{"id":53303,"date":"2020-01-30T12:00:26","date_gmt":"2020-01-30T11:00:26","guid":{"rendered":"https:\/\/khymeia.com\/document\/effects-of-robot-therapy-on-upper-body-kinematics-and-arm-function-in-persons-post-stroke-a-pilot-randomized-controlled-trial\/"},"modified":"2022-11-23T15:17:31","modified_gmt":"2022-11-23T14:17:31","slug":"effects-of-robot-therapy-on-upper-body-kinematics-and-arm-function-in-persons-post-stroke-a-pilot-randomized-controlled-trial","status":"publish","type":"document","link":"https:\/\/khymeia.com\/en\/document\/effects-of-robot-therapy-on-upper-body-kinematics-and-arm-function-in-persons-post-stroke-a-pilot-randomized-controlled-trial\/","title":{"rendered":"Effects of robot therapy on upper body kinematics and arm function in persons post stroke: a pilot randomized controlled trial"},"content":{"rendered":"<p><strong>Background<\/strong>: Robot-based rehabilitation for persons post-stroke may improve arm function and daily-life activities as measured by clinical scales, but its effects on motor strategies during functional tasks are still poorly investigated.<br \/>\nThis study aimed at assessing the effects of robot-therapy versus arm-specific physiotherapy in persons post-stroke on motor strategies derived from upper body instrumented kinematic analysis, and on arm function measured by clinical scales.<\/p>\n<p><strong>Methods<\/strong>: Forty persons in the sub-acute and chronic stage post-stroke were recruited. This sample included all those subjects, enrolled in a larger bi-center study, who underwent instrumented kinematic analysis and who were randomized in Center 2 into Robot (R_Group) and Control Group (C_Group). R_Group received robot-assisted training. C_Group received arm-specific treatment delivered by a physiotherapist. Pre- and post-training assessment included clinical scales and instrumented kinematic analysis of arm and trunk during a virtual untrained task simulating the transport of an object onto a shelf. Instrumented outcomes included shoulder\/elbow coordination, elbow extension and trunk sagittal compensation. Clinical outcomes included Fugl-Meyer Motor Assessment of Upper Extremity (FM-UE), modified Ashworth Scale (MAS) and Functional Independence Measure (FIM).<\/p>\n<p><strong>Results<\/strong>: R_Group showed larger post-training improvements of shoulder\/elbow coordination (Cohen\u2019s d=\u2212 0.81, p = 0.019), elbow extension (Cohen\u2019s d=\u2212 0.71, p = 0.038), and trunk movement (Cohen\u2019s d=\u2212 1.12, p = 0.002). Both groups showed comparable improvements in clinical scales, except proximal muscles MAS that decreased more in R_Group (Cohen\u2019s d=\u2212 0.83, p = 0.018). Ancillary analyses on chronic subjects confirmed these results and revealed larger improvements after robot-therapy in the proximal portion of FM-UE (Cohen\u2019s d = 1.16, p = 0.019).<\/p>\n<p><strong>Conclusions<\/strong>: Robot-assisted rehabilitation was as effective as arm-specific physiotherapy in reducing arm impairment (FM-UE) in persons post-stroke, but it was more effective in improving motor control strategies adopted during an untrained task involving vertical movements not practiced during training. Specifically, robot therapy induced larger improvements of shoulder\/elbow coordination and greater reduction of abnormal trunk sagittal movements. The beneficial effects of robot therapy seemed more pronounced in chronic subjects. Future studies on a larger sample should be performed to corroborate present findings.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background: Robot-based rehabilitation for persons post-stroke may improve <a href=\"https:\/\/khymeia.com\/en\/document\/effects-of-robot-therapy-on-upper-body-kinematics-and-arm-function-in-persons-post-stroke-a-pilot-randomized-controlled-trial\/\" class=\"more-link\">&#8230;<span class=\"screen-reader-text\">  Effects of robot therapy on upper body kinematics and arm function in persons post stroke: a pilot randomized controlled trial<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":52997,"parent":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"document-category":[14],"class_list":["post-53303","document","type-document","status-publish","has-post-thumbnail","hentry","document-category-validazioni"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Effects of robot therapy on upper body kinematics and arm function in persons post stroke: a pilot randomized controlled trial - Khymeia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/khymeia.com\/en\/document\/effects-of-robot-therapy-on-upper-body-kinematics-and-arm-function-in-persons-post-stroke-a-pilot-randomized-controlled-trial\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Effects of robot therapy on upper body kinematics and arm function in persons post stroke: a pilot randomized controlled trial - Khymeia\" \/>\n<meta property=\"og:description\" content=\"Background: Robot-based rehabilitation for persons post-stroke may improve ... 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