Feasibility and Potential Effects of Robot-Assisted Passive Range of Motion Training in Combination with Conventional Rehabilitation on Hand Function in Patients with Chronic Stroke

Hsu, Chia‐Yu; Wu, Chu-Ming; Huang, Chieh-Chen; Shie, Hung-Hai; Tsai, Yuh-Show

doi:10.2340/jrm.v54.1407

Cited by 2 publications

(1 citation statement)

References 38 publications

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“…AROM against gravity is theoretically a rapid indication of the ability of the spared motor system to activate the spinal motoneuron pools that move a particular segment in stroke survivors [33]. One study by Hsu et al reported the use of exoskeletal robotassisted PROM of the hand can be employed as an induction therapy for the stroke rehabilitation program [34].…”

Section: Discussionmentioning

confidence: 99%

Biomechanical Evaluation of Fingers Repetitive Voluntary Tasks in Chronic Stroke Survivors

Adeel,

Peng,

Lee

et al. 2023

IEEE Access

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A chronic stroke affects hand mobility limiting the normal functioning of the finger joints. The voluntary tasks with a repetitive motion can identify the limitation in the range of motion (ROM) to enhance the hand functioning of stroke survivors. Therefore, we compared two voluntary tasks fast ball squeezing (FBS) and slow ball squeezing (SBS), and analyzed the variability of these tasks for finger pressure and ROM in chronic stroke survivors. An experimental study with 22 healthy and 39 chronic stroke participants was conducted. All of them wore an upper limb motion capture device (UMCD) to record the active (AROM) of finger joints during FBS and SBS tasks for 20 repetitions. The data were analyzed into the joint angle and pressure to compare these tasks and their variability. While comparing the FBS and SBS tasks, left-side pressure and both sides' ROM attained the level of significance (p < 0.05) except for right-side pressure in healthy controls. However, for stroke participants, right-side pressure and left-side ROM differed significantly. The finger pressure and ROM for the right vs. left side are changed significantly for both tasks in healthy control and stroke survivors except for SBS pressure in the stroke group (p = 0.119). The right FBS and SBS are more sensitive to changes in finger pressure and left SBS for ROM in healthy control while in stroke survivors, left FBS and SBS pressure and ROM are sensitive. The variability for pressure is higher and easy to detect as compared to ROM.INDEX TERMS Active range of motion, chronic stroke, finger joints, hand function, joint angle.

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Section: Discussionmentioning

confidence: 99%

Biomechanical Evaluation of Fingers Repetitive Voluntary Tasks in Chronic Stroke Survivors

Adeel,

Peng,

Lee

et al. 2023

IEEE Access

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Cortical response characteristics of passive, active, and resistance movements: a multi-channel fNRIS study

Li,

Zhu,

Jiang

et al. 2024

Front. Hum. Neurosci.

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ObjectiveThis study aimed to explore the impact of exercise training modes on sensory and motor-related cortex excitability using functional near-infrared spectroscopy technology (fNIRS) and reveal specific cortical effects.Materials and methodsTwenty participants with no known health conditions took part in a study involving passive, active, and resistance tasks facilitated by an upper-limb robot, using a block design. The participants wore functional near-infrared spectroscopy (fNIRS) devices throughout the experiment to monitor changes in cortical blood oxygen levels during the tasks. The fNIRS optode coverage primarily targeted key areas of the brain cortex, including the primary motor cortex (M1), primary somatosensory cortex (S1), supplementary motor area (SMA), and premotor cortex (PMC) on both hemispheres. The study evaluated cortical activation areas, intensity, and lateralization values.ResultsPassive movement primarily activates M1 and part of S1, while active movement mainly activates contralateral M1 and S1. Resistance training activates brain regions in both hemispheres, including contralateral M1, S1, SMA, and PMC, as well as ipsilateral M1, S1, SMA, and PMC. Resistance movement also activates the ipsilateral sensorimotor cortex (S1, SMA, PMC) more than active or passive movement. Active movement has higher contralateral activation in M1 compared to passive movement. Resistance and active movements increase brain activity more than passive movement. Different movements activate various cortical areas equally on both sides, but lateralization differs. The correlation between lateralization of brain regions is significant in the right cortex but not in the left cortex during three movement patterns.ConclusionAll types of exercise boost motor cortex excitability, but resistance exercise activates both sides of the motor cortex more extensively. The PMC is crucial for intense workouts. The right cortex shows better coordination during motor tasks than the left. fNIRS findings can help determine the length of treatment sessions.

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Feasibility and Potential Effects of Robot-Assisted Passive Range of Motion Training in Combination with Conventional Rehabilitation on Hand Function in Patients with Chronic Stroke

Cited by 2 publications

References 38 publications

Biomechanical Evaluation of Fingers Repetitive Voluntary Tasks in Chronic Stroke Survivors

Biomechanical Evaluation of Fingers Repetitive Voluntary Tasks in Chronic Stroke Survivors

Cortical response characteristics of passive, active, and resistance movements: a multi-channel fNRIS study

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