The impact of robot-mediated adaptive I-TRAVLE training on impaired upper limb function in chronic stroke and multiple sclerosis

Anneleen Maris, Karin Coninx, Henk Seelen, Veronik Truyens, Tom De Weyer, Richard Geers, Mieke Lemmens, Jolijn Coolen, Sandra Stupar, Ilse Lamers, Peter Feys*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

14 Citations (Web of Science)

Abstract

Purpose: The current study aimed to investigate proof-of-concept efficacy of an individualized, robot-mediated training regime for people with MS (pwMS) and stroke patients.

Method: Thirteen pwMS and 14 chronic stroke patients performed 36 (stroke) or 40 (pwMS) training sessions with the I-TRAVLE system. Evaluation of upper limb function was performed at baseline, after training and at 3 months follow-up. Clinical outcome measures consisted of active range of motion (ROM), Motricity Index, Jamar handgrip strength, perceived fatigue and strength, Wolf Motor Function Test (WFMT) and ABILHAND. Robot-generated outcome measures consisted of movement velocity, ROM and actual covered distance compared to straight-line distance.

Results: In pwMS, significant improvements were found after training in active shoulder ROM, handgrip strength, perceived strength and WMFT activities. No significant change in clinical outcome was found in stroke patients, except for perceived strength. Significant improvement in speed and movement duration was found after training in both groups. At follow-up, clinical outcome deteriorated in pwMS and was maintained in stroke patients.

Conclusions: Robot-mediated training resulted in improved movement coordination in both groups, as well as clinical improvement in pwMS. Absence of functional improvements in stroke patients may relate to severe upper limb dysfunction at baseline.

Original languageEnglish
Pages (from-to)1-9
Number of pages9
JournalDisability and Rehabilitation: Assistive Technology
Volume13
Issue number1
DOIs
Publication statusPublished - 2018

Keywords

  • Haptic feedback
  • virtual reality
  • multiple sclerosis
  • stroke
  • upper limb
  • rehabilitation
  • RANDOMIZED CONTROLLED-TRIAL
  • MOTOR FUNCTION
  • ASSISTED THERAPY
  • RECOVERY PLATEAU
  • MANUAL ABILITY
  • CLINICAL-TRIAL
  • ARM FUNCTION
  • REHABILITATION
  • EXERCISE
  • PEOPLE

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