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Effects of upper limb robot-assisted therapy on motor recovery in subacute stroke patients

机译:上肢机器人辅助治疗对亚急性中风患者电机恢复的影响

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Background and purpose There is little evidence available on the use of robot-assisted therapy in subacute stroke patients. A randomized controlled trial was carried out to evaluate the short-time efficacy of intensive robot-assisted therapy compared to usual physical therapy performed in the early phase after stroke onset. Methods Fifty-three subacute stroke patients at their first-ever stroke were enrolled 30?±?7 days after the acute event and randomized into two groups, both exposed to standard therapy. Additional 30 sessions of robot-assisted therapy were provided to the Experimental Group. Additional 30 sessions of usual therapy were provided to the Control Group. The following impairment evaluations were performed at the beginning (T0), after 15 sessions (T1), and at the end of the treatment (T2): Fugl-Meyer Assessment Scale (FM), Modified Ashworth Scale-Shoulder (MAS-S), Modified Ashworth Scale-Elbow (MAS-E), Total Passive Range of Motion-Shoulder/Elbow (pROM), and Motricity Index (MI). Results Evidence of significant improvements in MAS-S (p?=?0.004), MAS-E (p?=?0.018) and pROM (p?
机译:背景和目的几乎没有证据可用于亚急性中风患者的机器人辅助治疗。进行了随机对照试验,以评估密集型机器人辅助治疗的短时间功效与中风发作后早期阶段进行的通常物理治疗相比。方法在急性事件的第一次卒中的第五十三次脑卒中患者在急性事件后7天纳入30-±7天,并随机分为两组,两组接触到标准治疗。向实验组提供额外的30次机器人辅助治疗。向对照组提供额外的常规治疗会议。在15次会议(T1)之后,在治疗结束时进行以下减值评估(T0)(T2):Fugl-Meyer评估规模(FM),改进的Ashworth鳞片肩(Mas-S) ,改进的Ashworth Scale-Elbow(MAS-E),运动肩/弯头(PROM)的总无源范围,以及型号指数(MI)。结果证明在实验组中发现了MAS-S(P?= 0.004),MAS-e(P?= 0.018)和PROM(P?<β0101)。在FM中的实验和对照组中证明了显着的改进(例如:P?<α0.0001,CG:P≤0.0001)和MI(例如:P≤0.0001,CG:P?<0.0001),具有实验组更高的改善。结论机器人辅助上肢康复治疗可以有助于提高亚急性中风患者的运动恢复。专注于卒中恢复的早期阶段对临床实践产生了很高的潜在影响。

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