You do realize you are comparing this to the failure of upper limb usual care? So where do we go from here? I'd suggest going back to the source of the problem and solving that. Stroke rehab is a dismal failure, try a new approach.
Stopping the 5 causes of the neuronal cascade of death in the first week. With that done I could have saved 5.4 billion neurons. With only 171 million neurons dead I could easily recover.
Robot assisted training for the upper limb after stroke (RATULS): A multicentre randomised controlled trial
The Lancet — Rodgers H, et al. | July 09, 2019
In a pragmatic, multicenter,
randomized controlled trial conducted at four UK centers, researchers
compared robot-assisted training using the MIT-Manus robotic gym vs an
enhanced upper limb therapy (EULT) program based on repetitive
functional task practice vs usual care in terms of clinical
effectiveness for improving arm function and activities of daily living
following stroke. Participants were stroke patients at least 18 years
old with moderate or severe upper limb functional limitation. In a
random manner (1:1:1), 257 patients received robot-assisted training,
259 received EULT, and 254 received usual care between 1 week and 5
years following their initial stroke. No improvement in upper limb
function following stroke was evident in relation to receiving
robot-assisted training and EULT vs usual care. Based on these findings,
the use of robot-assisted training, as implemented in this trial, in
routine clinical practice is not supported.
Read the full article on The Lancet
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