學院 |
醫學院 |
系所 |
職能治療學系 |
題名 |
Bilateral
robotic priming before task-oriented approach in subacute stroke
rehabilitation: a pilot randomized controlled trial |
作者 |
Hsieh, Y-W., Wu, C-Y., Wang, W-E., Lin, K-C.*, Chang,
K-C., Chen, C-C., & Liu, C-T. |
期刊名稱 |
Clinical Rehabilitation(SCIE-Indexed) |
發表日期 |
2017 |
著作性質 |
原著 |
語文 |
英文 |
關鍵字 |
Bilateral priming, task-oriented approach, upper
extremity, stroke rehabilitation, robot |
摘要 |
Objectives: To investigate the treatment effects of bilateral
robotic priming combined with the task-oriented approach on motor impairment,
disability, daily function, and quality of life in patients with subacute
stroke. Design: A randomized controlled trial. Setting: Occupational therapy clinics in medical centers. Subjects: Thirty-one subacute stroke patients were
recruited. Interventions: Participants were randomly assigned to receive
bilateral priming combined with the task-oriented approach (i.e., primed
group) or to the task-oriented approach alone (i.e., unprimed group) for 90
minutes/day, 5 days/week for 4 weeks. The primed group began with the
bilateral priming technique by using a bimanual robot-aided device. Main measures: Motor impairments were assessed by the
Fugal-Meyer Assessment, grip strength, and the Box and Block Test. Disability
and daily function were measured by the modified Rankin Scale, the Functional
Independence Measure, and actigraphy. Quality of life was examined by the
Stroke Impact Scale. Results: The primed and unprimed groups improved significantly
on most outcomes over time. The primed group demonstrated significantly
better improvement on the Stroke Impact Scale strength subscale (P = 0.012)
and a trend for greater improvement on the modified Rankin Scale (P = 0.065)
than the unprimed group. Conclusion: Bilateral priming combined with the task-oriented
approach elicited more improvements in self-reported strength and disability
degrees than the task-oriented approach by itself. Further large-scale
research with at least 31 participants in each intervention group is
suggested to confirm the study findings. |