With NO KNOWLEDGE OF EXACTLY HOW NEUROPLASTICITY WORKS, this is useless!
We don't SPECIFICALLY know why a neuron gives up its' current job and takes on a neighbors. Thus nothing on neuroplasticity is scientifically repeatable on demand. So, DEMAND your doctor give you EXACT PROTOCOLS to use. Don't allow your doctor to give you generalities or guidelines.
Effects of Robot Assisted Therapy as an Adjunct to Conventional Therapy in Upper Limb Motor Recovery after Stroke
Dr Sucheta Saha, Dr Nonica Laisram, Dr Ajay Gupta
Department of Physical Medicine & Rehabilitation, Vardhman Mahavir Medical College & Safdarjang
Hospital. Ring Road, Ansari Nagar East, New Delhi-110029
Corresponding Author
Dr Sucheta Saha
B-161, Flat no. 202, First floor, Gujjar Dairy, Gautam Nagar
New Delhi- 110049
Email: dr.sucheta.saha@gmail.com, Telephone no.-9136172451
ABSTRACT
The recovery of upper extremity (UE) function after stroke is slower and less complete than return of
mobility. Neuroplasticity is the key mechanism underlying improvement in functional outcome after stroke.
Robotic devices can stimulate neuroplasticity by providing high-intensity, repetitive, task-specific training.
Aim of this prospective randomized controlled study was to evaluate the efficacy of Robot-assisted therapy as
an adjunct to conventional rehabilitation program in management of UE weakness in stroke patients in terms
of motor recovery & functional outcome.
Sixty four patients, having stroke duration less than two years, included in the study (n=64) and divided in
two groups. Thirty two subjects in control group received conventional rehabilitation program & thirty two
in study group additionally received Robot-assisted therapy using over four weeks. Assessment was done pre
treatment, at 1 month & at 4 months. The outcome measures were: Fugl-Meyer Assessment(FMA) score for
upper extremity & Motor Activity Log scale(MAL) comprising of Amount of Use(AOU) score and Quality of
Use (QOU) score.
Chi-Square test and paired t test were used. Results were considered significant at 5% that is P value<0.05.
The study group exhibited greater motor recovery than the control group on the FMA scores at 1month and
4months. The mean AOU and QOS scores of MAL in the study group were also better than that of control
group at 1month and 4months.
So it can be concluded that Robot-assisted therapy can be used as a complement to conventional therapy for
improving UE function in stroke.
Keywords: Stroke, Rehabilitation, Robotics, Upper extremity.
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