Evaluation of an upper limb robotic rehabilitation program on motor functions, quality of life, cognition, and emotional status in patients with stroke: a randomized controlled study

Taravati, Sahel; Çapaci, Kazım; Uzumcugil, Hale; Tanıgör, Göksel

doi:10.1007/s10072-021-05431-8

Cited by 29 publications

(29 citation statements)

References 36 publications

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“…The sample size of the included studies is a variable that stands out in this systematic review. Excepting the clinical trial by Taravati et al [ 36 ] with n = 37, the clinical trial by Olukolade and Osinowo [ 40 ] with n = 30, and the one by Chun et al [ 42 ] with n = 59, the rest presented a sample size equal to or greater than 60 patients.…”

Section: Resultsmentioning

confidence: 99%

“…In terms of assessment instruments, all studies have used multiple standardized tests. For the assessment of depression status, the most commonly used tools have been found to be the Hospital Anxiety and Depression Scale (HADS) [ 31 , 32 , 33 , 34 ], the Hamilton Depression Scale (HAM-D) [ 30 , 33 , 35 , 36 ], and the Beck Depression Inventory (BDI) [ 29 , 30 , 36 ]. Other aspects such as occupational performance measured through the assessment instrument known as the Barthel Index (BI) were addressed [ 31 , 34 , 36 , 37 ].…”

Section: Resultsmentioning

confidence: 99%

“…However, several authors such as Taravati et al [ 36 ], Kongkasuwan et al [ 43 ], West et al [ 39 ], and Niu et al [ 35 ], did not show significant changes in the outcomes of the cognitive aspects of their interventions (as assessed by MoCA) or in the long-term functional prognosis of their interventions. Furthermore, changes in depression were also not confirmed by the single use of antidepressants [ 41 ].…”

Section: Discussionmentioning

confidence: 99%

“…Mental health may be more vulnerable after a stroke because cognitive impairments (concentration or performance) may interfere with emotional states [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

The Impact of Depression on the Functional Outcome of the Elderly Stroke Victim from a Gender Perspective: A Systematic Review

Franco-Urbano¹,

Rodríguez-Martínez

García-Pérez

2022

Healthcare

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(1) Background: The aim of this systematic review focused on analyzing the impact of depression on the functional outcome of the elderly stroke victim and how this disorder affects both the female and the male population. (2) Methods: We conducted a systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The review was registered in PROSPERO (ID 346284). The systematic search for clinical trials was performed in the databases Pubmed, Otseeker, Scopus, Web of Science, Psycinfo, Medline Complete, ScienceDirect, SciELO, and Dialnet. Articles were selected according to the inclusion and exclusion criteria, including those dealing with post-stroke depression in adults whose psychological status had changed. Studies that only assessed the psychological state of caregivers were excluded. (3) Results: In total, 609 articles were identified, of which 11 randomized controlled trials were finally included in the review. The results indicate that post-stroke depression influences the recovery of functionality and quality of life. In addition, the need to detect the mood of the adult population after the stroke and to provide individualized treatment according to the characteristics of the person is highlighted. (4) Conclusions: This systematic review shows how early detection of post-stroke depressive symptoms can improve the degree of disability and quality of life of the person, especially in women.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Mental health may be more vulnerable after a stroke because cognitive impairments (concentration or performance) may interfere with emotional states [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The Impact of Depression on the Functional Outcome of the Elderly Stroke Victim from a Gender Perspective: A Systematic Review

Franco-Urbano¹,

Rodríguez-Martínez

García-Pérez

2022

Healthcare

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“…Studies verified that the existence of robots through rehabilitation becomes a strong factor to improve the movement ability of patients when they suffer from impairments either due to orthopedic or neurological diseases. The improvement of the muscle strength and movement coordination of these patients according to the automated robot-assisted, task-oriented repetitive movements is also verified [3,4]. Thus, the problem of designing an appropriate controller for a robotic manipulator that demands low errors and high stability is still open.…”

Section: Introductionmentioning

confidence: 90%

A Robust Controller Design for Simple Robotic Human Arm

Aboud¹,

Aljobouri²,

Al-Amir³

2022

IJEEI

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Nowadays, the manipulator of two degrees of freedom (2DOF) has many applications. One is a human arm that may be utilized in robotic rehabilitation. The 2DOF controlled robot manipulator usually acts like human arms. This paper aims to design a robust, stable controller for the upper limb robotic model. A sliding mode control (SMC) approach is proposed to realize stability, tracing accuracy, and robustness for 2DOF robotic manipulator. Based on the general manipulator equation of motion, two SMCs are designed. The first is designed according to the input-output stability constraints. The second is designed according to the adaptive law. Not only the trajectory tracking is guaranteed but also stability is ensured. The stability of the controllers is examined based on Lyapunov stability criteria. The controllers and the robotic arm are formulated analytically. The MATLAB platform is adopted to examine and validate the proposed controller's performance. The addition of adaptation law in the SMC scheme improves the results for the two designed controllers and shows remarkable trajectory tracking and system stability as well. The improvement rate shows an enhancement of 40.5% and 36.7% for manipulator joints 1 and 2, respectively.

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Effect of Upper Robot‐Assisted Training on Upper Limb Motor, Daily Life Activities, and Muscular Tone in Patients With Stroke: A Systematic Review and Meta‐Analysis

Su,

Wang,

Chen

et al. 2024

Brain and Behavior

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BackgroundUpper limb rehabilitation robot is a relatively new technology, but its effectiveness remains debatable due to the inconsistent results of clinical trials. This article intends to assess how upper limb rehabilitation robots help the functional recovery of stroke patients.MethodsPubMed, Embase, Cochrane Library, and Web of Science databases were searched for eligible studies to explore the effect of upper limb rehabilitation robots on upper limb motor function, muscle tone, and daily living activities.ResultsEighteen trials with 573 stroke patients met the inclusion criteria. The results showed that compared to conventional rehabilitation training, patients who received upper limb robotic therapy (RT) had significantly improved Fugl‐Meyer Upper Extremity Motor Assessment (FMA‐UE) scores (weighted mean differences [WMD]: 5.27, 95% confidence intervals [CI]: 3.36, 7.17), Action Research Arm Test (ARAT) scores (WMD: 4.07, 95% CI: −4.14, 12.28), Modified Barthel Index (MBI) scores (WMD: 9.55, 95% CI: 6.37, 12.73), and modified Ashworth Scale (MAS) scores (WMD: −0.28, 95% CI: −0.50, 0.06), with no significant heterogeneity.ConclusionsUpper limb robot–assisted training is superior to conventional training in terms of improving upper limb motor impairment, ability to perform daily living activities, and muscle tone recovery, which supports the application of robots in clinical practice.

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Evaluation of an upper limb robotic rehabilitation program on motor functions, quality of life, cognition, and emotional status in patients with stroke: a randomized controlled study

Cited by 29 publications

References 36 publications

The Impact of Depression on the Functional Outcome of the Elderly Stroke Victim from a Gender Perspective: A Systematic Review

The Impact of Depression on the Functional Outcome of the Elderly Stroke Victim from a Gender Perspective: A Systematic Review

A Robust Controller Design for Simple Robotic Human Arm

Effect of Upper Robot‐Assisted Training on Upper Limb Motor, Daily Life Activities, and Muscular Tone in Patients With Stroke: A Systematic Review and Meta‐Analysis

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