Abstract
Improving arm-hand skill performance is a major goal in the rehabilitation of patients who suffered a stroke. Technology-assisted training may enrich training content and variation. We developed a new task-oriented arm training approach (ReHab-TOAT) based on 'remote handling concept' technology from nuclear industry (DexterTM, Veolia Nuclear Solutions, Abingdon, UK) to provide enriched proprioceptive feedback. Aim was to investigate the potential order of magnitude the ReHab-TOAT concept may have additional to therapy-as-usual on improving arm-hand function (AHF) and arm-hand skill performance (AHSP) in both subacute and chronic stroke patients. This study included five subacute and five chronic hemiparetic stroke patients suffering from moderate to severe arm-hand problems. Over a six-weeks period, participants received 18 sessions of ReHab-TOAT additional to therapy-as-usual. Outcome measures were taken pre- and post-intervention. Clinical relevant overall improvements regarding AHF (mean improvement on the FuglMeyer Assessment: 15.3 points (+-9.6 SD, p=0.007)) and AHSP (mean improvement on the Action Research Arm Test: 6.8 points (+- 9.0 SD, p=0.036)), which also exceeded the minimal detectable change (MDC), were found. When differentiating between subacute and chronic stroke patients, analyses showed clinically relevant improvements in AHF in the chronic and subacute stroke groups, while clinical relevant improvements in AHSP were only found in the subacute group. This pilot study provided data for a power analysis for an ensuing randomized clinical trial.
Original language | English |
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Title of host publication | Proceedings - 2023 IEEE 36th International Symposium on Computer-Based Medical Systems, CBMS 2023 |
Editors | Rosa Sicilia, Bridget Kane, Joao Rafael Almeida, Myra Spiliopoulou, Jose Alberto Benitez Andrades, Giuseppe Placidi, Alejandro Rodriguez Gonzalez |
Publisher | IEEE |
Pages | 410-415 |
Number of pages | 6 |
Volume | 2023-June |
ISBN (Electronic) | 9798350312249 |
DOIs | |
Publication status | Published - 2023 |
Event | 36th IEEE International Symposium on Computer Based Medical Systems 2023 - L'Aquila, Italy Duration: 22 Jun 2023 → 24 Jun 2023 Conference number: 36 https://2023.cbms-conference.org/index.html https://2023.cbms-conference.org/ |
Publication series
Series | Proceedings - IEEE Symposium on Computer-Based Medical Systems |
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Volume | 2023-June |
ISSN | 1063-7125 |
Symposium
Symposium | 36th IEEE International Symposium on Computer Based Medical Systems 2023 |
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Abbreviated title | CBMS 2023 |
Country/Territory | Italy |
City | L'Aquila |
Period | 22/06/23 → 24/06/23 |
Internet address |
Keywords
- Technology-assisted treatment
- Robotics
- Proprioception
- Rehabilitation
- Stroke
- Gamification
- Motor learning
- Arm-hand skill performance
- Arm-hand function
- ROBOT-ASSISTED THERAPY
- UPPER-LIMB
- FUNCTIONAL RECOVERY