Medicina, Vol. 58 No. 4, 2022.
Stručni rad
https://doi.org/10.21860/medflum2022_284698
Neurorehabilitation and robotics in individuals with upper extremity hemiparesis after stroke
Viviana Avancini-Dobrović
orcid.org/0000-0003-4359-4868
; 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
Dunja Mršić
; Klinički bolnički centar Rijeka, Zavod za fizikalnu i rehabilitacijsku medicinu, Rijeka, Hrvatska
Tea Schnurrer-Luke-Vrbanić
; Klinički bolnički centar Rijeka, Zavod za fizikalnu i rehabilitacijsku medicinu, Rijeka, Hrvatska
Sažetak
Aim: Neurorehabilitation of patients after stroke is a major challenge, and robotic systems as an upgrade to conventional rehabilitation have been the subject of numerous studies. Thus, a research was conducted at the Department of Physical and Rehabilitation Medicine of the University Hospital Center Rijeka in which an Armeo Spring® (Hocoma, Switzerland) robotic device was used in order to evaluate the effectiveness of its application. Subjects and methods: The study included 40 patients after stroke with consequent hemiparesis and were involved in subacute phase neurorehabilitation, averaging 47.31 (± SD = 24.74) days after stroke. Patients were divided into two groups of 20 patients and both groups performed exercises twice a day. The examined group of patients performed conventional physiotherapy procedures according to the Bobath concept with additional robotic therapy on the Armeo Spring® device (Hocoma, Switzerland) and twenty patients of the control group performed conventional physiotherapy according to the Bobath concept twice a day. Performance assessment was measured by the Functional Independent Measurement (FIM) and the Motor Assessment Scale (MAS) and the assessment was performed before and after neurorehabilitation. Results: Monitoring three variables, the overall FIM test, the overall MAS test (MAS U) and the MAS test for upper extremity function (Motor Assessment Scale for upper extremity function; MAS UE) showed a statistically significant difference (p <0.05) between the examined and control groups. Conclusion: The research has shown that Armeo Spring®-assisted movements improve the outcome of rehabilitation and complement conventional therapy. It is especially encouraging that we achieved our results in patients in the subacute phase of rehabilitation after stroke.
Ključne riječi
neurological rehabilitation; robotics; stroke
Hrčak ID:
284698
URI
Datum izdavanja:
1.12.2022.
Posjeta: 753 *