo; Taveggia, Giovanni; Galeri, Silvia; Bissolotti, Luciano; Mullè, Chiara; Imperio, Grace; Valdes, Kristin; Borboni, Alberto; Négrini, Stefano

doi:10.1177/1558944717692096

Cited by 61 publications

(78 citation statements)

References 39 publications

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“…Before the palpation test, the clinician administered two questionnaires, the Barthel Index and The Disabilities of the Arm, Shoulder and Hand (DASH) score to evaluate the disability of the patient and the specific function of the upper limb, respectively. 10,21,22 Pain -Visual Analogue Scale (VAS)…”

Section: Test and Scalesmentioning

confidence: 99%

Prevalence of Myofascial Trigger Points in Poststroke Patients With Painful Shoulders: A Cross‐Sectional Study

Villafañe

López-Royo

Herrero

et al. 2019

PM&R

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Background In patients with stroke, hemiplegic shoulder pain can be a major problem. One source of shoulder pain can be myofascial trigger points (MTrPs). Objective To determine the prevalence of myofascial trigger points (MTrPs) and the correlation between MTrPs and pain and function in patients presenting with shoulder pain following a stroke. Design Cross‐sectional study. Setting Department of Physical Therapy. Patients Fifty patients with stroke with shoulder pain. Intervention Not applicable. Main Outcome Measurements The prevalence of the MTrPs located in infraspinatus, supraspinatus, teres minor, and upper trapezius was studied, using the diagnosis criteria recommended by Simons et al. The pressure pain threshold was also evaluated. Pain and function were assessed with the Visual Analogue Scale (VAS) and the Disability of the Arm, Shoulder and Hand (DASH) scale, respectively. Results The prevalence of latent MTrPs was 68%, 92%, 40%, and 62% for supraspinatus, infraspinatus, teres minor, and upper trapezius muscle, respectively. The prevalence of active MTrPs was 34%, 50%, 12%, and 20% for supraspinatus, infraspinatus, teres minor, and upper trapezius muscle, respectively. Pain was moderately correlated with the prevalence of latent MTrPs (r = 0.35; P = .01) and active MTrPs (r = 0.31; P = .03) in the supraspinatus muscle. Disability was measured with the DASH scale and was moderately correlated with latent MTrPs in the infraspinatus (r = 0.31; P = .03) and active MTrPs of the supraspinatus (r = 0.32; P = .02). Conclusions This study shows that the prevalence of MTrPs is high in patents following a stroke. MTrPs in this population are moderately associated with pain and function. Level of Evidence II.

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Section: Test and Scalesmentioning

confidence: 99%

Prevalence of Myofascial Trigger Points in Poststroke Patients With Painful Shoulders: A Cross‐Sectional Study

Villafañe

López-Royo

Herrero

et al. 2019

PM&R

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“…In the current design, the exoskeleton body part for the hand was placed at the volar side of the hand, while most of the hand robots' exoskeleton body are placed at the dorsum side [12,13,19,30,31]. This was to prevent hand injury that may be caused by the excessive grasp motion of the robot.…”

Section: Design Of a Two-axis Distal Upper Limb Rehabilitation Robotmentioning

confidence: 99%

“…The buttons on the control panel consist of forearm supination/pronation motion, closing/opening of grasp motion, emergency stop, confirmation (measurement) button for image processing, and execution button for automatic movement according to the result of image processing (Figure 3). In the current design, the exoskeleton body part for the hand was placed at the volar side of the hand, while most of the hand robots' exoskeleton body are placed at the dorsum side [12,13,19,30,31]. This was to prevent hand injury that may be caused by the excessive grasp motion of the robot.…”

Section: Assembly Of the Robotmentioning

confidence: 99%

“…In fact, most of the rehabilitation robots focus on providing high repetitions and maintain motivation by applying virtual reality or gamification factors, such as providing disturbance during desired movements [6][7][8][9][10]. Robots that are developed as assistive devices, which interact with real objects, would primarily provide ultimate task-specific movements [11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

“…This type usually falls into the assistive device category and include a robotic interface, mostly in hand exoskeleton form, for interaction with real objects. Examples of this type are Gloreha and Hand of hope [13,19]. Another type of upper limb rehabilitation robot could be arm support devices [10,20,21].…”

Section: Introductionmentioning

confidence: 99%

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Vision-Assisted Interactive Human-in-the-Loop Distal Upper Limb Rehabilitation Robot and its Clinical Usability Test

et al. 2019

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In the context of stroke rehabilitation, simple structures and user-intent driven actuation are relevant features to facilitate neuroplasticity as well as deliver a sufficient number of repetitions during a single therapy session. A novel robotic treatment device for distal upper limb rehabilitation in stroke patients was developed, and a usability test was performed to assess its clinical feasibility. The rehabilitation robot was designed as a two-axis exoskeleton actuated by electric motors, consisting of forearm supination/pronation and hand grasp/release, which were selected based on a kinematic analysis of essential daily activities. A vision-assisted algorithm was utilized for user-intent extraction in a human-in-the-loop concept. A usability test was performed on six physiatrists, five biomedical engineers, five rehabilitation therapists, two chronic stroke patients, and two caregivers of the patients. After sufficient instruction, all subjects tested the robot for a minimum of 10 min and completed the evaluation form using a 7-point Likert scale. The participants found the device interesting (5.7 ± 1.2), motivating (5.8 ± 0.9), and as having less possibility of causing injury or safety issues (6.1 ± 1.1); however, the appropriateness of difficulty (4.8 ± 1.9) and comfort level (4.9 ± 1.3) were found to be relatively low. Further development of the current device would provide a good treatment option as a simple, low-cost, and clinically feasible rehabilitation robot for stroke.

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Electromechanical and robot-assisted arm training for improving activities of daily living, arm function, and arm muscle strength after stroke

Mehrholz

Pohl

Platz

et al. 2018

Cochrane Database of Systematic Reviews

306

304

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People who receive electromechanical and robot-assisted arm training after stroke might improve their activities of daily living, arm function, and arm muscle strength. However, the results must be interpreted with caution although the quality of the evidence was high, because there were variations between the trials in: the intensity, duration, and amount of training; type of treatment; participant characteristics; and measurements used.

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Efficacy of Short-Term Robot-Assisted Rehabilitation in Patients With Hand Paralysis After Stroke: A Randomized Clinical Trial

Abstract: In the treatment of pain and spasticity in hand paralysis after stroke, robot-assisted mobilization performed in conjunction with traditional PT and OT is as effective as traditional rehabilitation.

Cited by 61 publications

References 39 publications

Prevalence of Myofascial Trigger Points in Poststroke Patients With Painful Shoulders: A Cross‐Sectional Study

Prevalence of Myofascial Trigger Points in Poststroke Patients With Painful Shoulders: A Cross‐Sectional Study

Vision-Assisted Interactive Human-in-the-Loop Distal Upper Limb Rehabilitation Robot and its Clinical Usability Test

Electromechanical and robot-assisted arm training for improving activities of daily living, arm function, and arm muscle strength after stroke

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