| 제목 |
Robot-assisted rehabilitation for the functional recovery of the upper limb in post-stroke patients |
| 소속 |
Department of Rehabilitation Medicine, College of Medicine, Chungnam National University, Daejeon, Korea1, Brain Science Research Institute, Chungnam National University, Daejeon, Korea2, Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, Korea3, Brain Injury Rehabilitation Center, National Traffic Injury Rehabilitation Hospital4, Seoul National University Hospital, Biomedical Research Institute5 |
| 저자 |
Ji young Lee1*, Hae Jin Lee2, Seul yi Lee2, So young Ahn1, Min Ju Kim5, Da Ban Lim5, Duk Soo Kim4, Yong ju Lee4, jin Young Lee3,4, Hyun Mi Oh3,4, Hoo Young Lee3,4, Hee Youne Jung3,4, Hye Jung Park3,4, Tae-Woo Kim3,4, Soo Kyung Bok1† |
Objective: Robot-assisted training might improve arm power, function and activities of daily living. We compared the clinical effectiveness of robot-assisted training using the InMotion ARMTM with conventional occupational rehabilitation in post-stroke patients.
Methods: 39 stroke patients enrolled in 2 rehabilitation centers in Korea. Stroke patients aged at least 18 years between 1 week and 5 years after their first stroke were randomly assigned to either control group(CG) (n = 20) or robot-assisted training group (RATG) (n = 19). Robot-assisted training group was provided for 60 min of robot therapy and 30 min of conventional occupational therapy, five times per week for 4 weeks. The control group received 90 min conventional therapy with the same schedule of RATG. The primary outcome was upper limb function improvement (defined using the Wolf motor function test [WMFT]) at 4 weeks.
Secondary outcome measures included Box and block test (BBT), Fugl Meyer Assessment (FMA), Medical Research Council Score (MRC), Motricity Index (MI), Hand grip strength, Modified Ashworth Scale (MAS), Korean version of Modified Barthel Index (K-MBI), Stroke Impact Scale 3.0(SIS 3.0), Korean version of Mini Mental State Examination (K-MMSE), Korea Geriatric Depression Scale (K-GDS), EuroQol- 5 Dimension (EQ-5D), Motor evoked potential(MEP), Diffuse tensor image(DTI). The assessments were performed at the beginning(T0) and at the end of the intervention(T1).
Results: Hand grip strength and BBT significantly improved in the RATG after the intervention. When comparing differences between groups, shoulder abductor, adductor, skill of point to point(Robot built-in function evaluation) were all significantly improved in the RATG. WMFT, elbow flexor and extensor, MI, K-KBI, SIS 3.0 significantly improved in CG and RATG. But there were no significant differences between the two groups. In subacute group, BBT, MRC, MI, Hand grip strength, EQ-5D improved in the RATG after the intervention and WMFT, FMA, K-MBI, SIS 3.0 improved in CG and RATG.
Conclusion: Robot-assisted therapy of upper limb function after stroke can provide and acceptable adjunctive rehabilitation method. Larger sample size is required to warrant the result. |
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