Effects of robot assistive upper extremity rehabilitation on motor and cognitive recovery, the quality of life, and activities of daily living in stroke patients

Zengin-Metli, Derya; Özbudak-Demir, Sibel; Eraktaş, İrem; Binay-Safer, Vildan; Ekiz, Timur

doi:10.3233/bmr-171015

Cited by 18 publications

(16 citation statements)

References 14 publications

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“…Indeed, the limited transfer of upper limb motor improvement in upper limb motor ability to different domains, as the activities of daily living, observed in several studies (50), could be due to the lack of attention toward the coexistent cognitive impairment. Few studies explored the cognitive effects of a robotic rehabilitation program (51,52), and they did not use tools to investigate specific cognitive functions. This is the first pilot study in which cognitive training and upper limb motor rehabilitation are combined thanks to the use of robotic and sensor-based devices on a sample of subacute stroke patients, using a cognitive screening tool and a set of cognitive outcome measures investigating attention and processing speed, memory, visuospatial abilities, visual memory, and executive functions.…”

Section: Discussionmentioning

confidence: 99%

Robotic Rehabilitation: An Opportunity to Improve Cognitive Functions in Subjects With Stroke. An Explorative Study

et al. 2020

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Background: After a stroke, up to three-quarters of acute and subacute stroke survivors exhibit cognitive impairment, with a significant impact on functional recovery, quality of life, and social engagement. Robotic therapy has shown its effectiveness on motor recovery, but its effectiveness on cognitive recovery has not fully investigated. Objective: This study aims to assess the impact of a technological rehabilitation intervention on cognitive functions in patients with stroke, using a set of three robots and one sensor-based device for upper limb rehabilitation. Methods: This is a pilot study in which 51 patients were enrolled. An upper limb rehabilitation program was performed using three robots and one sensor-based device. The intervention comprised motor/cognitive exercises, especially selected among the available ones to train also cognitive functions. Patients underwent 30 rehabilitation sessions, each session lasting 45 minutes, 5 days a week. Patients were assessed before and after the treatment with several cognitive tests (Oxford Cognitive Scale, Symbol Digit Modalities Test, Digit Span, Rey-Osterrieth Complex Figure, Tower of London, and Stroop test). In addition, motor (Fugl-Meyer Assessment and Motricity Index) and disability (modified Barthel Index) scales were used. Results: According to the Oxford Cognitive Scale domains, a significant percentage of patients exhibited cognitive deficits. Excluding perception (with only one patient impaired), the domain with the lowest percentage of patients showing a pathological score was praxis (about 25%), while the highest percentage of impaired patients was found in calculation (about 70%). After the treatment, patients improved in all the investigated cognitive domains, as measured by the selected cognitive assessment scales. Moreover, motor and disability scales confirmed the efficacy of robotics on upper limb rehabilitation in patients with stroke. Conclusions: This explorative study suggests that robotic technology can be used to combine motor and cognitive exercises in a unique treatment session.

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Section: Discussionmentioning

confidence: 99%

Robotic Rehabilitation: An Opportunity to Improve Cognitive Functions in Subjects With Stroke. An Explorative Study

et al. 2020

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“…S3 presented the assessment of the risk of bias of all individual studies in detail. Forty studies (86.96%) described the randomization procedure, and six studies [37][38][39][40][41][42] did not show detailed information on random sequence generation. There were twenty-nine (63.04%) trials with adequate allocation concealment and thirty-eight (82.61%) trials with blinding of the assessors.…”

Section: Methodological Quality and Risk Of Biasmentioning

confidence: 99%

Short and long-term effects of robot-assisted therapy on upper limb motor function and activity of daily living in patients post-stroke: a meta-analysis of randomized controlled trials

Zhang

Jia

et al. 2022

J NeuroEngineering Rehabil

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Objective To investigate the effect of robot-assisted therapy (RAT) on upper limb motor control and activity function in poststroke patients compared with that of non-robotic therapy. Methods We searched PubMed, EMBASE, Cochrane Library, Google Scholar and Scopus. Randomized controlled trials published from 2010 to nowadays comparing the effect of RAT and control treatment on upper limb function of poststroke patients aged 18 or older were included. Researchers extracted all relevant data from the included studies, assessed the heterogeneity with inconsistency statistics (I2 statistics), evaluated the risk of bias of individual studies and performed data analysis. Result Forty-six studies were included. Meta-analysis showed that the outcome of the Fugl-Meyer Upper Extremity assessment (FM-UE) (SMD = 0.20, P = 0.001) and activity function post intervention was significantly higher (SMD = 0.32, P < 0.001) in the RAT group than in the control group. Differences in outcomes of the FM-UE and activity function between the RAT group and control group were observed at the end of treatment and were not found at the follow-up. Additionally, the outcomes of the FM-UE (SMD = 0.15, P = 0.005) and activity function (SMD = 0.32, P = 0.002) were significantly different between the RAT and control groups only with a total training time of more than 15 h. Moreover, the differences in outcomes of FM-UE and activity post intervention were not significant when the arm robots were applied to patients with severe impairments (FM-UE: SMD = 0.14, P = 0.08; activity: SMD = 0.21, P = 0.06) or when patients were provided with patient-passive training (FM-UE: SMD = − 0.09, P = 0.85; activity: SMD = 0.70, P = 0.16). Conclusion RAT has the significant immediate benefits for motor control and activity function of hemiparetic upper limb in patients after stroke compared with controls, but there is no evidence to support its long-term additional benefits. The superiority of RAT in improving motor control and activity function is limited by the amount of training time and the patients' active participation.

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“…İnme sonrası dönemde yaşam kalitesini etkileyen faktörleri araştıran çalışmaların sonuçları ile uyumlu olarak İnme Etki Ölçeği 3.0 için hastaların yaşam kalitelerinin motor gelişim ve fonksiyonellik düzeyi arttıkça olumlu yönde gelişme gösterdiği belirtilmiştir (42). Literatürde robot destekli üst ekstremite eğitiminin inmeli hastaların yaşam kalitesi üerine etkisini araştıran çalışma sayısı oldukça kısıtlıdır (11,(43)(44)(45). Wu…”

Section: Robot Destekli üSt Ekstremite Eğitimiunclassified

İnmeli Hastalarda Robot Destekli Üst Ekstremite Eğitiminin El Fonksiyonu ve Yaşam Kalitesi Üzerine Etkisi

Mustafaoğlu¹,

Yildiz²,

Kesiktaş³

2020

Osmangazi̇ Journal of Medicine

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Çalışmanın amacı, inmeli hastalarda geleneksel rehabilitasyona ek olarak uygulanan robot destekli üst ekstremite eğitiminin el fonksiyonu ve yaşam kalitesi üzerine etkisini araştırmaktı. Çalışmaya katılmaya gönüllü toplam 49 kronik inmeli hasta dahil edildi. Tüm hastalar geleneksel rehabilitasyon programına ek olarak günde 30 dakika, haftada 5 kez, 6 hafta boyunca ArmeoSpring üst ekstremite robotik cihazı ile eğitime katılan hastaların geçmişe yönelik bilgileri kayıt edildi. Hastaların başlangıçta ve tedavi sonunda el fonksiyonları ABILHAND İnme El Fonksiyonu anketi ve yaşam kaliteleri ise İnme Etki Ölçeği 3.0 (İEÖ) kullanılarak değerlendirildi. Çalışmaya katılan inmeli hastaların %57,2'si kadın ve yaş ortalamaları 51,6±11,1 yıl idi. İnmeden sonra geçen süre ortalamaları ise 3,1±1,7 yıl idi. Eğitimden sonra hastaların ABILHAND İnme El Fonksiyonu skorlarında istatistiksel olarak anlamlı iyileşme olduğu saptandı (p=0,0001). Ayrıca, İEÖ 3.0'ın el fonksiyonu (p=0,0001) ve günlük yaşam aktiviteleri (p=0,0001) alanları başta olmak üzere tüm alanlarda anlamlı düzeyde gelişme olduğu bulundu (p<0,05). Geleneksel rehabilitasyon programı ile kombine edilmiş robot destekli üst ekstremite eğitiminin inmeli hastaların el fonksiyonlarını ve özellikle günlük yaşam aktivitelere katılımlarını artırarak yaşam kalitelerini iyileştirdiği görüldü.

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Effects of robot assistive upper extremity rehabilitation on motor and cognitive recovery, the quality of life, and activities of daily living in stroke patients

Abstract: In the light of our results, robotic rehabilitation in addition to the conventional rehabilitation program seems to be effective on improving motor recovery and the quality of life in subacute stroke patients.

Cited by 18 publications

References 14 publications

Robotic Rehabilitation: An Opportunity to Improve Cognitive Functions in Subjects With Stroke. An Explorative Study

Robotic Rehabilitation: An Opportunity to Improve Cognitive Functions in Subjects With Stroke. An Explorative Study

Short and long-term effects of robot-assisted therapy on upper limb motor function and activity of daily living in patients post-stroke: a meta-analysis of randomized controlled trials

İnmeli Hastalarda Robot Destekli Üst Ekstremite Eğitiminin El Fonksiyonu ve Yaşam Kalitesi Üzerine Etkisi

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