Impact of initial flexor synergy pattern scores on improving upper extremity function in stroke patients treated with adjunct robotic rehabilitation: A randomized clinical trial.

Topics in Stroke Rehabilitation
Takashi TakebayashiKenji Hachisuka

Abstract

Background: Robot-assisted rehabilitation is an appealing strategy for patients after stroke, as it generates repetitive movements in a consistent, precise, and automated manner. Objective: To identify patients who will benefit most from robotic rehabilitation for upper extremity (UE) hemiparesis. Methods:We used data from our previous randomized clinical trial comparing 6 weeks of robotic therapy (ReoGeo system) plus standard therapy (n=30) with self-guided therapy plus standard therapy (n=26) for sub-acute phase rehabilitation in adults with mild to moderate UE hemiparesis. The outcome measures were three Fugl-Meyer (FMA) motor scores: total UE score, proximal UE score, and UE flexor synergy score. Based on pre-therapy UE flexor synergy scores, participants were categorized into mild (10-12 points), moderate (6-9 points), and severe (0-5 points) impairment classes. Results: In the robotic group, all outcome measures improved after therapy in patients with moderate or severe impairment. In the self-guided therapy, most outcomes did not improve, regardless of the impairment class. When changes from pre- to post-therapy were compared between robotic and self-guided groups, most outcomes were similar in all impairment classes. Ho...Continue Reading

References

Apr 1, 1994·Archives of Physical Medicine and Rehabilitation·H NakayamaT S Olsen
May 30, 2007·Archives of Physical Medicine and Rehabilitation·Michelle L WoodburySue-Min Lai
Mar 26, 2010·Annals of Internal Medicine·Kenneth F SchulzUNKNOWN CONSORT Group
Jul 10, 2012·Journal of Rehabilitation Research and Development·Nahid Norouzi-GheidariJoyce Fung
Aug 17, 2012·Stroke; a Journal of Cerebral Circulation·Yu-wei HsiehYa-ju Chang
Feb 1, 2014·Expert Review of Medical Devices·Stefano MasieroGiovanni Morone
Mar 24, 2016·Stroke; a Journal of Cerebral Circulation·Kayoko TakahashiKenji Hachisuka

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