Robot-mediated therapy for paretic upper limb of chronic patients following neurological injury
To evaluate the effectiveness of robot-mediated therapy targeted at the motor recovery of the upper limb in chronic patients following neurological injury. Pre-post treatment study. Twenty patients were enrolled in the study. Robot-mediated therapy was provided to chronic hemiparetic patients (acute...
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| Veröffentlicht in: | Journal of rehabilitation medicine 2009-10, Vol.41 (12), p.976-980 |
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| container_issue | 12 |
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| container_title | Journal of rehabilitation medicine |
| container_volume | 41 |
| creator | Posteraro, Federico Mazzoleni, Stefano Aliboni, Sara Cesqui, Benedetta Battaglia, Alessandro Dario, Paolo Micera, Silvestro |
| description | To evaluate the effectiveness of robot-mediated therapy targeted at the motor recovery of the upper limb in chronic patients following neurological injury.
Pre-post treatment study.
Twenty patients were enrolled in the study.
Robot-mediated therapy was provided to chronic hemiparetic patients (acute event had occurred at least one year prior to the study), 3 times a week, for 6 weeks. The therapy consisted of goal-directed, planar reaching tasks that exercised the hemiparetic shoulder and elbow. The items for the shoulder and elbow of Motor Status Score, Modified Ashworth Scale and range of motion were used as outcome measures.
Statistically significant improvements before and after treatment were found in each outcome measure. A 3-month follow-up evaluation indicated that patients maintained the improvements.
The results confirm that robot-mediated therapy, through short-term, but intensive, repetitive and goal-directed trials, contributes to a decrease in the upper limb's motor disability in people with a chronic neurological injury by reducing motor impairment and shoulder pain. The treatment was well accepted and tolerated by patients. No adverse events occurred. |
| doi_str_mv | 10.2340/16501977-0403 |
| format | Article |
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Pre-post treatment study.
Twenty patients were enrolled in the study.
Robot-mediated therapy was provided to chronic hemiparetic patients (acute event had occurred at least one year prior to the study), 3 times a week, for 6 weeks. The therapy consisted of goal-directed, planar reaching tasks that exercised the hemiparetic shoulder and elbow. The items for the shoulder and elbow of Motor Status Score, Modified Ashworth Scale and range of motion were used as outcome measures.
Statistically significant improvements before and after treatment were found in each outcome measure. A 3-month follow-up evaluation indicated that patients maintained the improvements.
The results confirm that robot-mediated therapy, through short-term, but intensive, repetitive and goal-directed trials, contributes to a decrease in the upper limb's motor disability in people with a chronic neurological injury by reducing motor impairment and shoulder pain. The treatment was well accepted and tolerated by patients. No adverse events occurred.</description><identifier>ISSN: 1650-1977</identifier><identifier>EISSN: 1651-2081</identifier><identifier>DOI: 10.2340/16501977-0403</identifier><identifier>PMID: 19841827</identifier><language>eng</language><publisher>Sweden</publisher><subject>Adult ; Aged ; Brain Injuries - physiopathology ; Brain Injuries - rehabilitation ; Chronic Disease ; Critical incidents ; Disability ; Female ; Follow-Up Studies ; Humans ; Injuries ; Male ; Middle Aged ; Motor Activity - physiology ; Outcome Assessment (Health Care) ; Paresis - physiopathology ; Paresis - rehabilitation ; Recovery ; Recovery of Function ; Robotics ; Shoulder pain ; Stroke - physiopathology ; Stroke Rehabilitation ; Treatment Outcome ; Upper Extremity - physiopathology ; Upper limbs</subject><ispartof>Journal of rehabilitation medicine, 2009-10, Vol.41 (12), p.976-980</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-4524b99bc362e2bb5808b68a7644bdd0fb500df3c4ea7f6a61a0ba1b6bcf8b93</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902,30977</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19841827$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Posteraro, Federico</creatorcontrib><creatorcontrib>Mazzoleni, Stefano</creatorcontrib><creatorcontrib>Aliboni, Sara</creatorcontrib><creatorcontrib>Cesqui, Benedetta</creatorcontrib><creatorcontrib>Battaglia, Alessandro</creatorcontrib><creatorcontrib>Dario, Paolo</creatorcontrib><creatorcontrib>Micera, Silvestro</creatorcontrib><title>Robot-mediated therapy for paretic upper limb of chronic patients following neurological injury</title><title>Journal of rehabilitation medicine</title><addtitle>J Rehabil Med</addtitle><description>To evaluate the effectiveness of robot-mediated therapy targeted at the motor recovery of the upper limb in chronic patients following neurological injury.
Pre-post treatment study.
Twenty patients were enrolled in the study.
Robot-mediated therapy was provided to chronic hemiparetic patients (acute event had occurred at least one year prior to the study), 3 times a week, for 6 weeks. The therapy consisted of goal-directed, planar reaching tasks that exercised the hemiparetic shoulder and elbow. The items for the shoulder and elbow of Motor Status Score, Modified Ashworth Scale and range of motion were used as outcome measures.
Statistically significant improvements before and after treatment were found in each outcome measure. A 3-month follow-up evaluation indicated that patients maintained the improvements.
The results confirm that robot-mediated therapy, through short-term, but intensive, repetitive and goal-directed trials, contributes to a decrease in the upper limb's motor disability in people with a chronic neurological injury by reducing motor impairment and shoulder pain. The treatment was well accepted and tolerated by patients. No adverse events occurred.</description><subject>Adult</subject><subject>Aged</subject><subject>Brain Injuries - physiopathology</subject><subject>Brain Injuries - rehabilitation</subject><subject>Chronic Disease</subject><subject>Critical incidents</subject><subject>Disability</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Injuries</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Motor Activity - physiology</subject><subject>Outcome Assessment (Health Care)</subject><subject>Paresis - physiopathology</subject><subject>Paresis - rehabilitation</subject><subject>Recovery</subject><subject>Recovery of Function</subject><subject>Robotics</subject><subject>Shoulder pain</subject><subject>Stroke - physiopathology</subject><subject>Stroke Rehabilitation</subject><subject>Treatment Outcome</subject><subject>Upper Extremity - physiopathology</subject><subject>Upper limbs</subject><issn>1650-1977</issn><issn>1651-2081</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkM9PwyAYhonROJ0evRpO3lAoFOjRLP5KlpiY3RugsLHQUqGN2X9v52Y8evq-7_2evIcHgBuC7wvK8APhJSaVEAgzTE_AxXQTVGBJTn92jPbPGbjMeYsxESUV52BGKsmILMQFqD-ijgNqbePVYBs4bGxS_Q66mGCvkh28gWPf2wSDbzWMDppNit2U9mrwthvyhIYQv3y3hp0dUwxx7Y0K0HfbMe2uwJlTIdvr45yD1fPTavGKlu8vb4vHJTJUsgGxsmC6qrShvLCF1qXEUnOpBGdMNw12usS4cdQwq4TjihOFtSKaa-Okrugc3B1q-xQ_R5uHuvXZ2BBUZ-OYa845LRgT_4KloIzLqphAdABNijkn6-o--ValXU1wvTdf_5qv9-Yn_vZYPOrJ5h99VE2_AXZXf8Y</recordid><startdate>20091001</startdate><enddate>20091001</enddate><creator>Posteraro, Federico</creator><creator>Mazzoleni, Stefano</creator><creator>Aliboni, Sara</creator><creator>Cesqui, Benedetta</creator><creator>Battaglia, Alessandro</creator><creator>Dario, Paolo</creator><creator>Micera, Silvestro</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>20091001</creationdate><title>Robot-mediated therapy for paretic upper limb of chronic patients following neurological injury</title><author>Posteraro, Federico ; Mazzoleni, Stefano ; Aliboni, Sara ; Cesqui, Benedetta ; Battaglia, Alessandro ; Dario, Paolo ; Micera, Silvestro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-4524b99bc362e2bb5808b68a7644bdd0fb500df3c4ea7f6a61a0ba1b6bcf8b93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Brain Injuries - physiopathology</topic><topic>Brain Injuries - rehabilitation</topic><topic>Chronic Disease</topic><topic>Critical incidents</topic><topic>Disability</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Injuries</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Motor Activity - physiology</topic><topic>Outcome Assessment (Health Care)</topic><topic>Paresis - physiopathology</topic><topic>Paresis - rehabilitation</topic><topic>Recovery</topic><topic>Recovery of Function</topic><topic>Robotics</topic><topic>Shoulder pain</topic><topic>Stroke - physiopathology</topic><topic>Stroke Rehabilitation</topic><topic>Treatment Outcome</topic><topic>Upper Extremity - physiopathology</topic><topic>Upper limbs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Posteraro, Federico</creatorcontrib><creatorcontrib>Mazzoleni, Stefano</creatorcontrib><creatorcontrib>Aliboni, Sara</creatorcontrib><creatorcontrib>Cesqui, Benedetta</creatorcontrib><creatorcontrib>Battaglia, Alessandro</creatorcontrib><creatorcontrib>Dario, Paolo</creatorcontrib><creatorcontrib>Micera, Silvestro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of rehabilitation medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Posteraro, Federico</au><au>Mazzoleni, Stefano</au><au>Aliboni, Sara</au><au>Cesqui, Benedetta</au><au>Battaglia, Alessandro</au><au>Dario, Paolo</au><au>Micera, Silvestro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Robot-mediated therapy for paretic upper limb of chronic patients following neurological injury</atitle><jtitle>Journal of rehabilitation medicine</jtitle><addtitle>J Rehabil Med</addtitle><date>2009-10-01</date><risdate>2009</risdate><volume>41</volume><issue>12</issue><spage>976</spage><epage>980</epage><pages>976-980</pages><issn>1650-1977</issn><eissn>1651-2081</eissn><abstract>To evaluate the effectiveness of robot-mediated therapy targeted at the motor recovery of the upper limb in chronic patients following neurological injury.
Pre-post treatment study.
Twenty patients were enrolled in the study.
Robot-mediated therapy was provided to chronic hemiparetic patients (acute event had occurred at least one year prior to the study), 3 times a week, for 6 weeks. The therapy consisted of goal-directed, planar reaching tasks that exercised the hemiparetic shoulder and elbow. The items for the shoulder and elbow of Motor Status Score, Modified Ashworth Scale and range of motion were used as outcome measures.
Statistically significant improvements before and after treatment were found in each outcome measure. A 3-month follow-up evaluation indicated that patients maintained the improvements.
The results confirm that robot-mediated therapy, through short-term, but intensive, repetitive and goal-directed trials, contributes to a decrease in the upper limb's motor disability in people with a chronic neurological injury by reducing motor impairment and shoulder pain. The treatment was well accepted and tolerated by patients. No adverse events occurred.</abstract><cop>Sweden</cop><pmid>19841827</pmid><doi>10.2340/16501977-0403</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1650-1977 |
| ispartof | Journal of rehabilitation medicine, 2009-10, Vol.41 (12), p.976-980 |
| issn | 1650-1977 1651-2081 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Aged Brain Injuries - physiopathology Brain Injuries - rehabilitation Chronic Disease Critical incidents Disability Female Follow-Up Studies Humans Injuries Male Middle Aged Motor Activity - physiology Outcome Assessment (Health Care) Paresis - physiopathology Paresis - rehabilitation Recovery Recovery of Function Robotics Shoulder pain Stroke - physiopathology Stroke Rehabilitation Treatment Outcome Upper Extremity - physiopathology Upper limbs |
| title | Robot-mediated therapy for paretic upper limb of chronic patients following neurological injury |
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