學院 |
醫學院 |
系所 |
職能治療學系 |
題名 |
The
effects of combination of robot-assisted therapy with task-specific or
impairment-oriented training on motor function and quality of life in chronic
stroke |
作者 |
Hung, C-S., Hsieh, Y-W., Lin, K-C.*, Lin, Y-T., Wu, C-Y., Chen, C-L. |
期刊名稱 |
PM & R(SCIE-Indexed) |
發表日期 |
2016 |
著作性質 |
原著 |
語文 |
英文 |
關鍵字 |
Rehabilitation, Robotics, Stroke, Upper
extremity, comparative effectiveness research |
摘要 |
Background: Robot-assisted therapy (RT) is a promising
intervention for stroke rehabilitation. RT hybridized with therapist-mediated
therapy (eg, RT plus task-specific or impairment-oriented training) may
possibly yield functionally relevant improvements. A comparative study of the
different combination regimens is needed. Objective: To investigate the efficacy of RT combined with
task-specific training or impairment-oriented training on motor function and
quality of life in patients with chronic stroke. Design: A single-blind, randomized comparative efficacy
study. Setting: Two medical centers in Taiwan. Participants: Twenty-one subjects with chronic stroke. Interventions: Participants were recruited and randomized into 1
of 2 groups: (1) RT combined with task-specific (RTT) training (enrolled, n =
11; completed, n = 11) or (2) RT combined with impairment-oriented (RTI)
training (enrolled, n = 10; completed, n = 9). Participants received 20
intervention sessions (90-100 min/d, 5 d/wk for 4 weeks). Outcomes: The Fugl-Meyer Motor Assessment Upper Extremity
subscale, Stroke Impact Scale, Action Research Arm Test, and Medical Research
Council Scale were administered at baseline, posttreatment, and at 3-month
follow-up. Two-way repeated-measures analysis of variance was used to
investigate the treatment effects. Result: The improvements of the RTT group in motor
function measured by the Fugl-Meyer Motor Assessment Upper Extremity subscale
and quality of life assessed by the Stroke Impact Scale were significantly
superior to the RTI group after the interventions. The improvements of the
RTT group were maintained for 3 months. Both groups demonstrated significant
within-group improvements in motor function, muscle power, and quality of
life. Conclusions: RTT may be a more compelling approach to enhance
motor function and quality of life for a long-term period than RTI. The
combination of RT with task-specific training and with impairment-oriented
training had similar benefits on upper limb motor function and muscle
strength immediately after the interventions. |