Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after stroke Export

@article{citeulike:2857389, abstract = {Lum PS, Burgar CG, Shor PC, Majmundar M, Van der Loos M. Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after stroke. Arch Phys Med Rehabil 2002;83:952-9. Objective: To compare the effects of robot-assisted movement training with conventional techniques for the rehabilitation of upper-limb motor function after stroke. Design: Randomized controlled trial, 6-month follow-up. Setting: A Department of Veterans Affairs rehabilitation research and development center. Participants: Consecutive sample of 27 subjects with chronic hemiparesis ([gt ]6mo after cerebrovascular accident) randomly allocated to group. Interventions: All subjects received twenty-four 1-hour sessions over 2 months. Subjects in the robot group practiced shoulder and elbow movements while assisted by a robot manipulator. Subjects in the control group received neurodevelopmental therapy (targeting proximal upper limb function) and 5 minutes of exposure to the robot in each session. Main Outcome Measures: Fugl-Meyer assessment of motor impairment, FIM[trade ] instrument, and biomechanic measures of strength and reaching kinematics. Clinical evaluations were performed by a therapist blinded to group assignments. Results: Compared with the control group, the robot group had larger improvements in the proximal movement portion of the Fugl-Meyer test after 1 month of treatment (P[lt ].05) and also after 2 months of treatment (P[lt ].05). The robot group had larger gains in strength (P[lt ].02) and larger increases in reach extent (P[lt ].01) after 2 months of treatment. At the 6-month follow-up, the groups no longer differed in terms of the Fugl-Meyer test (P[gt ].30); however, the robot group had larger improvements in the FIM (P[lt ].04). Conclusions: Compared with conventional treatment, robot-assisted movements had advantages in terms of clinical and biomechanical measures. Further research into the use of robotic manipulation for motor rehabilitation is justified. [copy ] 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation}, author = {Lum, Peter S. and Burgar, Charles G. and Shor, Peggy C. and Majmundar, Matra and Van der Loos, Machiel}, citeulike-article-id = {2857389}, citeulike-linkout-0 = {http://dx.doi.org/10.1053/apmr.2001.33101}, citeulike-linkout-1 = {http://linkinghub.elsevier.com/retrieve/pii/S0003-9993(02)00011-4}, citeulike-linkout-2 = {http://www.sciencedirect.com/science/article/B6WB6-467SSV1-D/1/2a22429c6f4e53ceb67f0a4958e99672}, doi = {10.1053/apmr.2001.33101}, journal = {Archives of Physical Medicine and Rehabilitation}, keywords = {stroke, treatment}, month = {July}, number = {7}, pages = {952--959}, posted-at = {2008-06-03 10:31:26}, priority = {2}, title = {Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after stroke}, url = {http://dx.doi.org/10.1053/apmr.2001.33101}, volume = {83}, year = {2002} }

TY - JOUR ID - citeulike:2857389 L3 - citeulike-article-id:2857389 N2 - Lum PS, Burgar CG, Shor PC, Majmundar M, Van der Loos M. Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after stroke. Arch Phys Med Rehabil 2002;83:952-9. Objective: To compare the effects of robot-assisted movement training with conventional techniques for the rehabilitation of upper-limb motor function after stroke. Design: Randomized controlled trial, 6-month follow-up. Setting: A Department of Veterans Affairs rehabilitation research and development center. Participants: Consecutive sample of 27 subjects with chronic hemiparesis ([gt ]6mo after cerebrovascular accident) randomly allocated to group. Interventions: All subjects received twenty-four 1-hour sessions over 2 months. Subjects in the robot group practiced shoulder and elbow movements while assisted by a robot manipulator. Subjects in the control group received neurodevelopmental therapy (targeting proximal upper limb function) and 5 minutes of exposure to the robot in each session. Main Outcome Measures: Fugl-Meyer assessment of motor impairment, FIM[trade ] instrument, and biomechanic measures of strength and reaching kinematics. Clinical evaluations were performed by a therapist blinded to group assignments. Results: Compared with the control group, the robot group had larger improvements in the proximal movement portion of the Fugl-Meyer test after 1 month of treatment (P[lt ].05) and also after 2 months of treatment (P[lt ].05). The robot group had larger gains in strength (P[lt ].02) and larger increases in reach extent (P[lt ].01) after 2 months of treatment. At the 6-month follow-up, the groups no longer differed in terms of the Fugl-Meyer test (P[gt ].30); however, the robot group had larger improvements in the FIM (P[lt ].04). Conclusions: Compared with conventional treatment, robot-assisted movements had advantages in terms of clinical and biomechanical measures. Further research into the use of robotic manipulation for motor rehabilitation is justified. [copy ] 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation IS - 7 JF - Archives of Physical Medicine and Rehabilitation EP - 959 TI - Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after stroke VL - 83 SP - 952 KW - stroke KW - treatment AU - Lum, Peter AU - Burgar, Charles AU - Shor, Peggy AU - Majmundar, Matra AU - Van der Loos, Machiel PY - 2002/07// UR - http://dx.doi.org/10.1053/apmr.2001.33101 ER -