Impact of the robotic‑assistance level on upper extremity function in stroke patients receiving adjunct robotic rehabilitation: Sub‑analysis of a randomized clinical trial.

So they didn't do the research well enough to come up with rehab protocols, I blame the mentors and senior researchers for that failure. They should be re-educated on stroke goals or banned from stroke research. Their choice.   I don't care that this was a meta-analysis, ALL stroke research should create something useful to get survivors recovered.

Impact of the robotic‑assistance level on upper extremity function in stroke patients receiving adjunct robotic rehabilitation: Sub‑analysis of a randomized clinical trial.

Journal of NeuroEngineering and Rehabilitation , Volume 19(25)

NARIC Accession Number: J88455.  What's this?
ISSN: 1743-0003.
Author(s): Takebayashi, Takashi ; Takahashi, Kayoko ; Okita, Yuho ; Kubo, Hironobu ; Hachisuka, Kenji ; Domen, Kazuhisa.
Publication Year: 2022.
Number of Pages: 10.

Abstract: 

Study investigated the impact of robotic-assistance level and modes of adjustment on functional improvement in a stroke-affected upper extremity (UE). Data were obtained from 30 subacute stroke survivors with mild-to-severe UE hemiplegia who were randomly assigned to the robotic therapy group in a previous randomized clinical trial. A cluster analysis was performed based on the training results (the percentage of each stroke patient’s five assistance modes of robotics used during the training). The patients were divided into two groups: high and low robotic-assistance groups. Additionally, the two groups were sub-categorized into the following classes based on the severity of UE functional impairment: moderate-to-mild (Fugl-Meyer Assessment [FMA] score ≥30] and severe-to-moderate class (FMA <30). The outcomes were assessed using FMA, FMA-proximal, performance-time (PT) in the Wolf motor function test (WMFT), and functional assessment scale (FAS) in WMFT. The outcomes of each class in the two groups were analyzed. A two-way analysis of variance was conducted with robot-assistance level and severity of UE function as explanatory factors and the change in each outcome pre- and post-intervention as the objective factor. Overall, significant differences of the group-by-severity interaction were found in most of the outcomes, including FMA-proximal, WMFT-PT, and WMFT-FAS. However, only the FMA score appeared not to be significantly different in each group. An optimal amount of robotic assistance is a key to maximize improvement in post-stroke UE paralysis. Furthermore, severity of UE paralysis is an important consideration when deciding the amount of assistance in robotic therapy.
Descriptor Terms: ASSISTIVE TECHNOLOGY, FUNCTIONAL LIMITATIONS, LIMBS, MOTOR SKILLS, REHABILITATION TECHNOLOGY, ROBOTICS, STROKE.


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Citation: Takebayashi, Takashi , Takahashi, Kayoko , Okita, Yuho , Kubo, Hironobu , Hachisuka, Kenji , Domen, Kazuhisa. (2022). Impact of the robotic‑assistance level on upper extremity function in stroke patients receiving adjunct robotic rehabilitation: Sub‑analysis of a randomized clinical trial.  Journal of NeuroEngineering and Rehabilitation , 19(25) Retrieved 4/17/2022, from REHABDATA database.