| Short-duration robotic therapy in stroke patients with severe upper-limb motor impairment. | |
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MedLine Citation:
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PMID: 16586194 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Chronic motor deficits in the upper limb (UL) are a major contributor to disability following stroke. This study investigated the effect of short-duration robot-assisted therapy on motor impairment, as measured by clinical scales and robot-derived performance measures in patients with chronic, severe UL impairments after stroke. As part of a larger study, 15 individuals with chronic, severe UL paresis (Fugl-Meyer < 15) after stroke (minimum 6 mo postonset) performed 18 sessions of robot-assisted UL rehabilitation that consisted of goal-directed planar reaching tasks over a period of 3 weeks. Outcome measures included the Fugl-Meyer Assessment, the Motor Power Assessment, the Wolf Motor Function Test, the Stroke Impact Scale, and five robot-derived measures that reflect motor control (aiming error, mean speed, peak speed, mean:peak speed ratio, and movement duration). Robot-assisted training produced statistically significant improvements from baseline to posttreatment in the Fugl-Meyer and Motor Power Assessment scores and the quality of motion (quantified by a reduction in aiming error and movement duration with an increase in mean speed and mean:peak speed ratio). Our findings indicate that robot-assisted UL rehabilitation can reduce UL impairment and improve motor control in patients with severe UL paresis from chronic stroke. |
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Authors:
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Margaret A Finley; Susan E Fasoli; Laura Dipietro; Jill Ohlhoff; Leah Macclellan; Christine Meister; Jill Whitall; Richard Macko; Christopher T Bever; Hermano I Krebs; Neville Hogan |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
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Title: Journal of rehabilitation research and development Volume: 42 ISSN: 1938-1352 ISO Abbreviation: J Rehabil Res Dev Publication Date: 2005 Sep-Oct |
Date Detail:
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Created Date: 2006-04-04 Completed Date: 2007-12-21 Revised Date: 2009-05-05 |
Medline Journal Info:
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Nlm Unique ID: 8410047 Medline TA: J Rehabil Res Dev Country: United States |
Other Details:
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Languages: eng Pagination: 683-92 Citation Subset: IM |
Affiliation:
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Department of Veterans Affairs (VA) Maryland Healthcare System, Rehabilitation Research and DevelopmentService, Baltimore, MD, USA. mfinley@som.umaryland.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Analysis of Variance Chronic Disease Female Follow-Up Studies Humans Male Middle Aged Paresis / etiology, rehabilitation* Physical Therapy Modalities / instrumentation* Probability Prospective Studies Psychomotor Performance Recovery of Function Robotics* Severity of Illness Index Stroke / complications*, diagnosis Time Factors Treatment Outcome Upper Extremity |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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