A proof of concept study investigating the feasibility of combining iPAM robot assisted rehabilitation with functional electrical stimulation to deliver whole arm exercise in stroke survivors

Rory J. O'Connor, Andrew Jackson, Sophie G. Makower, Alastair Cozens, Martin Levesley
2015 Journal of Medical Engineering & Technology  
Rehabilitation robots can provide exercise for stroke survivors with weakness at the shoulder and elbow, but most do not facilitate hand movements. Aim: To combine robotics and functional electrical stimulation to facilitate exercise in stroke survivors with upper limb impairment. Methods: iPAM Mk II to assist active reaching in combination with an Odstock Pace stimulator to assist hand opening. The ABILHAND, Action Research Arm Test (ARAT) and the Stroke Impact Scale (SIS) were recorded at
more » ... ere recorded at baseline and completion. Results: Nine participants (8 males and 1 female; mean age 58 years) were recruited; mean time since stroke was 16 months (range 6-64). The ABILHAND at baseline was -2.73 improving to -1.45 at follow-up (p=0.038). The ARAT changed from 4.1 to 2.6 (p=0.180), and the SIS from 49 to 60 (p=0.019). Discussion: This study demonstrates that it is possible to combine two technologies in stroke rehabilitation. Abstract word count: 144 iPAM-NMES Resubmission 27 05 2015
doi:10.3109/03091902.2015.1088094 pmid:26414146 fatcat:6km7dwl5drfxziw5ghrnmkehei