Document Detail


Robot-mediated therapy for paretic upper limb of chronic patients following neurological injury.
MedLine Citation:
PMID:  19841827     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the effectiveness of robot-mediated therapy targeted at the motor recovery of the upper limb in chronic patients following neurological injury. DESIGN: Pre-post treatment study. SUBJECTS: Twenty patients were enrolled in the study. METHODS: 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. RESULTS: 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. CONCLUSION: 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.
Authors:
Federico Posteraro; Stefano Mazzoleni; Sara Aliboni; Benedetta Cesqui; Alessandro Battaglia; Paolo Dario; Silvestro Micera
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine     Volume:  41     ISSN:  1651-2081     ISO Abbreviation:  J Rehabil Med     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-20     Completed Date:  2009-10-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101088169     Medline TA:  J Rehabil Med     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  976-80     Citation Subset:  IM    
Affiliation:
Neurological Rehabilitation Unit, Auxilium Vitae Rehabilitation Center, Volterra Italy Borgo San Lazzero 5, IT-56048 Volterra, Pisa, Italy. f.posteraro@riabilitazione-volterra.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Brain Injuries / physiopathology,  rehabilitation*
Chronic Disease
Female
Follow-Up Studies
Humans
Male
Middle Aged
Motor Activity / physiology
Outcome Assessment (Health Care)
Paresis / physiopathology,  rehabilitation
Recovery of Function
Robotics*
Stroke / physiopathology,  rehabilitation*
Treatment Outcome
Upper Extremity / physiopathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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