Hybrid Rehabilitation Therapies on Upper-Limb Function and Goal Attainment in Chronic Stroke.
Chung-Shan HungYu-Wei HsiehChing-Yi WuYu-Ju ChenKeh-Chung LinChia-Ling ChenKaiping Grace YaoChien-Ting LiuYi-Shiung HorngPublished in: OTJR : occupation, participation and health (2019)
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.
Keyphrases
- robot assisted
- atrial fibrillation
- chronic pain
- emergency department
- clinical trial
- physical activity
- public health
- double blind
- oxidative stress
- open label
- spinal cord injury
- cell therapy
- high glucose
- room temperature
- mesenchymal stem cells
- pain management
- study protocol
- diabetic rats
- ionic liquid
- carbon dioxide
- electronic health record
- smoking cessation