Article

We compared a unilateral robot-assisted training protocol (URTP) and a bilateral
robot-assisted training protocol (BRTP) to study their differential effects. We
recruited 21 patients with stroke who received 90-105 min of therapy 5 days/wk
for 4 wk. Participants in the URTP and BRTP groups practiced forearm pronation
and supination and wrist flexion and extension in a simultaneous manner with the
Bi-Manu-Track. The control group received standard rehabilitation. Clinical
measures included the Fugl-Meyer Assessment, the Medical Research Council
instrument, grip strength, and the Modified Ashworth Scale to assess motor
impairment, muscle power, muscle strength, and spasticity, respectively. The
pilot study indicated that the URTP and BRTP might have differential benefits for
movement improvement. URTP might be a more compelling approach to improving
upper-limb motor impairment, muscle power, and strength at the distal joints than
BRTP, whereas BRTP could be an optimal approach to improving proximal muscle
power.
CI - Copyright (c) 2012 by the American Occupational Therapy Association, Inc.

Langue : ANGLAIS