學院 |
醫學院 |
系所 |
職能治療學系 |
題名 |
A comparative efficacy study of robotic priming of bilateral approach in stroke rehabilitation. |
作者 |
Li, Y-C., Lin, K-C*., Chen, C-L., Yao, K-P., Chang, Y-J., Lee, Y-Y., & Liu, C-T. |
期刊名稱 |
Frontiers in Neurology(SCIE 期刊) |
發表日期 |
2021 |
著作性質 |
原著 |
語文 |
英文 |
關鍵字 |
Priming, Mirror therapy, Bilateral upper limb training, Mirror visual feedback, Motor learning, Stroke |
摘要 |
Background: Stroke survivors can
remain impaired in body functions, activity, and participation. A novel
rehabilitation regimen is required to obtain scientific evidence and to help
clinicians determine effective interventions for stroke. Mirror therapy (MT)
and bilateral upper limb training (BULT) are based on the tenet of bilateral
movement practice; however, the additional effect of bilateral robotic
priming combined with these two therapies is unclear. Objectives: This study examined the
effects of two hybrid therapies, robotic priming combined with MT and robotic
priming combined with BULT, in stroke survivors. Methodology: The study randomized 31
participants to groups that received robotic priming combined with MT (n =
15) or robotic priming combined with BULT (n = 16). Outcome measures included
the Fugl–Meyer Assessment (FMA), the revised Nottingham Sensory Assessment
(rNSA), the Chedoke Arm and Hand Activity Inventory (CAHAI), and
accelerometer data. Results: Both groups showed
statistically significant within-group improvements in most outcome measures.
Significant between-group differences and medium-to-large effect sizes were
found in favor of the group that received robotic priming combined with MT
based on the FMA distal part subscale scores, FMA total scores, and
accelerometer data. Conclusion: Robotic priming combined
with MT may have beneficial effects for patients in the improvements of
overall and distal arm motor impairment as well as affected arm use in real
life. Additional follow-up, a larger sample size, and consideration of the
effect of lesion location or different levels of cognitive impairment are
warranted to validate our findings in future studies. |