The effect of the GENTLE/s robot-mediated therapy system on arm function after stroke
The effect of the GENTLE/s robot-mediated therapy system on arm function after stroke
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DOI：
10.1177/0269215507085060
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发表时间：
2008-05-01
影响因子：
3
通讯作者：
Stokes, Emma
中科院分区：
文献类型：
--
作者：
Coote, Susan;Murphy, Brendan;Stokes, Emma
目的：评价机器人介导的治疗对卒中后手臂功能障碍的疗效。设计：采用ABC或ACB顺序的随机多基线设计，进行一系列单病例研究。受试者(n=20)的基线长度为8、9或10个数据点。地点：理疗科、教学医院。研究对象：20名有不同程度运动和感觉障碍的受试者。受试者每周接受三次治疗，每一阶段持续三周。干预：在机器人介导的治疗阶段，他们练习了三种功能练习，并从系统中获得触觉和视觉反馈。在吊带悬挂阶段，他们练习了三次单面练习。每个治疗阶段为期3周。主要测量指标：主动肩关节屈曲范围、Fugl-Meyer运动评定和运动评定量表。结果：每个受试者对测量和干预阶段的反应各不相同。对于大多数受试者来说，机器人介导式治疗阶段的恢复率高于基线阶段。大多数患者在机器人介导性治疗阶段的恢复率也高于吊带悬吊期。结论：两组患者的积极治疗效果都表明，机器人介导性治疗的治疗效果可能比相同持续时间的非功能锻炼更大。以随机对照试验的形式调查最佳治疗时间的进一步研究是必要的。
Objective: To evaluate the effect of robot-mediated therapy on arm dysfunction post stroke.Design: A series of single-case studies using a randomized multiple baseline design with ABC or ACB order. Subjects (n = 20) had a baseline length of 8, 9 or 10 data points. They continued measurement during the B - robot-mediated therapy and C - sling suspension phases.Setting: Physiotherapy department, teaching hospital.Subjects: Twenty subjects with varying degrees of motor and sensory deficit completed the study. Subjects attended three times a week, with each phase lasting three weeks.Interventions: In the robot-mediated therapy phase they practised three functional exercises with haptic and visual feedback from the system. In the sling suspension phase they practised three single-plane exercises. Each treatment phase was three weeks long.Main measures: The range of active shoulder flexion, the Fugl-Meyer motor assessment and the Motor Assessment Scale were measured at each visit.Results: Each subject had a varied response to the measurement and intervention phases. The rate of recovery was greater during the robot-mediated therapy phase than in the baseline phase for the majority of subjects. The rate of recovery during the robot-mediated therapy phase was also greater than that during the sling suspension phase for most subjects.Conclusion: The positive treatment effect for both groups suggests that robot-mediated therapy can have a treatment effect greater than the same duration of non-functional exercises. Further studies investigating the optimal duration of treatment in the form of a randomized controlled trial are warranted.