Professional paper
https://doi.org/10.21860/medflum2022_284700
Evaluation of the effectiveness of robotics in neurorehabilitation of the upper extremities in patients after stroke
Tea Schnurrer-Luke-Vrbanić
; Klinički bolnički centar Rijeka, Zavod za fizikalnu i rehabilitacijsku medicinu, Rijeka, Hrvatska
Ivanka Baniček Šoša
; Klinički bolnički centar Rijeka, Zavod za fizikalnu i rehabilitacijsku medicinu, Rijeka, Hrvatska
Tomislav Barišić
; Klinički bolnički centar Rijeka, Zavod za fizikalnu i rehabilitacijsku medicinu, Rijeka, Hrvatska
Matea Bagatin
; Klinički bolnički centar Rijeka, Zavod za fizikalnu i rehabilitacijsku medicinu, Rijeka, Hrvatska
Abstract
Aim: To analyze the impact of exoskeletal robotic device Armeo Power® (Hocoma, Switzerland) on arm and hand post-stroke rehabilitation of patients with one side movement disability. Patients and methods: Among the patients who participated in the stationary rehabilitation program at Department of Physical and Rehabilitation Medicine in Clinical Hospital Centre Rijeka we formed experimental group of 10 patients, and corresponding control group. For experimental group, we combined conventional and robotic therapy (5 times a week for 4 weeks, 45 minutes per therapy), while in the control group we applied only conventional therapy. Conventional therapy in both groups was the same (5 times a week for 4 weeks, 45 minutes per therapy). Assessment of a motoric function, functional measurement of independence, average performance, satisfaction in the therapy and estimation was done by clinical scales. Results: Statistically significant improvement was noticed in both groups with all clinical parameters (P=0,005). Comparing the two groups at the end of treatment there was no significant statistic difference in measurements of motor function on FMA (Fugl-Meyer Assessment) scale (P=0,120), or functional independence on FIM (Functional Independence Measure) scale (P=0,762). Statistically significant difference between groups at the end of treatment was registered only in results of COPM (Canadian Occupational Performance Measure), average performance P=0,014; average satisfaction P=0,022. Conclusion: Obtained results show that Armeo Power therapy in combination with conventional therapy can improve functional recovery of patients after brain stroke, although further research is needed on a larger number of patients.
Keywords
rehabilitation; robotics; stroke
Hrčak ID:
284700
URI
Publication date:
1.12.2022.
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