學院

醫學院

系所

職能治療學系

題名

Hybrid Rehabilitation Therapies on Upper-limb Function and Goal Attainment in Chronic Stroke.

作者

Hung, C-S., Hsieh, Y-W., Wu, C-Y., Chen, Y-J., Lin, K-C.*, Chen, C-L., Yao, K-P., Liu, C-T., & Horng, Y-S.

期刊名稱

OTJR: Occupation, Participation and Health. (SSCIE 期刊)

發表日期

2019

著作性質

原著

語文

英文

關鍵字

Rehabilitation, Stroke, Randomized controlled trial, Occupational therapy

摘要

Abstract: This study examined the treatment effects between unilateral hybrid therapy (UHT; unilateral robot-assisted therapy [RT] + modified constraint-induced movement therapy) and bilateral hybrid therapy (BHT; bilateral RT + bilateral arm training) compared with RT. Thirty patients with chronic stroke were randomized to UHT, BHT, or RT groups. Preliminary efficacy was assessed using the Fugl-Meyer Assessment (FMA), the Chedoke Arm and Hand Activity Inventory (CAHAI), and the goal attainment scaling (GAS). Possible adverse effects of abnormal muscle tone, pain, and fatigue were recorded. All groups showed large improvements in motor recovery and individual goals. Significant between-group differences were found on GAS favoring the hybrid groups but not on FMA and CAHAI. No adverse effects were reported. Hybrid therapies are safe and applicable interventions for chronic stroke and favorable for improving individual functional goals. Treatment effects on motor recovery and functional activity might be similar among the three groups.

Purpose: To examine the treatment effects between unilateral hybrid therapy (UHT;

unilateral robot-assisted therapy [RT] + modified constraint-induced movement therapy) and bilateral hybrid therapy (BHT; bilateral RT + bilateral arm training) comparing with RT.

Methods: 30 patients with chronic stroke were randomized to UHT, BHT, or RT group.

Preliminary efficacy was assessed using the Fugl-Meyer Assessment (FMA), the Chedoke

Arm and Hand Activity Inventory (CAHAI), and the Goal Attainment Scaling (GAS).

Possible adverse effects of abnormal muscle tone, pain, and fatigue were recorded.

Results: All groups showed large improvements in motor recovery and individual goals.

Significant between-group differences were found on GAS

favoring the hybrid groups, but not on FMA and CAHAI. No adverse effect was reported.

Conclusions: Hybrid therapies are feasible and applicable interventions on chronic stroke

and favoring for improving individual functional goals. Treatment effects might be similar

among the 3 groups on motor recovery and functional activity