Comparative Assessment of Two Robot-Assisted Therapies for the Upper Extremity in People With Chronic Stroke
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Chung-shan Hung [1] ; Yu-wei Hsieh [2] ; Ching-yi Wu [2] ; Keh-chung Lin [3] ; Jui-chi Lin [4] ; Li-min Yeh [5] ; Hsin-pei Yin [6]
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[1] Hualien Tzu Chi Medical Center
Hualien Tzu Chi Medical Center
Hualien City, Taiwán
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[2] Chang Gung University
Chang Gung University
Taoyuan District, Taiwán
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[3] National Taiwan University Hospital
National Taiwan University Hospital
Taiwán
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[4] Taipei Medical University-Shuang Ho Hospital
Taipei Medical University-Shuang Ho Hospital
Taiwán
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[5] Taoyuan Chang Gung Memorial Hospital
Taoyuan Chang Gung Memorial Hospital
Taoyuan District, Taiwán
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[6] Chest Hospital, Ministry of Health and Welfare
Chest Hospital, Ministry of Health and Welfare
Taiwán
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- Localización: American Journal of Occupational Therapy, ISSN 0272-9490, Vol. 73, Nº. 1, 2019
- Idioma: inglés
- Texto completo no disponible (Saber más ...)
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Resumen
OBJECTIVE. We investigated the effects on motor and daily function of robot-assisted therapies in people with chronic stroke using the Bi-Manu-Track (BMT) and InMotion 3.0 (IMT) compared with control treatment (CT).
METHOD. In this comparative efficacy trial, 30 participants were randomized to receive BMT, IMT, or CT. Outcome measures included the Fugl-Meyer Assessment (FMA), Modified Ashworth Scale (MAS), Motor Activity Log (MAL), and Medical Research Council (MRC) scale.
RESULTS. The IMT group improved more in FMA and proximal MAS scores than the BMT group (both ps < .01) and the CT group (p < .01 and p = .03, respectively). The IMT and BMT groups showed clinically relevant improvements after treatment on the MRC rather than the MAL.
CONCLUSION. The results indicate that the IMT might improve motor function. The IMT and BMT groups showed similar benefits for muscle power but limited improvements in self-perceived use of the affected arm.
