keyword
https://read.qxmd.com/read/38175700/factors-affecting-the-efficiency-of-walking-independence-in-patients-with-subacute-stroke-following-robot-assisted-gait-training-with-conventional-rehabilitation
#21
JOURNAL ARTICLE
Yoshiaki Maki, Takuma Ii, Masanari Yamada, Shigeo Tanabe
Factors affecting the efficiency of walking independence in patients with subacute stroke following robot-assisted gait training (RAGT) and conventional treatment (RAGT-CT) were examined. This retrospective cohort study included 37 patients with stroke [n = 11 ischemic; n = 26 hemorrhagic; median poststroke interval, 28 days (interquartile range, IQR, 24-42)] who underwent RAGT using Welwalk for a median of 3 weeks (IQR, 2-4) followed by conventional training (median, 129 days; IQR, 114-146)...
January 5, 2024: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
https://read.qxmd.com/read/38173006/effects-of-an-assist-as-needed-equipped-tenodesis-induced-grip-exoskeleton-robot-tiger-on-upper-limb-function-in-patients-with-chronic-stroke
#22
JOURNAL ARTICLE
Hsiu-Yun Hsu, Chia-Lin Koh, Kang-Chin Yang, Yu-Ching Lin, Chieh-Hsiang Hsu, Fong-Chin Su, Li-Chieh Kuo
BACKGROUND: The original version of the Tenodesis-Induced-Grip Exoskeleton Robot (TIGER) significantly improved the motor and functional performance of the affected upper extremity of chronic stroke patients. The assist-as-needed (AAN) technique in robot-involved therapy is widely favored for promoting patient active involvement, thereby fostering motor recovery. However, the TIGER lacked an AAN control strategy, which limited its use in different clinical applications. The present study aimed to develop and analyze the training effects of an AAN control mode to be integrated into the TIGER, to analyze the impact of baseline patient characteristics and training paradigms on outcomes for individuals with chronic stroke and to compare training effects on the upper limb function between using the AAN-equipped TIGER and using the original prototype...
January 3, 2024: Journal of Neuroengineering and Rehabilitation
https://read.qxmd.com/read/38165122/effects-of-robot-assisted-arm-training-on-respiratory-muscle-strength-activities-of-daily-living-and-quality-of-life-in-patients-with-stroke-a-single-blinded-randomized-controlled-trial
#23
JOURNAL ARTICLE
Abdurrahim Yildiz, Ishtiaq Ahmed, Rustem Mustafaoglu, Fatma Nur Kesiktas
BACKGROUND: Post-stroke clinical changes not only affect extremities and trunk muscles but also the respiratory muscles. PURPOSE: To determine the effect of robot-assisted arm training with conventional rehabilitation (CombT) on respiratory muscle strength, activities of daily living (ADL), and quality of life in patients with stroke and to compare the results with conventional rehabilitation (CR). METHODS: It was a two-arm, single-blinded, randomized controlled trial in which 66 patients were randomly allocated to either CombT or CR to receive 30 sessions (5/week) over 6 weeks...
January 2, 2024: Physiotherapy Theory and Practice
https://read.qxmd.com/read/38146541/brain-oscillations-in-reflecting-motor-status-and-recovery-induced-by-action-observation-driven-robotic-hand-intervention-in-chronic-stroke
#24
JOURNAL ARTICLE
Zan Yue, Peng Xiao, Jing Wang, Raymond Kai-Yu Tong
Hand rehabilitation in chronic stroke remains challenging, and finding markers that could reflect motor function would help to understand and evaluate the therapy and recovery. The present study explored whether brain oscillations in different electroencephalogram (EEG) bands could indicate the motor status and recovery induced by action observation-driven brain-computer interface (AO-BCI) robotic therapy in chronic stroke. The neurophysiological data of 16 chronic stroke patients who received 20-session BCI hand training is the basis of the study presented here...
2023: Frontiers in Neuroscience
https://read.qxmd.com/read/38138893/effect-of-the-duration-of-restrictive-fluid-therapy-on-acute-kidney-injury-in-robot-assisted-laparoscopic-prostatectomy
#25
JOURNAL ARTICLE
Serap Aktas Yildirim, Zeynep Tugce Sarikaya, Lerzan Dogan, Bulent Gucyetmez, Levent Turkeri, Fevzi Toraman
BACKGROUND: In robot-assisted laparoscopic prostatectomy (RALP), restrictive fluid therapy (RFT) is often utilized until the vesicourethral anastomosis (console period) is completed. RFT can cause acute kidney injury (AKI). Thus, RFT prolongation in surgeries that utilize the Trendelenburg position and pneumoperitoneum may increase the risk of postoperative AKI. We aimed to evaluate the effect of RFT duration on postoperative AKI. METHODS: Forty-four patients who underwent RALP were included in this prospective observational study...
November 28, 2023: Journal of Personalized Medicine
https://read.qxmd.com/read/38137133/three-dimensional-magnetic-rehabilitation-robot-enhanced-hand-motor-recovery-after-subacute-stroke-a-randomized-controlled-trial
#26
JOURNAL ARTICLE
Sung-Hoon Kim, Dong-Min Ji, In-Su Hwang, Jinwhan Ryu, Sol Jin, Soo-A Kim, Min-Su Kim
We developed an end-effector-type rehabilitation robot that can uses electro- and permanent magnets to generate a three-way magnetic field to assist hand movements and perform rehabilitation therapy. This study aimed to investigate the therapeutic effect of a rehabilitation program using a three-dimensional (3D) magnetic force-based hand rehabilitation robot on the motor function recovery of the paralyzed hands of patients with stroke. This was a double-blind randomized controlled trial in which 36 patients with subacute stroke were assigned to intervention and control groups of 18 patients each...
December 7, 2023: Brain Sciences
https://read.qxmd.com/read/38129910/cortico-cortical-stimulation-and-robot-assisted-therapy-ccs-and-rat-for-upper-limb-recovery-after-stroke-study-protocol-for-a-randomised-controlled-trial
#27
JOURNAL ARTICLE
Alex Martino Cinnera, Sonia Bonnì, Alessia D'Acunto, Michele Maiella, Matteo Ferraresi, Elias Paolo Casula, Valentina Pezzopane, Marco Tramontano, Marco Iosa, Stefano Paolucci, Giovanni Morone, Giuseppe Vannozzi, Giacomo Koch
BACKGROUND: Since birth, during the exploration of the environment to interact with objects, we exploit both the motor and sensory components of the upper limb (UL). This ability to integrate sensory and motor information is often compromised following a stroke. However, to date, rehabilitation protocols are focused primarily on recovery of motor function through physical therapies. Therefore, we have planned a clinical trial to investigate the effect on functionality of UL after a sensorimotor transcranial stimulation (real vs sham) in add-on to robot-assisted therapy in the stroke population...
December 21, 2023: Trials
https://read.qxmd.com/read/38125828/the-effect-of-the-lokomat-%C3%A2-robotic-orthosis-system-on-lower-extremity-rehabilitation-in-patients-with-stroke-a-systematic-review-and-meta-analysis
#28
REVIEW
Lina Wu, Gui Xu, Qiaofeng Wu
BACKGROUND: The Lokomat® is a device utilized for gait training in post-stroke patients. Through a systematic review, the objective was to determine whether robot-assisted gait training with the Lokomat® is more effective in enhancing lower extremity rehabilitation in patients with stroke in comparison to conventional physical therapy (CPT). METHODS: In this study, a systematic search was conducted in various databases, including CINAHL, MEDLINE, PubMed, Embase, Cochrane Library, Scopus, Web of Science, and Physiotherapy Evidence Database (PEDro), as well as bibliographies of previous meta-analyses, to identify all randomized controlled trials that investigated the use of Lokomat® devices in adult stroke patients...
2023: Frontiers in Neurology
https://read.qxmd.com/read/38118342/robotic-gait-training-and-botulinum-toxin-injection-improve-gait-in-the-chronic-post-stroke-phase-a-randomized-controlled-trial
#29
JOURNAL ARTICLE
Maëva Cotinat, Mathilde Celerier, Clelia Arquillière, Margot Flipo, Nicolas Prieur-Blanc, Jean-Michel Viton, Laurent Bensoussan
BACKGROUND: Improving walking ability is one of the main goals of rehabilitation after stroke. When lower limb spasticity increases walking difficulty, botulinum toxin type A (BTx-A) injections can be combined with non-pharmacologic interventions such as intensive rehabilitation using a robotic approach. To the best of our knowledge, no comparisons have been made between the efficacy of robotic gait training and conventional physical therapy in combination with BTx-A injections. OBJECTIVE: To conduct a randomized controlled trial to compare the efficacy on gait of robotic gait training versus conventional physiotherapy after BTx-A injection into the spastic triceps surae in people after stroke...
December 19, 2023: Annals of Physical and Rehabilitation Medicine
https://read.qxmd.com/read/38118340/resistive-versus-active-assisted-robotic-training-for-the-upper-limb-after-a-stroke-a-randomized-controlled-study
#30
JOURNAL ARTICLE
Sun Young Jeon, Myung Ki, Joon-Ho Shin
BACKGROUND: Selection of a suitable training modality according to the status of upper limb function can maximize the effects of robotic rehabilitation; therefore, it is necessary to identify the optimal training modality. OBJECTIVES: This study aimed to compare robotic rehabilitation approaches incorporating either resistance training (RET) or active-assisted training (AAT) using the same rehabilitation robot in people with stroke and moderate impairment. METHODS: In this randomized controlled trial, we randomly allocated 34 people with stroke who had moderate impairment to either the experimental group (RET, n = 18) or the control group (AAT, n = 16)...
December 19, 2023: Annals of Physical and Rehabilitation Medicine
https://read.qxmd.com/read/38115157/bilateral-upper-limb-robot-assisted-rehabilitation-improves-upper-limb-motor-function-in-stroke-patients-a-study-based-on-quantitative-eeg
#31
RANDOMIZED CONTROLLED TRIAL
Congzhi Tang, Ting Zhou, Yun Zhang, Runping Yuan, Xianghu Zhao, Ruian Yin, Pengfei Song, Bo Liu, Ruyan Song, Wenli Chen, Hongxing Wang
BACKGROUND: Upper limb dysfunction after stroke seriously affects quality of life. Bilateral training has proven helpful in recovery of upper limb motor function in these patients. However, studies evaluating the effectiveness of bilateral upper limb robot-assisted training on improving motor function and quality of life in stroke patients are lacking. Quantitative electroencephalography (EEG) is non-invasive, simple, and monitors cerebral cortical activity, which can be used to evaluate the effectiveness of interventions...
December 19, 2023: European Journal of Medical Research
https://read.qxmd.com/read/38107648/upper-limb-sensorimotor-recovery-in-asian-stroke-survivors-a-study-protocol-for-the-development-and-implementation-of-a-technology-assisted-digital-biomarker-tailor-platform
#32
JOURNAL ARTICLE
Hsiao-Ju Cheng, Lay Fong Chin, Christoph M Kanzler, Rea Lehner, Christopher W K Kuah, Simone Kager, Eva Josse, Tengiz Samkharadze, Ananda Sidarta, Pablo Cruz Gonzalez, Eloise Lie, Monika Zbytniewska-Mégret, Seng Kwee Wee, Phyllis Liang, Roger Gassert, Karen Chua, Olivier Lambercy, Nicole Wenderoth
BACKGROUND: Stroke is a leading cause of lifelong disability worldwide, partially driven by a reduced ability to use the upper limb in daily life causing increased dependence on caregivers. However, post-stroke functional impairments have only been investigated using limited clinical scores, during short-term longitudinal studies in relatively small patient cohorts. With the addition of technology-based assessments, we propose to complement clinical assessments with more sensitive and objective measures that could more holistically inform on upper limb impairment recovery after stroke, its impact on upper limb use in daily life, and on overall quality of life...
2023: Frontiers in Neurology
https://read.qxmd.com/read/38067674/unraveling-transformative-effects-after-tdcs-and-bci-intervention-in-chronic-post-stroke-patient-rehabilitation-an-alternative-treatment-design-study
#33
JOURNAL ARTICLE
Jéssica P S Lima, Leticia A Silva, Denis Delisle-Rodriguez, Vivianne F Cardoso, Ester M Nakamura-Palacios, Teodiano F Bastos-Filho
Stroke is a debilitating clinical condition resulting from a brain infarction or hemorrhage that poses significant challenges for motor function restoration. Previous studies have shown the potential of applying transcranial direct current stimulation (tDCS) to improve neuroplasticity in patients with neurological diseases or disorders. By modulating the cortical excitability, tDCS can enhance the effects of conventional therapies. While upper-limb recovery has been extensively studied, research on lower limbs is still limited, despite their important role in locomotion, independence, and good quality of life...
November 21, 2023: Sensors
https://read.qxmd.com/read/38047093/the-effect-of-robot-assisted-training-on-arm-function-walking-balance-and-activities-of-daily-living-after-stroke-a-systematic-review-and-meta-analysis
#34
JOURNAL ARTICLE
Seung Don Yoo, Hyun Haeng Lee
This meta-analysis aimed to compare the effects of robot-assisted training (RAT) with those of conventional therapy (CT), considering the potential sources of heterogeneity in the previous studies. We searched three international electronic databases (MEDLINE, Embase, and the Cochrane Library) to identify relevant studies. Risk of bias assessment was performed using the Cochrane's Risk of Bias 1.0 tool. The certainty of the evidence was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluations method...
November 2023: Brain & NeuroRehabilitation
https://read.qxmd.com/read/38023311/a-comprehensive-guide-to-bci-based-stroke-neurorehabilitation-interventions
#35
JOURNAL ARTICLE
Jessica Cantillo-Negrete, Ruben I Carino-Escobar, Emmanuel Ortega-Robles, Oscar Arias-Carrión
Brain-Computer Interfaces (BCIs) offer the potential to facilitate neurorehabilitation in stroke patients by decoding user intentions from the central nervous system, thereby enabling control over external devices. Despite their promise, the diverse range of intervention parameters and technical challenges in clinical settings have hindered the accumulation of substantial evidence supporting the efficacy and effectiveness of BCIs in stroke rehabilitation. This article introduces a practical guide designed to navigate through these challenges in conducting BCI interventions for stroke rehabilitation...
December 2023: MethodsX
https://read.qxmd.com/read/38016051/-application-of-exoskeleton-with-functional-electrostimulation-for-rebalancing-of-patients-in-acute-and-early-recovery-periods-of-ischemic-stroke
#36
JOURNAL ARTICLE
G M Lutokhin, A G Kashezhev, M A Rassulova, I V Pogochenkova, E A Turova, A V Shulkina, R I Samokhvalov
UNLABELLED: Static motor disorders are the main cause of falls and decrease of daily activity in patients after previous ischemic stroke. OBJECTIVE: To study impact of robotic mechanotherapy with functional electrostimulation (FES) on rebalancing in patients in acute and early recovery periods of ischemic stroke. MATERIAL AND METHODS: The number of patients equal 60, divided into 2 groups, were examined. Study group included 30 patients, who were treated in an exoskeleton with FES; control group consisted of 30 patients, whose walking and balance recovering was carried out with exercise therapy...
2023: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
https://read.qxmd.com/read/37993168/evaluation-of-alba-device-for-upper-extremity-motor-function-in-adults-with-subacute-and-chronic-acquired-brain-injury-a-randomised-controlled-trial-protocol-in-a-tertiary-clinic-of-the-metropolitan-region-of-chile
#37
JOURNAL ARTICLE
Pamela Salazar-Cifuentes, Thomas Contreras, Emilio Hernández, Evelyn Leiva-Abarca, Paola Castro-Flores, Daniela San Juan, Rodrigo Araneda, Daniela Ebner-Karestinos
INTRODUCTION: Stroke is a significant worldwide cause of death and a prevalent contributor to long-term disability among adults. Survivors commonly encounter a wide array of motor, sensory and cognitive impairments. Rehabilitation interventions, mainly targeting the upper extremities, include a wide array of components, although the evidence indicates that the intensity of practice and task-specific training play crucial roles in facilitating effective results. Assisted therapy with electronic devices designed for the affected upper extremity could be employed to enable partial or total control of this limb, while simultaneously incorporating the aforementioned characteristics in the rehabilitation process...
November 22, 2023: BMJ Open
https://read.qxmd.com/read/37987741/neurophysiological-underpinnings-of-an-intensive-protocol-for-upper-limb-motor-recovery-in-subacute-and-chronic-stroke-patients
#38
JOURNAL ARTICLE
Michael Lassi, Stefania Dalise, Andrea Bandini, Vincenzo Spina, Valentina Azzollini, Matteo Vissani, Silvestro Micera, Alberto Mazzoni, Carmelo Chisari
BACKGROUND: Upper limb (UL) motor impairment following stroke is a leading cause of functional limitations in activities of daily living. Robot-assisted therapy supports rehabilitation, but how its efficacy and the underlying neural mechanisms depend on the time after stroke is yet to be assessed. AIM: We investigated the response to an intensive protocol of robot-assisted rehabilitation in sub-acute and chronic stroke patients, by analyzing the underlying changes in clinical scores, electroencephalography (EEG) and end-effector kinematics...
November 21, 2023: European Journal of Physical and Rehabilitation Medicine
https://read.qxmd.com/read/37959200/advances-in-stroke-neurorehabilitation
#39
REVIEW
Muhammed Enes Gunduz, Bilal Bucak, Zafer Keser
Stroke is one of the leading causes of disability worldwide despite recent advances in hyperacute interventions to lessen the initial impact of stroke. Stroke recovery therapies are crucial in reducing the long-term disability burden after stroke. Stroke recovery treatment options have rapidly expanded within the last decade, and we are in the dawn of an exciting era of multimodal therapeutic approaches to improve post-stroke recovery. In this narrative review, we highlighted various promising advances in treatment and technologies targeting stroke rehabilitation, including activity-based therapies, non-invasive and minimally invasive brain stimulation techniques, robotics-assisted therapies, brain-computer interfaces, pharmacological treatments, and cognitive therapies...
October 25, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37953595/the-evolution-of-hand-proprioceptive-and-motor-impairments-in-the-sub-acute-phase-after-stroke
#40
JOURNAL ARTICLE
Monika Zbytniewska-Mégret, Christian Salzmann, Christoph M Kanzler, Thomas Hassa, Roger Gassert, Olivier Lambercy, Joachim Liepert
BACKGROUND: Hand proprioception is essential for fine movements and therefore many activities of daily living. Although frequently impaired after stroke, it is unclear how hand proprioception evolves in the sub-acute phase and whether it follows a similar pattern of changes as motor impairments. OBJECTIVE: This work investigates whether there is a corresponding pattern of changes over time in hand proprioception and motor function as comprehensively quantified by a combination of robotic, clinical, and neurophysiological assessments...
November 13, 2023: Neurorehabilitation and Neural Repair
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