Influence of Psychologic Features on Rehabilitation Outcomes in Patients with Subacute Stroke Trained with Robotic-Aided Walking Therapy

Bragoni, Maura; Broccoli, Marco; Iosa, Marco; Morone, Giovanni; Angelis, Domenico De; Venturiero, Vincenzo; Coiro, Paola; Pratesi, Luca; Mezzetti, Giulia; Fusco, Augusto; Paolucci, Stefano

doi:10.1097/phm.0b013e3182a20a34

Cited by 42 publications

(33 citation statements)

References 33 publications

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“…Finally, the psychological aspects have been taken into account in relation to the body image. Nevertheless, these features may affect the functional outcomes in a wide spectrum of pathologies, from cancer to orthopaedic and neurological diseases [36, 39, 40]. Further studies should better analyze these aspects.…”

Section: Discussionmentioning

confidence: 99%

Effects of a Multidisciplinary Educational Rehabilitative Intervention in Breast Cancer Survivors: The Role of Body Image on Quality of Life Outcomes

Morone

Iosa

Fusco

et al. 2014

The Scientific World Journal

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In breast cancer survivors, own body image may change due to physical and psychological reasons, worsening women's living. The aim of the study was to investigate whether body image may affect the functional and quality of life outcomes after a multidisciplinary and educational rehabilitative intervention in sixty women with primary nonmetastatic breast cancer who have undergone conservative surgery. To assess the quality of life was administered The European Organization for Research and Treatment of Cancer Study Group on Quality of Life core questionnaire, while to investigate the psychological features and self-image were administered the following scales: the Body Image Scale, the Hamilton Rating Scale for Depression, and the State-Trait Anxiety Inventory. To assess the recovery of the function of the shoulder were administered: the Disabilities of the Arm, Shoulder, and Hand Questionnaire and the Constant-Murley Score. Data were collected at the baseline, at the end of the intervention, and at 3-month follow-up. We found a general improvement in the outcomes related to quality of life, and physical and psychological features after treatment (P < 0.001). During follow-up period, a higher further improvement in women without alterations in body image in respect of those with an altered self-perception of their own body was found (P = 0.01). In conclusion, the body image may influence the efficacy of a rehabilitative intervention, especially in the short term of follow-up.

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Section: Discussionmentioning

confidence: 99%

Effects of a Multidisciplinary Educational Rehabilitative Intervention in Breast Cancer Survivors: The Role of Body Image on Quality of Life Outcomes

Morone

Iosa

Fusco

et al. 2014

The Scientific World Journal

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“…A recent study implicated anxiety as a negative prognostic factor for robotic therapy, whereas internal recovery of a locus of control (e.g., patients who believed themselves to be chief causal factor in managing their recovery) was a positive prognostic factor of better outcomes [85].…”

Section: End-effector/exoskeletonmentioning

confidence: 99%

The value of robotic systems in stroke rehabilitation

Masiero

Poli

Rosati

et al. 2014

Expert Review of Medical Devices

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136

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In this paper, we discuss robot-mediated neurorehabilitation as a significant emerging field in clinical medicine. Stroke rehabilitation is advancing toward more integrated processes, using robotics to facilitate this integration. Rehabilitation approaches have tremendous value in reducing long-term impairments in stroke patients during hospitalization and after discharge, of which robotic systems are a new modality that can provide more effective rehabilitation. The function of robotics in rehabilitative interventions has been examined extensively, generating positive yet not completely satisfactory clinical results. This article presents state-of-the-art robotic systems and their prospective function in poststroke rehabilitation of the upper and lower limbs.

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“…This may have been expected to limit functional improvements in this group since depressive symptoms have been shown to reduce outcomes from rehabilitation after stroke [74] and are correlated with an inability to carry out many activities of daily living [75]. Indeed, one participant did report poor adherence to the study protocol because of severe depression.…”

Section: Influence Of Motivating Factors On Dose Of Exercise and Longmentioning

confidence: 99%

Home-based hand rehabilitation after chronic stroke: Randomized, controlled single-blind trial comparing the MusicGlove with a conventional exercise program

Zondervan¹,

Friedman²,

Chang³

et al. 2016

J Rehabil Res Dev

138

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Abstract-Individuals with chronic stroke have limited options for hand rehabilitation at home. Here, we sought to determine the feasibility and efficacy of home-based MusicGlove therapy. Seventeen participants with moderate hand impairment in the chronic phase of stroke were randomized to 3 wk of home-based exercise with either the MusicGlove or conventional tabletop exercises. The primary outcome measure was the change in the Box and Blocks test score from baseline to 1 mo posttreatment. Both groups significantly improved their Box and Blocks test score, but no significant difference was found between groups. The MusicGlove group did exhibit significantly greater improvements than the conventional exercise group in Motor Activity Log Quality of Movement and Amount of Use scores 1 mo posttherapy (p = 0.007 and p = 0.04, respectively). Participants significantly increased their use of MusicGlove over time, completing 466 gripping movements per day on average at study end. MusicGlove therapy was not superior to conventional tabletop exercises for the primary end point but was nevertheless feasible and led to a significantly greater increase in self-reported functional use and quality of movement of the impaired hand than conventional home exercises.Clinical Trial Registration: ClinicalTrials.gov; "Influence of Timing on Motor Learning"; NCT01769326;  https://clinicaltrials.gov/ct2/show/NCT01769326

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Influence of Psychologic Features on Rehabilitation Outcomes in Patients with Subacute Stroke Trained with Robotic-Aided Walking Therapy

Abstract: Psychologic features, particularly recovery locus of control and anxiety, affected the rehabilitative outcomes of the patients involved in robotic treatment more than those in conventional rehabilitation.

Cited by 42 publications

References 33 publications

Effects of a Multidisciplinary Educational Rehabilitative Intervention in Breast Cancer Survivors: The Role of Body Image on Quality of Life Outcomes

Effects of a Multidisciplinary Educational Rehabilitative Intervention in Breast Cancer Survivors: The Role of Body Image on Quality of Life Outcomes

The value of robotic systems in stroke rehabilitation

Home-based hand rehabilitation after chronic stroke: Randomized, controlled single-blind trial comparing the MusicGlove with a conventional exercise program

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