Article

This study was aimed at verifying the improvement on the motor impairment and
functionality in 19 patients with chronic hemiparesis after stroke treated with a
robot-aided rehabilitation protocol using the ReoGo system (Motorika Medical Ltd,
Israel), and at evaluating the persistence of the effects after 1 month. The
study also focused on the actual possibility of administering the robot-aided
therapy with the ReoGo for the upper limbs and on the patients' degree of
acceptance and compliance with the treatment. Subjects underwent an assessment
prior to the start of the rehabilitation project (T-1), one at the start (T0),
one at the end of the treatment (T1) and one after one month from the end of the
treatment (T2). The following tests were administered: (i) Fugl-Meyer (FM) upper
limb; Ashworth scale (AS); Functional Independence Measure (FIM) (T-1 - T2); (ii)
strength evaluation; Visual Analogue Scale (VAS) for pain; Frenchay Arm test
(FAT); Box and Block test (BBT); Timed Up and Go (TUG) test (T0 - T2).
Additionally, the Euro-QoL questionnaire and a VAS for the treatment satisfaction
were administered to the subjects. Non-statistical difference of scores at T-1
and T0 on almost the entire battery of tasks suggested a stable patients'
performance prior to the start of the rehabilitation. With the exception of the
Medical Research Council (MRC) and the AS sub-scales measuring -as appropriate-
strength and spasticity of the shoulder, triceps and wrist, all scores showed a
significant increase between T0 and T1. The improvement on the pain could not be
proved significant (p = 0.10). A significant increase between T0 and T2 was found
for all assessment scores, with the exception of the MRC for external shoulder
rotators (p = 0.05) and of the AS for shoulder (p = 0.32) and wrist (p = 0.08).
Substantial stability was observed between T1 and T2. Patients were capable of
completing the treatment and showed good participant satisfaction. This pilot
study led to the finding of a clinical improvement and excellent patients
compliance. It is possible that the learning process experienced by the patients
was robot-dependent, especially in consideration of the general maintenance of
the achievements observed on all activities.

Langue : ANGLAIS