Portable upper extremity robotics is as efficacious as upper extremity rehabilitative therapy: a randomized controlled pilot trial.
Portable upper extremity robotics is as efficacious as upper extremity rehabilitative therapy: a randomized controlled pilot trial.
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DOI：
10.1177/0269215512464795
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发表时间：
2013-06
影响因子：
3
通讯作者：
White S
中科院分区：
文献类型：
--
作者：
Page SJ;Hill V;White S
在慢性、中度上肢损伤患者中，将一种便携式肌电控制支架称为“Myomo”与常规护理重复性任务特定练习相结合的重复性任务特定练习方案的效果进行比较。16例患者（男性7例，平均年龄57.0±11.02岁，平均卒中后时间75.0±87.63个月，左侧卒中5例）表现为慢性、稳定、中度上肢损伤。受试者被给予重复性任务特定练习，他们参与有价值的功能性任务，使用他们的双亲上肢。两组均由一名治疗师监督，并针对其麻痹性上肢进行治疗，疗程为30分钟，每周3天，持续8周。然而，一组在完全佩戴便携式机器人的情况下进行重复性任务练习，而另一组则手动进行相同的活动方案。上肢Fugl-Meyer、加拿大职业表现量表和卒中影响量表分别在干预前两次和干预后一次进行。干预后，各组表现出几乎相同的Fugl-Meyer评分增加约2.1分；使用机器人的小组在加拿大职业表现测量和中风影响量表的子量表中表现出更大的得分变化，包括中风影响量表恢复子量表的12.5分增加。研究结果表明，对于中度上肢损伤的受试者，治疗师监督的重复性任务特定练习整合机器人技术与手动练习一样有效。
To compare the efficacy of a repetitive task specific practice regimen integrating a portable, electromyography-controlled brace called the “Myomo” versus usual care repetitive task specific practice in subjects with chronic, moderate upper extremity impairment. 16 subjects (7 males; mean age = 57.0 ± 11.02 years; mean time post stroke = 75.0 ± 87.63 months; 5 left-sided strokes) exhibiting chronic, stable, moderate upper extremity impairment. Subjects were administered repetitive task specific practice in which they participated in valued, functional tasks using their paretic upper extremities. Both groups were supervised by a therapist and were administered therapy targeting their paretic upper extremities that was 30-minutes in duration, occurring 3 days/week for 8 weeks. However, one group participated in repetitive task specific practice entirely while wearing the portable robotic while the other performed the same activity regimen manually.. The upper extremity Fugl-Meyer, Canadian Occupational Performance measure and Stroke Impact Scale were administered on two occasions before intervention and once after intervention. After intervention, groups exhibited nearly-identical Fugl-Meyer score increases of ≈ 2.1 points; the group using robotics exhibited larger score changes on all but one of the Canadian occupational performance measure and Stroke Impact Scale subscales, including a 12.5-point increase on the Stroke Impact Scale recovery subscale. Findings suggest that therapist-supervised repetitive task specific practice integrating robotics is as efficacious as manual in subjects with moderate upper extremity impairment.
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DOI：
10.1016/s1052-3057(03)00042-9
发表时间：
2003-05-01
期刊：
Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
影响因子：
--
作者：
Kelly-Hayes, Margaret;Beiser, Alexa;Wolf, Philip A
通讯作者：
Wolf, Philip A
影响因子：
14.5
作者：
ALEXANDER, MP;BAKER, E;PALUMBO, C
通讯作者：
PALUMBO, C
影响因子：
8.3
作者：
Page, Stephen J.;Levine, Peter;Leonard, Anthony
通讯作者：
Leonard, Anthony
影响因子：
--
作者：
GOLDSTEIN, LB;BERTELS, C;DAVIS, JN
通讯作者：
DAVIS, JN
影响因子：
3.2
作者：
Page, Stephen J.;Levine, Peter;Kissela, Brett M.
通讯作者：
Kissela, Brett M.