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Randomized Controlled Trial
. 2018 Jan;13(1):95-102.
doi: 10.1177/1558944717692096. Epub 2017 Feb 16.

Efficacy of Short-Term Robot-Assisted Rehabilitation in Patients With Hand Paralysis After Stroke: A Randomized Clinical Trial

Jorge H Villafañe  1 , Giovanni Taveggia  2 , Silvia Galeri  1 , Luciano Bissolotti  3   4 , Chiara Mullè  2 , Grace Imperio  1 , Kristin Valdes  5 , Alberto Borboni  6 , Stefano Negrini  1   6
Affiliations
Randomized Controlled Trial

Efficacy of Short-Term Robot-Assisted Rehabilitation in Patients With Hand Paralysis After Stroke: A Randomized Clinical Trial

Jorge H Villafañe et al. Hand (N Y). 2018 Jan.

Abstract

Background: We evaluated the effectiveness of robot-assisted motion and activity in additional to physiotherapy (PT) and occupational therapy (OT) on stroke patients with hand paralysis.

Methods: A randomized controlled trial was conducted. Thirty-two patients, 34.4% female (mean ± SD age: 68.9 ± 11.6 years), with hand paralysis after stroke participated. The experimental group received 30 minutes of passive mobilization of the hand through the robotic device Gloreha (Brescia, Italy), and the control group received an additional 30 minutes of PT and OT for 3 consecutive weeks (3 d/wk) in addition to traditional rehabilitation. Outcomes included the National Institutes of Health Stroke Scale (NIHSS), Modified Ashworth Scale, Barthel Index (BI), Motricity Index (MI), short version of the Disabilities of the Arm, Shoulder and Hand (QuickDASH), and the visual analog scale (VAS) measurements. All measures were collected at baseline and end of the intervention (3 weeks).

Results: A significant effect of time interaction existed for NIHSS, BI, MI, and QuickDASH, after stroke immediately after the interventions (all, P < .001). The experimental group had a greater reduction in pain compared with the control group at the end of the intervention, a reduction of 11.3 mm compared with 3.7 mm, using the 100-mm VAS scale.

Conclusions: In the treatment of pain and spasticity in hand paralysis after stroke, robot-assisted mobilization performed in conjunction with traditional PT and OT is as effective as traditional rehabilitation.

Keywords: hand; rehabilitation; robotic; stroke; wearable.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Wearable glove/orthosis.
Figure 2.
Figure 2.
Hand exercises. Each finger was mobilized individually: a and b, number; c, pinch (thumb-index); d, fist; and e, synchronous, (II-III-IV-V finger are mobilized simultaneously, the thumb individually) in the presence of visual feedback.
Figure 3.
Figure 3.
Flow diagram of the study.
See this image and copyright information in PMC

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