Systematic review of the effect of robot-aided therapy on recovery of the hemiparetic arm after stroke

Gerdienke B. Prange, Michiel J. A. Jannink, Catharina G. M. Groothuis-Oudshoorn, Hermie J. Hermens, Maarten J. IJzerman
2006 Journal of rehabilitation research and development  
A limited number of clinical studies have examined the effect of poststroke rehabilitation with robotic devices on hemiparetic arm function. We systematically reviewed the literature to assess the effect of robot-aided therapy on stroke patients' upper-limb motor control and functional abilities. Eight clinical trials were identified and reviewed. For four of these studies, we also pooled short-term mean changes in Fugl-Meyer scores before and after robot-aided therapy. We found that
more » ... und that robot-aided therapy of the proximal upper limb improves short-and long-term motor control of the paretic shoulder and elbow in subacute and chronic patients; however, we found no consistent influence on functional abilities. In addition, robotaided therapy appears to improve motor control more than conventional therapy. Abbreviations: ADL = activities of daily living, ARM = Assisted Rehabilitation and Measurement (guide), CI = confidence interval, CIRRIE = Center for International Rehabilitation Research Information and Exchange, CVA = cerebrovascular accident, FIM = Functional Independence Measure, FM = Fugl-Meyer, MIME = Mirror Image Motion Enabler, MIT = Massachusetts Institute of Technology, RCT = randomized controlled trial, SD = standard deviation.
doi:10.1682/jrrd.2005.04.0076 fatcat:sdypcykiajgjblf2ghwhucp63q