Three-dimensional, task-specific robot therapy of the arm after stroke: a multicentre, parallel-group randomised trial

Klamroth-Marganska, Verena; Blanco, Javier Borbore; Campen, Katrin; Curt, Armin; Dietz, Volker; Ettlin, Thierry; Felder, Morena; Fellinghauer, Bernd A. G.; Guidali, Marco; Kollmar, Anja; Luft, Andreas R.; Nef, Tobias; Schuster‐Amft, Corina; Stahel, Werner A.; Riener, Robert

doi:10.1016/s1474-4422(13)70305-3

Cited by 440 publications

(326 citation statements)

References 39 publications

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“…stroke, traumatic brain injury, spinal cord injury, cerebral palsy, multiple sclerosis, etc.) (Deutsch & McCoy, 2017; Howard, 2017; Klamroth-Marganska et al, 2014; Lange et al, 2012; Merians et al, 2010), and for the assessment and rehabilitation of attention, memory, spatial skills, and other cognitive functions in both clinical and unimpaired populations (Bogdanova, Yee, Ho, & Cicerone, 2016; Matheis et al, 2007; Parsons, Rizzo, Rogers, & York, 2009; Pugnetti et al, 1995; Rizzo, 1994; Rizzo et al, 2006; Valladares-Rodriguez et al, 2016). …”

Section: Introductionmentioning

confidence: 99%

Clinical Virtual Reality tools to advance the prevention, assessment, and treatment of PTSD

Rizzo

Shilling

2017

European Journal of Psychotraumatology

125

101

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Numerous reports indicate that the incidence of posttraumatic stress disorder (PTSD) in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn (OEF/OIF/OND) military personnel has created a significant behavioural healthcare challenge. These findings have served to motivate research on how to better develop and disseminate evidence-based treatments for PTSD. The current article presents the use of Virtual Reality (VR) as a clinical tool to address the assessment, prevention, and treatment of PTSD, based on the VR projects that were evolved at the University of Southern California Institute for Creative Technologies since 2004. A brief discussion of the definition and rationale for the clinical use of VR is followed by a description of a VR application designed for the delivery of prolonged exposure (PE) for treating Service Members (SMs) and Veterans with combat- and sexual assault-related PTSD. The expansion of the virtual treatment simulations of Iraq and Afghanistan for PTSD assessment and prevention is then presented. This is followed by a forward-looking discussion that details early efforts to develop virtual human agent systems that serve the role of virtual patients for training the next generation of clinical providers, as healthcare guides that can be used to support anonymous access to trauma-relevant behavioural healthcare information, and as clinical interviewers capable of automated behaviour analysis of users to infer psychological state. The paper will conclude with a discussion of VR as a tool for breaking down barriers to care in addition to its direct application in assessment and intervention.

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Section: Introductionmentioning

confidence: 99%

Clinical Virtual Reality tools to advance the prevention, assessment, and treatment of PTSD

Rizzo

Shilling

2017

European Journal of Psychotraumatology

125

101

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“…Robotic devices can provide repetitive, high-intensity, task-specific, interactive, cost-effective intervention of the impaired UL, can measure changes whilst providing feedback to people with stroke and can potentially be more effective than conventional therapy (Hesse, Werner, Kabbert, & Buschfort, 2014;Klamroth-Marganska et al, 2014;Prange, Jannink, Groothuis-Oudshoorn, Hermens, & IJzerman, 2006;. RT has been shown to result in improvement of motor function of the UL; however, it may not significantly improve strength and activities of daily living and dexterity (Basteris et al, 2014;Mehrholz, Haedrich, Platz, Kugler, & Pohl, 2012).…”

Section: Introductionmentioning

confidence: 99%

A double-blinded randomised controlled trial exploring the effect of anodal transcranial direct current stimulation and uni-lateral robot therapy for the impaired upper limb in sub-acute and chronic stroke

Triccas

Burridge

Hughes

et al. 2015

NRE

101

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Abstract. BACKGROUND:Neurorehabilitation technologies such as robot therapy (RT) and transcranial Direct Current Stimulation (tDCS) can promote upper limb (UL) motor recovery after stroke. OBJECTIVE: To explore the effect of anodal tDCS with uni-lateral and three-dimensional RT for the impaired UL in people with sub-acute and chronic stroke. METHODS: A pilot randomised controlled trial was conducted. Stroke participants had 18 one-hour sessions of RT (Armeo ® Spring) over eight weeks during which they received 20 minutes of either real tDCS or sham tDCS during each session. The primary outcome measure was the Fugl-Meyer assessment (FMA) for UL impairments and secondary were: UL function, activities and stroke impact collected at baseline, post-intervention and three-month follow-up. RESULTS: 22 participants (12 sub-acute and 10 chronic) completed the trial. No significant difference was found in FMA between the real and sham tDCS groups at post-intervention and follow-up (p = 0.123). A significant 'time' x 'stage of stroke' was found for FMA (p = 0.016). A higher percentage improvement was noted in UL function, activities and stroke impact in people with sub-acute compared to chronic stroke. CONCLUSIONS: Adding tDCS did not result in an additional effect on UL impairment in stroke. RT may be of more benefit in the sub-acute than chronic phase.

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“…Another randomised controlled trial with the ARMin robotic system used people in the chronic phase post-stroke ( six months after stroke). 2 Their results showed better motor function recovery with the use of the robotic system. 2 Whether the type of control system accounts for the effectiveness (or ineffectiveness) of robot-assisted therapy is a matter of debate.…”

Section: Commentarymentioning

confidence: 96%

Including upper extremity robotic therapy during early inpatient stroke rehabilitation may not lead to better outcomes than conventional treatment

Pang

2014

Journal of Physiotherapy

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Three-dimensional, task-specific robot therapy of the arm after stroke: a multicentre, parallel-group randomised trial

Abstract: 1Background: Arm hemiparesis, secondary to stroke, is common and disabling. The robot ARMin, 2

Cited by 440 publications

References 39 publications

Clinical Virtual Reality tools to advance the prevention, assessment, and treatment of PTSD

Clinical Virtual Reality tools to advance the prevention, assessment, and treatment of PTSD

A double-blinded randomised controlled trial exploring the effect of anodal transcranial direct current stimulation and uni-lateral robot therapy for the impaired upper limb in sub-acute and chronic stroke

Including upper extremity robotic therapy during early inpatient stroke rehabilitation may not lead to better outcomes than conventional treatment

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