Impact of initial flexor synergy pattern scores on improving upper extremity function in stroke patients treated with adjunct robotic rehabilitation: A randomized clinical trial
Impact of initial flexor synergy pattern scores on improving upper extremity function in stroke patients treated with adjunct robotic rehabilitation: A randomized clinical trial
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初始屈肌协同模式评分对接受辅助机器人康复治疗的中风患者上肢功能的影响：一项随机临床试验
DOI：
10.1080/10749357.2020.1738660
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发表时间：
2020
影响因子：
2.2
通讯作者：
K. Hachisuka
中科院分区：
文献类型：
--
作者：
Takashi Takebayashi;Kayoko Takahashi;K. Domen;K. Hachisuka
摘要背景：机器人辅助康复是中风后患者的一种有吸引力的策略，因为它以一致，精确和自动化的方式产生重复运动。目的：确定哪些患者将受益于机器人康复上肢（UE）偏瘫。方法：我们使用之前随机临床试验的数据，比较了6周机器人治疗（ReoGeo系统）加标准治疗（n=30）与自我指导治疗加标准治疗（n=26）在轻度至中度UE轻偏瘫成人亚急性期康复中的作用。结果指标为三个Fugl-Meyer（FMA）运动评分：总UE评分、近端UE评分和UE屈肌协同评分。根据治疗前UE屈肌协同评分，将参与者分为轻度（10-12分）、中度（6-9分）和重度（0-5分）损伤类别。结果：在机器人组中，中度或重度损伤患者的所有结局指标在治疗后均有所改善。在自我指导治疗中，无论损伤类别如何，大多数结局都没有改善。当比较机器人组和自我引导组治疗前后的变化时，所有损伤类别的大多数结果都相似。然而，在中度损伤患者中，机器人治疗与UE屈肌协同作用的改善程度大于自我引导治疗（2.3±1.3 vs. -0.1 2. 8，P=0.027）。结论：中风后机器人辅助康复，作为标准康复治疗的辅助，改善了中度或重度治疗前UE屈肌协同损伤患者的UE功能。在中度治疗前损伤的患者中，辅助机器人治疗比辅助自我引导康复对UE屈肌协同运动功能产生更大的改善。
ABSTRACT Background: Robot-assisted rehabilitation is an appealing strategy for patients after stroke, as it generates repetitive movements in a consistent, precise, and automated manner. Objective: To identify patients who will benefit most from robotic rehabilitation for upper extremity (UE) hemiparesis. Methods:We used data from our previous randomized clinical trial comparing 6 weeks of robotic therapy (ReoGeo system) plus standard therapy (n=30) with self-guided therapy plus standard therapy (n=26) for sub-acute phase rehabilitation in adults with mild to moderate UE hemiparesis. The outcome measures were three Fugl-Meyer (FMA) motor scores: total UE score, proximal UE score, and UE flexor synergy score. Based on pre-therapy UE flexor synergy scores, participants were categorized into mild (10–12 points), moderate (6–9 points), and severe (0–5 points) impairment classes. Results: In the robotic group, all outcome measures improved after therapy in patients with moderate or severe impairment. In the self-guided therapy, most outcomes did not improve, regardless of the impairment class. When changes from pre- to post-therapy were compared between robotic and self-guided groups, most outcomes were similar in all impairment classes. However, robotic therapy was associated with greater improvement in UE flexor synergy than self-guided therapy in patients with moderate impairment (2.3±1.3 vs. -0.1±2.8, P=0.027). Conclusions: Post-strokerobot-assisted rehabilitation, as an adjunct to standard rehabilitation therapy, improved UE function in patients with moderate or severe pre-therapy UE flexor synergy impairment. Adjunct robotic therapy produced greater improvement in UE flexor synergy motor function than adjunct self-guided rehabilitation in patients with moderate pre-therapy impairment.
DOI：
10.1016/j.apmr.2007.02.036
发表时间：
2007-06-01
影响因子：
4.3
作者：
Woodbury, Michelle L.;Velozo, Craig A.;Lai, Sue-Min
通讯作者：
Lai, Sue-Min