[논문]Efficacy of Upper Extremity Robotic Therapy in Subacute Poststroke Hemiplegia : An Exploratory Randomized Trial

Takahashi, Kayoko; Domen, Kazuhisa; Sakamoto, Tomosaburo; Toshima, Masahiko; Otaka, Yohei; Seto, Makiko; Irie, Katsumi; Haga, Bin; Takebayashi, Takashi; Hachisuka, Kenji

doi:10.1161/STROKEAHA.115.012520

Efficacy of Upper Extremity Robotic Therapy in Subacute Poststroke Hemiplegia : An Exploratory Randomized Trial

Stroke, v.47 no.5, 2016년, pp.1385 - 1388

Takahashi, Kayoko (From the Department of Occupational Therapy, Kitasato University, Kanagawa, Japan (K.T.)) , Domen, Kazuhisa (Department of Rehabilitation Medicine, Hyogo College of Medicine, Hyogo, Japan (K.D.)) , Sakamoto, Tomosaburo (Department of Rehabilitation, Kansai Rehabilitation Hospital, Osaka, Japan (T.S.)) , Toshima, Masahiko (Department of Rehabilitation, Tokeidai Memorial Hospital, Hokkaido, Japan (M.T.)) , Otaka, Yohei (Department of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba, Japan (Y.O.)) , Seto, Makiko (Department of Neurology, Nagasaki Kita Hospital, Nagasaki, Japan (M.S.)) , Irie, Katsumi (Department of Neurology, Hakujuji Hospital, Fukuoka, Japan (K.I.)) , Haga, Bin (Department of Rehabilitation, Kitakyushu Yahatahigashi Hospital, Fukuoka, Japan (B.H.)) , Takebayashi, Takashi (Department of Rehabilitation, The Hospital of Hyogo College of Medicine, Hyogo, Japan (T.T.)) , Hachisuka, Kenji (and Moji Medical Center, Fukuoka, Japan (K.H.).)

Abstract ▼ AI-Helper

Background and Purpose—Our aim was to study the efficacy of robotic therapy as an adjuvant to standard therapy during poststroke rehabilitation.Methods—Prospective, open, blinded end point, randomized, multicenter exploratory clinical trial in Japan of 60 individuals with mild to moderate hemiplegia 4 to 8 weeks post stroke randomized to receive standard therapy plus 40 minutes of either robotic or self-guided therapy for 6 weeks (7 days/week). Upper extremity impairment before and after intervention was measured using the Fugl–Meyer assessment, Wolf Motor Function Test, and Motor Activity Log.Results—Robotic therapy significantly improved Fugl–Meyer assessment flexor synergy (2.1±2.7 versus −0.1±2.4; P<0.01) and proximal upper extremity (4.8±5.0 versus 1.9±5.5; P<0.05) compared with self-guided therapy. No significant changes in Wolf Motor Function Test or Motor Activity Log were observed. Robotic therapy also significantly improved Fugl–Meyer assessment proximal upper extremity among low-functioning patients (baseline Fugl–Meyer assessment score <30) and among patients with Wolf Motor Function Test ≥120 at baseline compared with self-guided therapy (P<0.05 for both).Conclusions—Robotic therapy as an adjuvant to standard rehabilitation may improve upper extremity recovery in moderately impaired poststroke patients. Results of this exploratory study should be interpreted with caution.Clinical Trial Registration—URL: http://www.umin.ac.jp/. Unique identifier: UMIN000001619.

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World Health Organization. Stroke cerebrovascular accident. Available from: http://www.emro.who.int/health-topics/stroke-cerebrovascular-accident/index.html. Accessed on November 13 2015.
MMWR Morb Mortal Wkly Rep Centers for Disease Control and Prevention (CDC) 504 56 2007 Outpatient rehabilitation among stroke survivors: 21 states and the District of Columbia, 2005. Centers for Disease Control and Prevention (CDC). Outpatient rehabilitation among stroke survivors: 21 states and the District of Columbia, 2005. MMWR Morb Mortal Wkly Rep. 2007;56:504-507.
Takeuchi, Naoyuki, Izumi, Shin-Ichi. Rehabilitation with Poststroke Motor Recovery: A Review with a Focus on Neural Plasticity. Stroke research and treatment, vol.2013, 128641-.

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Masiero, Stefano, Poli, Patrizia, Rosati, Giulio, Zanotto, Damiano, Iosa, Marco, Paolucci, Sefano, Morone, Giovanni. The value of robotic systems in stroke rehabilitation. Expert review of medical devices, vol.11, no.2, 187-198.

상세보기
Mehrholz, Jan, H?drich, Anja, Platz, Thomas, Kugler, Joachim, Pohl, Marcus. Electromechanical and robot-assisted arm training for improving generic activities of daily living, arm function, and arm muscle strength after stroke.. The Cochrane database of systematic reviews, vol.2012, no.6, 006876-.

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10.1682/JRRD.2010.10.0210
Narayan Arya, Kamal, Verma, Rajesh, Garg, R.K.. Estimating the Minimal Clinically Important Difference of an Upper Extremity Recovery Measure in Subacute Stroke Patients. Topics in stroke rehabilitation, vol.18, no.suppl1, 599-610.

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Duret, Christophe, Hutin, Emilie, Lehenaff, Laurent, Gracies, Jean-Michel. Do all sub acute stroke patients benefit from robot-assisted therapy? A retrospective study. Restorative neurology and neuroscience, vol.33, no.1, 57-65.

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Lo, Albert C., Guarino, Peter D., Richards, Lorie G., Haselkorn, Jodie K., Wittenberg, George F., Federman, Daniel G., Ringer, Robert J., Wagner, Todd H., Krebs, Hermano I., Volpe, Bruce T., Bever Jr., Christopher T., Bravata, Dawn M., Duncan, Pamela W., Corn, Barbara H., Maffucci, Alysia D., Nadeau, Stephen E., Conroy, Susan S., Powell, Janet M., Huang, Grant D., Peduzzi, Peter. Robot-Assisted Therapy for Long-Term Upper-Limb Impairment after Stroke. The New England journal of medicine, vol.362, no.19, 1772-1783.

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Efficacy of Upper Extremity Robotic Therapy in Subacute Poststroke Hemiplegia : An Exploratory Randomized Trial

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