Article

Survivors post stroke commonly have upper limb impairments. Patients can drive
neural reorganization, brain recovery and return of function with task specific
repetitive training (TSRT). Fifteen community independent stroke survivors (25-75
years, >6 months post stroke, Upper Limb Fugl Meyer [ULFM] scores 16-39)
participated in this randomized feasibility study to compare outcomes of upper
limb TSRT guided by a robotic orthosis (bilateral or unilateral) or a physical
therapist. After 6 weeks of training (18 h), across all subjects, there were
significant improvements in depression, flexibility, strength, tone, pain and
voluntary movement (ULFM) (p < 0.05; effect sizes 0.49-3.53). Each training group
significantly improved ULFM scores and range of motion without significant group
differences. Virtual or actual TSRT performed with a robotic orthosis or a
physical therapist significantly reduced arm impairments around the shoulder and
elbow without significant gains in fine motor hand control, activities of daily
living or independence.
CI - Copyright (c) 2013 Hanley & Belfus. Published by Elsevier Inc. All rights
reserved.

Langue : ANGLAIS