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 |