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Comparative Effectiveness of Robot-Assisted Training Versus Enhanced Upper Extremity Therapy on Upper and Lower Extremity for Stroke Survivors: A Multicentre Randomized Controlled Trial.
Lin, Yingnan; Li, Qin-Ying; Qu, Qingming; Ding, Li; Chen, Zhen; Huang, Fubiao; Hu, Shihong; Deng, Wei; Guo, Fengxian; Wang, Chuankai; Deng, Panmo; Li, Li; Jin, Hao; Gao, Cong; Shu, Beibei; Jia, Jie.
Afiliação
  • Lin Y; Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, China.
  • Li QY; Department of Rehabilitation Medicine, Jing'an District Centre Hospital of Shanghai, Fudan University, Shanghai, China.
  • Qu Q; Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, China.
  • Ding L; Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, China.
  • Chen Z; Neurorehabilitation Centre, First Rehabilitation Hospital of Shanghai/Affiliated Hospital of Tongji University (preparation), Shanghai, China.
  • Huang F; Department of Occupational Therapy, China Rehabilitation Research Center, Beijing, China.
  • Hu S; Department of Rehabilitation Medicine, Shanghai Fifth People's Hospital, Shanghai, China.
  • Deng W; Department of Biostatistics, School of Public Health, Fudan University, Shanghai, China.
  • Guo F; Shanghai Electric GeniKIT Medical Science and Technology Co. Ltd, Shanghai, China.
  • Wang C; Department of Rehabilitation Medicine, South China Hospital, Health Science Center, Shenzhen, China.
  • Deng P; Department of Rehabilitation Medicine, Jing'an District Centre Hospital of Shanghai, Fudan University, Shanghai, China.
  • Li L; Department of Rehabilitation Medicine, Jing'an District Centre Hospital of Shanghai, Fudan University, Shanghai, China.
  • Jin H; Department of Rehabilitation Medicine, Jing'an District Centre Hospital of Shanghai, Fudan University, Shanghai, China.
  • Gao C; Department of Rehabilitation Medicine, Jing'an District Centre Hospital of Shanghai, Fudan University, Shanghai, China.
  • Shu B; Department of Rehabilitation Medicine, Jing'an District Centre Hospital of Shanghai, Fudan University, Shanghai, China.
  • Jia J; Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, China; National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China; National Center for Neurological Disorders, Shanghai, China. shannonjj@126.com.
J Rehabil Med ; 54: jrm00314, 2022 Aug 26.
Article em En | MEDLINE | ID: mdl-35892319
OBJECTIVE: Robot-assisted neuro-rehabilitation therapy plays a central role in upper extremity recovery of stroke. However, the efficacy of robotic training on the upper extremity is not yet well defined, and little attention has been devoted to its potential effect on the lower extremity. The aim of this study was to compare the efficacy of robot-assisted training and therapist-mediated enhanced upper extremity therapy on the upper and lower extremities. METHODS: A randomized clinical trial involving 172 stroke survivors was conducted in China. All participants received either robot-assisted training or enhanced upper extremity therapy for 3 weeks. Fugl-Meyer assessment upper extremity subscale (FMA-UE), Fugl-Meyer assessment lower extremity subscale (FMA-LE), and Modified Barthel Index were administered at baseline, mid-treatment (1 week after treatment start), and post-treatment. RESULTS: Participants in the robot-assisted training group showed a significant improvement in the hemiplegia extremity, which was non-inferior to the enhanced upper extremity therapy group in FMA-UE (p < 0.05), while suggesting greater motor recovery of lower extremity in FMA-LE (p < 0.05) compared with the enhanced upper extremity therapy group. A marked increase in Modified Barthel Index was observed within groups; however, no significant difference was found between groups. CONCLUSION: Robot-assisted training is non-inferior but not better in reducing impairment of the upper extremity and appears to be superior in reducing impairment of the lower extremity compared with enhanced upper extremity therapy for stroke survivors.
Assuntos

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 1_ASSA2030 / 2_ODS3 Base de dados: MEDLINE Assunto principal: Robótica / Acidente Vascular Cerebral / Reabilitação do Acidente Vascular Cerebral Tipo de estudo: Clinical_trials Limite: Humans Idioma: En Revista: J Rehabil Med Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 1_ASSA2030 / 2_ODS3 Base de dados: MEDLINE Assunto principal: Robótica / Acidente Vascular Cerebral / Reabilitação do Acidente Vascular Cerebral Tipo de estudo: Clinical_trials Limite: Humans Idioma: En Revista: J Rehabil Med Ano de publicação: 2022 Tipo de documento: Article