學院	醫學院
系所	職能治療學系
題名	Effects of robot-assisted upper limb rehabilitation on daily function and real-world arm activity in patients with chronic stroke: A pilot randomized controlled trial
作者	Liao, W-W., Wu, C-Y., Hsieh, Y-W., Lin, K-C.*, & Chang, W-Y.
期刊名稱	Clinical Rehabilitation (SCI 期刊)
發表日期	2012年
著作性質	原著
語文	英文
關鍵字	Robot-assisted rehabilitation, Stroke, Accelerometer, Daily function, Arm activity
摘要	Objective. This investigation compared the outcome of robot-assisted therapy with dose-matched active control therapy by using accelerometers to study functional recovery in chronic stroke patients. Design. Prospective, randomized, controlled trial. Setting. Stroke units in three medical centers. Subjects. Twenty patients poststroke for a mean of 22 months. Intervention. Robot-assisted therapy (n = 10) or dose-matched active control therapy (n = 10). All patients received either of these two therapies for 90 to 105 minutes each day, 5 days per week, for 4 weeks. Main measures. Outcome measures included arm activity ratio (the ratio of mean activity between the impaired and unimpaired arm) and scores on the Fugl-Meyer Assessment Scale, Functional Independence Measure, Motor Activity Log, and ABILHAND questionnaire. Results. The robot-assisted therapy group significantly increased motor function and hemiplegic arm activity (Fugl-Meyer Assessment Scale: 51.20 ± 8.82, P = 0.002; mean arm activity ratio: 0.76 ± 0.10, P = 0.026) and showed greater improvements in dealing with daily tasks that required bilateral arm coordination (ABILHAND questionnaire: 1.24 ± 0.28, P = 0.043) compared with the dose-matched active control group (Fugl-Meyer Assessment Scale: 40.90 ± 13.14; mean arm movement ratio: 0.69 ± 0.12; ABILHAND questionnaire: 0.95 ± 0.43). Conclusions. Symmetrical and bilateral robotic practice, combined with functional task training, can significantly improve motor function, arm activity, and self-perceived bilateral arm ability.