8 years. Does your stroke hospital give a flying fuck about bringing in rehab that works? I'd get the board of directors fired for incompetence.
Dose-Response Relationship of Robot-Assisted Stroke Motor Rehabilitation: The Impact of Initial Motor Status
2012, Stroke
Yu-wei Hsieh, Ching-yi Wu, Keh-chung Lin, Grace Yao, Kuen-yuh Wu and Ya-ju Chang
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Print ISSN: 0039-2499. Online ISSN: 1524-4628 Copyright © 2012 American Heart Association, Inc. All rights reserved.is published by the American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231
Stroke
doi: 10.1161/STROKEAHA.112.6588072012;43:2729-2734; originally published online August 14, 2012;
Stroke.
The online version of this article, along with updated information and services, is located on the
World Wide Web at:http://stroke.ahajournals.org/content/43/10/2729
Yu-wei Hsieh, PhD; Ching-yi Wu, ScD; Keh-chung Lin, ScD; Grace Yao, PhD;Kuen-yuh Wu, PhD; Ya-ju Chang, PhD
Background and Purpose
—The increasing availability of robot-assisted therapy (RT), which provides quantifiable,reproducible, interactive, and intensive practice, holds promise for stroke rehabilitation, but data on its dose–responserelation are scanty. This study used 2 different intensities of RT to examine the treatment effects of RT and the effecton outcomes of the severity of initial motor deficits.
Methods
—Fifty-four patients with stroke were randomized to a 4-week intervention of higher-intensity RT, lower-intensity RT, or control treatment. The primary outcome, the Fugl-Meyer Assessment, was administered at baseline, midterm, and post treatment. Secondary outcomes included the Medical Research Council scale, the Motor Activity Log, and the physical domains of the Stroke Impact Scale.
Results
—The higher-intensity RT group showed significantly greater improvements on the Fugl-Meyer Assessment than the lower-intensity RT and control treatment groups at midterm (P=0.003 and P=0.02) and at post treatment (P=0.04 and P=0.02). Within-group gains on the secondary outcomes were significant, but the differences among the 3 groups did not reach significance. Recovery rates of the higher-intensity RT group were higher than those of the lower-intensity RT group, particularly on the Fugl-Meyer Assessment. Scatter plots with curve fitting showed that patients with moderate motor deficits gained more improvements than those with severe or mild deficits after the higher-intensity RT.
Conclusions
—This study demonstrated the higher treatment intensity provided by RT was associated with better motor outcome for patients with stroke, which may shape further stroke rehabilitation.
Clinical Trial Registration
—URL: http://clinicaltrials.gov. Unique identifier: NCT00917605.
(
Stroke
. 2012;43:2729-2734.)
Yu-wei Hsieh, Ching-yi Wu, Keh-chung Lin, Grace Yao, Kuen-yuh Wu and Ya-ju Chang
−
Print ISSN: 0039-2499. Online ISSN: 1524-4628 Copyright © 2012 American Heart Association, Inc. All rights reserved.is published by the American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231
Stroke
doi: 10.1161/STROKEAHA.112.6588072012;43:2729-2734; originally published online August 14, 2012;
Stroke.
The online version of this article, along with updated information and services, is located on the
World Wide Web at:http://stroke.ahajournals.org/content/43/10/2729
Yu-wei Hsieh, PhD; Ching-yi Wu, ScD; Keh-chung Lin, ScD; Grace Yao, PhD;Kuen-yuh Wu, PhD; Ya-ju Chang, PhD
Background and Purpose
—The increasing availability of robot-assisted therapy (RT), which provides quantifiable,reproducible, interactive, and intensive practice, holds promise for stroke rehabilitation, but data on its dose–responserelation are scanty. This study used 2 different intensities of RT to examine the treatment effects of RT and the effecton outcomes of the severity of initial motor deficits.
Methods
—Fifty-four patients with stroke were randomized to a 4-week intervention of higher-intensity RT, lower-intensity RT, or control treatment. The primary outcome, the Fugl-Meyer Assessment, was administered at baseline, midterm, and post treatment. Secondary outcomes included the Medical Research Council scale, the Motor Activity Log, and the physical domains of the Stroke Impact Scale.
Results
—The higher-intensity RT group showed significantly greater improvements on the Fugl-Meyer Assessment than the lower-intensity RT and control treatment groups at midterm (P=0.003 and P=0.02) and at post treatment (P=0.04 and P=0.02). Within-group gains on the secondary outcomes were significant, but the differences among the 3 groups did not reach significance. Recovery rates of the higher-intensity RT group were higher than those of the lower-intensity RT group, particularly on the Fugl-Meyer Assessment. Scatter plots with curve fitting showed that patients with moderate motor deficits gained more improvements than those with severe or mild deficits after the higher-intensity RT.
Conclusions
—This study demonstrated the higher treatment intensity provided by RT was associated with better motor outcome for patients with stroke, which may shape further stroke rehabilitation.
Clinical Trial Registration
—URL: http://clinicaltrials.gov. Unique identifier: NCT00917605.
(
Stroke
. 2012;43:2729-2734.)
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