期刊
JOURNAL OF NEUROENGINEERING AND REHABILITATION
卷 19, 期 1, 页码 -出版社
BMC
DOI: 10.1186/s12984-021-00961-w
关键词
Stroke; Robot-assisted therapy; Upper extremity; Rehabilitation
资金
- Chang Gung Memorial Hospital [BMRP553, CMRPD1I0033]
- Ministry of Science and Technology [MOST 109-2314-B-182 -027 -MY3]
- Healthy Aging Research Center, Chang Gung University from the Featured Areas Research Center Program by the Ministry of Education (MOE) in Taiwan [EMRPD1L0411]
Both robot-assisted hand training and task-oriented training have positive effects in post-stroke rehabilitation, but they have slightly different effects in different domains. EMG-driven robot-assisted therapy is as effective as task-oriented training in improving upper limbs functional performance, and it is more effective in improving movement duration during functional tasks. Task-oriented training shows better improvement in body function and activity and participation domains.
Background: Robot-assisted hand training has shown positive effects on promoting neuromuscular control. Since both robot-assisted therapy and task-oriented training are often used in post-stroke rehabilitation, we raised the question of whether two interventions engender differential effects in different domains. Methods: The study was conducted using a randomized, two-period crossover design. Twenty-four chronic stroke survivors received a 12-session robot-assisted intervention followed by a 12-session task-oriented intervention or vice versa. A 1-month washout period between each intervention was implemented. Outcome measures were evaluated before the intervention, after the first 12-session intervention, and after the second 12-session intervention. Clinical assessments included Fugl-Meyer Assessment for Upper Extremity, Wolf Motor Function Test, Action Research Arm Test and Motor Activity Log. Results: Our findings suggested that EMG-driven robot-assisted therapy was as effective as task-oriented training in terms of improving upper limbs functional performance in activity domain, and robot-assisted therapy was more effective in improving movement duration during functional tasks. Task-oriented training showed better improvement in body function domain and activity and participation domain, especially in improving spontaneous use of affected arm during daily activities. Conclusions: Both intervention protocol had their own advantages in different domains, and robot-assisted therapy may save manpower and be considered as an alternative intervention to task-oriented training. Combining the two approaches could yield results greater than either alone, which awaits further study.
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