Implementation of a robot-mediated upper limb rehabilitation protocol for a customized treatment after stroke: A retrospective analysis.

IF 1.7 4区医学 Q3 CLINICAL NEUROLOGY

NeuroRehabilitation Pub Date : 2024-01-01 DOI:10.3233/NRE-230367

Arianna Pavan, Alessio Fasano, Laura Cortellini, Stefania Lattanzi, Dionysia Papadopoulou, Sabina Insalaco, Marco Germanotta, Irene Aprile

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引用次数: 0

Abstract

Background: Many authors have emphasized the need for individualized treatments in rehabilitation, but no tailored robotic rehabilitation protocol for stroke patients has been established yet.

Objective: To evaluate the effectiveness of a robot-mediated upper limb rehabilitation protocol based on clinical assessment for customized treatment of stroke patients.

Methods: Clinical data from 81 patients with subacute stroke, undergoing an upper limb robot-mediated rehabilitation, were analyzed retrospectively. 49 patients were treated using a customized robotic protocol (experimental group, EG) based on a clinically guided flowchart, while 32 were treated without it (control group, CG). Fugl-Meyer Assessment for Upper Extremity (FMA-UE), Motricity Index (MI), modified Barthel Index (mBI) and Numerical Rating Scale (NRS) measured before (T0) and after (T1) rehabilitation intervention were used as clinical outcomes.

Results: There was statistically significant improvement in both groups in terms of FMA-UE, MI, and mBI, while no change in NRS. Intergroup analysis showed significantly greater improvement of the FMA-UE (P = 0.002) and MI (P < 0.001) in the EG, compared with the CG.

Conclusion: The implementation of our robotic protocol for customized treatment of stroke patients yielded greater recovery in upper limb motor function and strength over robotic treatment without a defined protocol.

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实施以机器人为媒介的上肢康复方案，为中风后患者提供定制化治疗：回顾性分析

背景：许多学者强调了康复治疗中个体化治疗的必要性，但目前还没有针对脑卒中患者量身定制的机器人康复方案：评估基于临床评估的机器人辅助上肢康复方案对脑卒中患者进行个性化治疗的有效性：方法：回顾性分析了81名接受机器人辅助上肢康复治疗的亚急性脑卒中患者的临床数据。根据临床指导流程图，49 名患者接受了定制机器人方案治疗（实验组，EG），32 名患者未接受定制机器人方案治疗（对照组，CG）。康复干预前（T0）和康复干预后（T1）的Fugl-Meyer上肢评估（FMA-UE）、运动指数（MI）、改良巴特尔指数（mBI）和数值评定量表（NRS）作为临床结果：两组患者的 FMA-UE、MI 和 mBI 均有明显改善，而 NRS 则无变化。组间分析显示，EG组的FMA-UE（P = 0.002）和MI（P < 0.001）的改善程度明显高于CG组：结论：与没有明确方案的机器人治疗相比，我们为中风患者量身定制的机器人治疗方案在上肢运动功能和力量方面的恢复效果更好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

NeuroRehabilitation CLINICAL NEUROLOGY-REHABILITATION

CiteScore

3.20

自引率

0.00%

发文量

178

审稿时长

6-12 weeks

期刊介绍： NeuroRehabilitation, an international, interdisciplinary, peer-reviewed journal, publishes manuscripts focused on scientifically based, practical information relevant to all aspects of neurologic rehabilitation. We publish unsolicited papers detailing original work/research that covers the full life span and range of neurological disabilities including stroke, spinal cord injury, traumatic brain injury, neuromuscular disease and other neurological disorders. We also publish thematically organized issues that focus on specific clinical disorders, types of therapy and age groups. Proposals for thematic issues and suggestions for issue editors are welcomed.