Effects of arm training with the robotic device ARMin I in chronic stroke: three single cases

Neuro-degenerative Diseases
Tobias NefRobert Riener

Abstract

Several clinical studies on chronic stroke conducted with end-effector-based robots showed improvement of the motor function in the affected arm. Compared to end-effector-based robots, exoskeleton robots provide improved guidance of the human limb and are better suited to train task-oriented movements with a large range of motions. To test whether intensive arm training with the arm exoskeleton ARMin I is feasible with chronic-stroke patients and whether it improves motor function in the paretic arm. Three single cases with chronic hemiparesis resulting from unilateral stroke (at least 14 months after stroke). A-B design with 2 weeks of multiple baseline measurements (A), 8 weeks of training (B) with repetitive measurements and a follow-up measurement 8 weeks after training. The training included shoulder and elbow movements with the robotic rehabilitation device ARMin I. Two subjects had three 1-hour sessions per week and 1 subject received five 1-hour sessions per week. The main outcome measurement was the upper-limb part of the Fugl-Meyer Assessment (FMA). The ARMin training was well tolerated by the patients, and the FMA showed moderate, but significant improvements for all 3 subjects (p < 0.05). Most improvements were main...Continue Reading

Citations

Dec 14, 2011·Zeitschrift für Gerontologie und Geriatrie·L SchwickertU Lindemann
Feb 27, 2013·Medical & Biological Engineering & Computing·Tobias NefUrs P Mosimann
Dec 19, 2009·Journal of Neuroengineering and Rehabilitation·Patricia StaubliRobert Riener
Aug 29, 2012·Journal of Neuroengineering and Rehabilitation·Hanneke J M van der KrogtJ Hans Arendzen
Jun 16, 2011·Journal of Rehabilitation Research and Development·Ana Maria AcostaJules P A Dewald
Jun 16, 2011·Journal of Rehabilitation Research and Development·Qiyu PengLi-Qun Zhang
Jan 10, 2014·Journal of Neuroengineering and Rehabilitation·Paweł MaciejaszSteffen Leonhardt
Sep 14, 2014·Journal of Neuroengineering and Rehabilitation·Nurdiana NordinBurkhard Wünsche
Apr 25, 2015·Journal of Neuroengineering and Rehabilitation·Evan A SusantoNewmen Sk Ho
Mar 7, 2012·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Lori SiedziewskiJulie Mount

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