[논문]Hand Robotics Rehabilitation: Feasibility and Preliminary Results of a Robotic Treatment in Patients with Hemiparesis

Sale, Patrizio; Lombardi, Valentina; Franceschini, Marco

doi:10.1155/2012/820931

[해외논문] Hand Robotics Rehabilitation: Feasibility and Preliminary Results of a Robotic Treatment in Patients with Hemiparesis 원문보기

Stroke research and treatment, v.2012, 2012년, pp.820931 -

Sale, Patrizio (Department of Neurorehabilitation, IRCCS San Raffaele Pisana, Via della Pisana 234, 00163 Rome, Italy) , Lombardi, Valentina (Department of Neurorehabilitation, IRCCS San Raffaele Pisana, Via della Pisana 234, 00163 Rome, Italy) , Franceschini, Marco (Department of Neurorehabilitation, IRCCS San Raffaele Pisana, Via della Pisana 234, 00163 Rome, Italy)

Abstract ▼ AI-Helper

Background. No strongly clinical evidence about the use of hand robot-assisted therapy in stroke patients was demonstrated. This preliminary observer study was aimed at evaluating the efficacy of intensive robot-assisted therapy in hand function recovery, in the early phase after a stroke onset. Methods. Seven acute ischemic stroke patients at their first-ever stroke were enrolled. Treatment was performed using Amadeo robotic system (Tyromotion GmbH Graz, Austria). Each participant received, in addition to inpatients standard rehabilitative treatment, 20 sessions of robotic treatment for 4 consecutive weeks (5 days/week). Each session lasted for 40 minutes. The exercises were carried out as follows: passive modality (5 minutes), passive/plus modality (5 minutes), assisted therapy (10 minutes), and balloon (10 minutes). The following impairment and functional evaluations, Fugl-Meyer Scale (FM), Medical Research Council Scale for Muscle Strength (hand flexor and extensor muscles) (MRC), Motricity Index (MI), and modified Ashworth Scale for wrist and hand muscles (AS), were performed at the beginning (T0), after 10 sessions (T1), and at the end of the treatment (T2). The strength hand flexion and extension performed by Robot were assessed at T0 and T2. The Barthel Index and COMP (performance and satisfaction subscale) were assessed at T0 and T2. Results. Clinical improvements were found in all patients. No dropouts were recorded during the treatment and all subjects fulfilled the protocol. Evidence of a significant improvement was demonstrated by the Friedman test for the MRC (P < 0.0123). Evidence of an improvement was demonstrated for AS, FM, and MI. Conclusions. This original rehabilitation treatment could contribute to increase the hand motor recovery in acute stroke patients. The simplicity of the treatment, the lack of side effects, and the first positive results in acute stroke patients support the recommendations to extend the clinical trial of this treatment, in association with physiotherapy and/or occupational therapy.

참고문헌 (22)

1 Stein J Bishop L Gillen G Helbok R Robot-assisted exercise for hand weakness after stroke: a pilot study American Journal of Physical Medicine & Rehabilitation . In press
2 Balasubramanian S Klein J Burdet E Robot-assisted rehabilitation of hand function Current Opinion in Neurology 2010 23 6 661 670 2-s2.0-78649634753 20852421

상세보기
3 Franceschini M Ceravolo MG Agosti M Clinical relevance of action observation in upper-limb stroke rehabilitation: a possible role in recovery of functional dexterity. A randomized clinical trial Neurorehabilitation and Neural Repair 2012 26 5 456 462 22235059

상세보기
4 Sale P Franceschini M Action observation and mirror neuron network: a tool for motor stroke rehabilitation European Journal of Physical and Rehabilitation Medicine 2012 48 2 313 318 22522432

상세보기
5 Smania N Paolucci S Tinazzi M Active finger extension: a simple movement predicting recovery of arm function in patients with acute stroke Stroke 2007 38 3 1088 1090 2-s2.0-33947524865 17255546

상세보기
6 Bovolenta F Sale P Dall’Armi V Clerici P Franceschini M Robot-aided therapy for upper limbs in patients with stroke-related lesions. Brief report of a clinical experience Journal of NeuroEngineering and Rehabilitation 2011 8 1, article 18 2-s2.0-79953750454
7 Sale P Franceschini M Waldner A Hesse S Use of the robot assisted gait therapy in rehabilitation of patients with stroke and spinal cord injury European Journal of Physical and Rehabilitation Medicine 2012 48 1 111 121 22543557

상세보기
8 Franceschini M Agosti M Cantagallo A Sale P Mancuso M Buccino G Mirror neurons: action observation treatment as a tool in stroke rehabilitation European Journal of Physical and Rehabilitation Medicine 2010 46 4 517 523 2-s2.0-78650290615 20414184

상세보기
9 Lo AC Clinical designs of recent robot rehabilitation trials American Journal of Physical Medicine & Rehabilitation 2012 91 11, supplement 3 S204 S216 23080037
10 Page SJ Levine P Hade E Psychometric properties and administration of the wrist/hand subscales of the fugl-meyer assessment in minimally-impaired upper extremity hemiparesis in stroke Archives of Physical Medicine and Rehabilitation 2012 93 12 2373.e5 2376.e5 22759831
11 Paternostro-Sluga T Grim-Stieger M Posch M Reliability and validity of the Medical Research Council (MRC) scale and a modified scale for testing muscle strength in patients with radial palsy Journal of Rehabilitation Medicine 2008 40 8 665 671 2-s2.0-53349144899 19020701

상세보기
12 Wade DT Measuring arm impairment and disability after stroke International Disability Studies 1989 11 2 89 l92 2-s2.0-0024953632 2698395
13 Sommerfeld DK Gripenstedt U Welmer AK Spasticity after stroke: an overview of prevalence, test instruments, and treatments American Journal of Physical Medicine & Rehabilitation 2012 91 9 814 820 22760104

상세보기
14 Hochberg LR Bacher D Jarosiewicz B Reach and grasp by people with tetraplegia using a neurally controlled robotic arm Nature 2012 485 7398 372 375 22596161

상세보기
15 Bernhardt J Thuy MNT Collier JM Legg LA Very early versus delayed mobilisation after stroke Cochrane Database of Systematic Reviews 2009 1 2-s2.0-70249103084 CD006187
16 Salter K Jutai JW Teasell R Foley NC Bitensky J Issues for selection of outcome measures in stroke rehabilitation: ICF body functions Disability and Rehabilitation 2005 27 4 191 207 2-s2.0-16344377715 15824050

상세보기
17 Sivan M O'Connor RJ Makower S Levesley M Bhakta B Systematic review of outcome measures used in the evaluation of robot-assisted upper limb exercise in stroke Journal of Rehabilitation Medicine 2011 43 181 189 21305232

상세보기
18 Mehrholz J Platz T Kugler J Pohl M Electromechanical and robot-assisted arm training for improving arm function and activities of daily living after stroke Cochrane Database of Systematic Reviews 2008 4 CD006876 2-s2.0-58249089210
19 Kwakkel G Meskers CGM van Wegen EE Impact of early applied upper limb stimulation: the EXPLICIT-stroke programme design BMC Neurology 2008 8, article 49 2-s2.0-59349085570
20 Mehrholz J Platz T Kugler J Pohl M Electromechanical and robot-assisted arm training for improving arm function and activities of daily living after stroke Cochrane Database of Systematic Reviews 2008 4 CD006876 2-s2.0-58249089210
21 Gelber DA Jozefczyk PB Therapeutics in the management of spasticity Neurorehabilitation and Neural Repair 1999 13 1 5 14 2-s2.0-0032844562

상세보기
22 Sommerfeld DK Eek EUB Svensson AK Holmqvist LW Von Arbin MH Spasticity after stroke: its occurrence and association with motor impairments and activity limitations Stroke 2004 35 1 134 139 2-s2.0-0347600948 14684785

상세보기

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증

[해외논문] Hand Robotics Rehabilitation: Feasibility and Preliminary Results of a Robotic Treatment in Patients with Hemiparesis 원문보기

Abstract ▼ AI-Helper

참고문헌 (22)

이 논문을 인용한 문헌

관련 콘텐츠

원문 보기

원문 URL 링크

오픈액세스(OA) 유형

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트