Bilateral robotic priming before task-oriented approach in subacute stroke rehabilitation: a pilot randomized controlled trial

Hsieh, Yu-Chen; Wu, Ching‐yi; Wang, Wei-en; Lin, Keh‐chung; Chang, Ku‐Chou; Chen, Chih-Chi; Liu, Chien-ting

doi:10.1177/0269215516633275

Cited by 42 publications

(58 citation statements)

References 41 publications

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“…Four studies [17, 21, 53, 54] compared the effects of BULT and UULT in subjects with acute stroke. Two studies [26, 46] compared the effects of BULT and UULT in people with sub-acute stroke. Thirteen studies [15, 16, 18, 19, 22–25, 28, 55–58] compared the effects of these rehabilitation strategies in subjects with chronic stroke.…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies [19, 20, 22, 24, 26, 46, 55] explored the effects of bilateral robotic-assisted or resistance training on upper limb motor function after stroke. Three studies [20, 24, 55] compared the effects of 90 minutes of bilateral robotic-assisted training and of 90 minutes of unilateral robotic-assisted training.…”

Section: Resultsmentioning

confidence: 99%

“…By contrast, BULT has a lower training intensity. Patients are expected to complete approximately 1 to 2 hours of training per session on 3 to 5 days per week [24, 46], in contrast to the CIMT schedule of 6 hours of supervised task practice on each of 14 consecutive days [10, 47, 48]. Second, most CIMT studies applied stringent inclusion criteria, including at least 10 degrees of wrist extension, thumb abduction and finger extension on the affected side [49].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of bilateral and unilateral upper limb training in people with stroke: A systematic review and meta-analysis

et al. 2019

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Background and objectives Bilateral upper limb training (BULT) and unilateral upper limb training (UULT) are two effective strategies for the recovery of upper limb motor function after stroke. This meta-analysis aimed to compare the improvements in motor impairment and functional performances of people with stroke after BULT and UULT. Research design and methods This systematic review and meta-analysis identified 21 randomized controlled trials (RCTs) met the eligibility criteria from CINAHL, Medline, Embase, Cochrane Library and PubMed. The outcome measures were the Fugl-Meyer Assessment of Upper Extremity (FMA-UE), Wolf Motor Function Test (WMFT), Action Research Arm Test (ARAT) and Box and Block Test (BBT), which are validated measures of upper limb function. Results Twenty-one studies involving 842 subjects with stroke were included. Compared with UULT, BULT yielded a significantly greater mean difference (MD) in the FMA-UE (MD = 2.21, 95% Confidence Interval (CI), 0.12 to 4.30, p = 0.04; I 2 = 86%, p<0.001). However, a comparison of BULT and UULT yielded insignificant mean difference (MD) in terms of the time required to complete the WMFT (MD = 0.44; 95%CI, -2.22 to 3.10, p = 0.75; I 2 = 55%, p = 0.06) and standard mean difference (SMD) in terms of the functional ability scores on the WMFT, ARAT and BBT (SMD = 0.25; 95%CI, -0.02 to 0.52, p = 0.07; I 2 = 54%, p = 0.02). Discussion and implications Compared to UULT, BULT yielded superior improvements in the improving motor impairment of people with stroke, as measured by the FMA-UE. However, these strategies did not yield significant differences in terms of the functional performance of people with stroke, as measured by the WMFT, ARAT and BBT. More comparative studies of the effects of BULT and UULT are needed to increase the reliability of these conclusions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparison of bilateral and unilateral upper limb training in people with stroke: A systematic review and meta-analysis

et al. 2019

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“…Hsieh et al (2016) reported on a bilateral priming study using the Bi-Manu-Track (Rehab-Stim Co, Berlin, Germany), a robotic device allowing wrist flexion and extension as well as forearm supination and pronation. This device allows passive, active-assisted, active, and resisted movement.…”

Section: Bilateral Motor Primingmentioning

confidence: 99%

Movement-Based Priming: Clinical Applications and Neural Mechanisms

Stoykov

Corcos

Madhavan

2017

Journal of Motor Behavior

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Priming can be described as behavior change generated by preceding stimuli. Although various types of priming have been long studied in the field of psychology, priming that targets motor cortex is a relatively new topic of research in the fields of motor control and rehabilitation. In reference to a rehabilitation intervention, priming is categorized as a restorative approach. There are a myriad of possible priming approaches including non-invasive brain stimulation, motor imagery, and sensory-based priming, to name a few. The authors report on movement-based priming which, compared to other priming types, is less frequently examined and under reported. Movement-based priming includes, but is not limited to, bilateral motor priming, unilateral priming, and aerobic exercise. Clinical and neural mechanistic aspects of movement-based priming techniques are explored.

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“…선정된 연구의 질적 수준을 평가하기 위하여 PEDro scale을 사용하 Hesse et al [19] Hsieh et al [20] Page et al [22] Takahashi et al [25] Tomic et al […”

Section: 질적 메타분석 방법unclassified

The Effect of Robotic Intervention on Upper Limb Function in Individuals with Stroke: A Meta-Analysis of Randomized Controlled Trials

Kwon¹

2018

J Health Info Stat

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Objectives:The main symptom of stroke is upper limb function deficit. Robotic intervention has been applied to treat the paretic upper limb. Through this meta-analysis, we investigated the effect of robotic intervention on upper limb function recovery of individuals with stroke. Methods: The analyzed studies were identified through electronic search engines such as PubMed, CINAHL, MEDLINE for the last 5 years. The PEDro scale was used to rate the methodological quality of included studies. Meta-analysis is performed to analyze the sample size, means, and standard deviations in selected studies. Results: Ten randomized controlled trails were included for meta-analysis. PEDro scale was more than 6 points in all studies. Three hundred twenty subjects participated in included studies. In order to statistically analyze the effect size of the robotic interventions, the outcomes of studies were classified into upper limb function (ULF) and activities of daily living (ADL). In consideration of heterogeneity of effect size, we used random effect model. Metaanalysis of 10 trials showed "small effect size". The effect size of ULF was 0.288 and the effect size of ADL was 0.265. Conclusions: Robotic intervention was not more effective than other dose-matching conventional therapies. Therefore, it is necessary to select appropriate individual interventions reflect characteristics of the individuals with stroke and robotic interventions may be used as a complementary methods to conventional therapy. How to cite this article: Kwon JS. The effect of robotic intervention on upper limb function in individuals with stroke: a meta-analysis of randomized controlled trials. J Health Info Stat 2018;43(1):46-53. Doi: https://doi.

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Bilateral robotic priming before task-oriented approach in subacute stroke rehabilitation: a pilot randomized controlled trial

Cited by 42 publications

References 41 publications

Comparison of bilateral and unilateral upper limb training in people with stroke: A systematic review and meta-analysis

Comparison of bilateral and unilateral upper limb training in people with stroke: A systematic review and meta-analysis

Movement-Based Priming: Clinical Applications and Neural Mechanisms

The Effect of Robotic Intervention on Upper Limb Function in Individuals with Stroke: A Meta-Analysis of Randomized Controlled Trials

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