Predicting Clinically Significant Changes in Motor and Functional Outcomes After Robot-Assisted Stroke Rehabilitation

Hsieh, Yu-Chen; Lin, Keh‐chung; Wu, Ching‐yi; Lien, Hen-Yu; Chen, Jean-Lon; Chen, Chih-Chi; Chang, Wei-Han

doi:10.1016/j.apmr.2013.09.018

Cited by 42 publications

(40 citation statements)

References 36 publications

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“…However, the control group showed ambiguous score changes (5-10 points). Hsieh et al, (2014) reported that participants with a baseline BBT score of 10-20 were more likely to achieve FMA-UE improvements, compared with those with a BBT score of <10. Thus, participants of this study might have had a greater chance of improvement after intervention than individuals with a lower BBT scores.…”

Section: ⅳ Discussionmentioning

confidence: 99%

Action observation training enhances upper extremity function in subacute stroke survivor with moderate impairment: a double-blind, randomized controlled pilot trial

Kim¹,

Bang²

2016

Journal of the Korean Society of Physical Medicine

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Section: ⅳ Discussionmentioning

confidence: 99%

Action observation training enhances upper extremity function in subacute stroke survivor with moderate impairment: a double-blind, randomized controlled pilot trial

Kim¹,

Bang²

2016

Journal of the Korean Society of Physical Medicine

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“…Similarly, the time to complete the J-T test in no more than 30% over the non-paretic hand was achieved by 21% and 14% of males and females respectively. These data could not be tested for statistical significance due to the very small number of patients, however, it appears to suggest both females and males have similar chance for very good prognosis of recovering upper extremity function if their motor loss following stroke was not severe [24,25].…”

Section: Discussionmentioning

confidence: 99%

Loss of upper Extremity Motor Control and Function affect Women more than Men

Alon¹

2014

J Nov Physiother Phys Rehabil

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Citation: Alon G (2014) Loss of upper Extremity Motor Control and Function affect Women more than Men. J Nov Physiother Phys Rehabil 1(1): 019 AbstractBackground: Loss of functional ability and motor control following stroke appears to affect women more severely than men in general. However, little attention has been paid specifically to the upper extremity.Objective: To quantify loss of upper extremity control, comparing men to women that survived ischemic stroke. A secondary purpose was to report gender differences in residual deficits (RD) of the paretic upper extremity following 12 weeks of rehabilitation. Design:A retrospective data analyses from women (n=21) and men (n=24) that received task-specific (control) or task-specific + functional electrical stimulation (FES) training to the paretic upper extremity.Methods: Participants performed a modified Fugl-Meyer (mF-M), the Box & Blocks and the Jebsen-Taylor light object lift tests. Baseline and post 12-week training data of women and men were compared statistically (p=0.05). RD was calculated as= (1-(paretic/ non-paretic))*100. Results:Females had significantly greater loss of upper extremity control compared to male subjects (9.3±8.6 vs. 14.8±12.0 mF-M score; 0.7±1.9 vs. 4.5±6.6 transferred blocks; and 60±0 vs. 49.9±18.3 sec completing the Jebsen-Taylor test). Females' RD were significantly higher performing the mF-M and Box & Blocks than the males' RD. The Jebsen-Taylor test's RD did not differ statistically between the genders. Limitations:The study was not based on prospective analysis of data where gender is considered a factor in the original experimental design. Conclusion:Loss of upper extremity control is considerably more evident in females following first-time ischemic stroke. The recovery rate associated with task-specific rehabilitation with or without FES appears similar in a sub-group with good prognosis. The deficits of motor control and hand function of females with poor prognosis remain significantly higher than the deficits of males with similar prognosis.However, the relevance of these findings was limited to that specific test. More importantly, these patients had a stroke 3-9 months earlier, already recovered, or never lost measurable volitional motor control of the shoulder, elbow, wrist and fingers.The vast majority of patients, having paralysis or paresis of the upper extremity, are not likely to regain control of all the movement components described by Wolf et al. [9] Furthermore, studies that focused on recovery of the upper extremity following a stroke frequently used different outcome measures [10][11][12][13][14][15]. In relation to upper extremity function, the Action Research Arm Test (ARAT), the Jebsen-Taylor Hand Function test (J-T) and the Box & Blocks (B&B) are frequently used by different groups of investigators [6,[10][11][12][14][15][16]. One conceivable advantage of these tests, particularly the J-T and B&B is the less time intensive administration and data compilation process. In addition both can be done at any loc...

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“…[9,10]), rehabilitacja prowadzona z wykorzystaniem robotów może być skuteczniejsza niż prowadzona klasycznymi metodami, roboty rehabilitacyjne mają jednak poważne wady. Przede wszystkim koszt takich urządzeń jest wysoki -przykładowy koszt robota rehabilitacyjnego przytoczony w pracy [11] to 200 000 USD.…”

Section: Stan Wiedzyunclassified

Concept of the robotic system for hand rehabilitation using computer games and virtual reality

Budziszewski¹

2015

Mechanik

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Predicting Clinically Significant Changes in Motor and Functional Outcomes After Robot-Assisted Stroke Rehabilitation

Cited by 42 publications

References 36 publications

Action observation training enhances upper extremity function in subacute stroke survivor with moderate impairment: a double-blind, randomized controlled pilot trial

Action observation training enhances upper extremity function in subacute stroke survivor with moderate impairment: a double-blind, randomized controlled pilot trial

Loss of upper Extremity Motor Control and Function affect Women more than Men

Concept of the robotic system for hand rehabilitation using computer games and virtual reality

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