Effect of Robot-Assisted Game Training on Upper Extremity Function in Stroke Patients
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Objective To determine the effects of combining robot-assisted game training with conventional upper extremity rehabilitation training (RCT) on motor and daily functions in comparison with conventional upper extremity rehabilitation training (OCT) in stroke patients.Methods Subjects were eligible if they were able to perform the robot-assisted game training and were divided randomly into a RCT and an OCT group. The RCT group performed one daily session of 30 minutes of robot-assisted game training with a rehabilitation robot, plus one daily session of 30 minutes of conventional rehabilitation training, 5 days a week for 2 weeks. The OCT group performed two daily sessions of 30 minutes of conventional rehabilitation training. The effects of training were measured by a Manual Function Test (MFT), Manual Muscle Test (MMT), Korean version of the Modified Barthel Index (K-MBI) and a questionnaire about satisfaction with training. These measurements were taken before and after the 2-week training.Results Both groups contained 25 subjects. After training, both groups showed significant improvements in motor and daily functions measured by MFT, MMT, and K-MBI compared to the baseline. Both groups demonstrated similar training effects, except motor power of wrist flexion. Patients in the RCT group were more satisfied than those in the OCT group.Conclusion There were no significant differences in changes in most of the motor and daily functions between the two types of training. However, patients in the RCT group were more satisfied than those in the OCT group. Therefore, RCT could be a useful upper extremity rehabilitation training method.
Abstract
Objective To determine the effects of combining robot-assisted game training with conventional upper extremity rehabilitation training (RCT) on motor and daily functions in comparison with conventional upper extremity rehabilitation training (OCT) in stroke patients.Methods Subjects were eligible if they were able to perform the robot-assisted game training and were divided randomly into a RCT and an OCT group. The RCT group performed one daily session of 30 minutes of robot-assisted game training with a rehabilitation robot, plus one daily session of 30 minutes of conventional rehabilitation training, 5 days a week for 2 weeks. The OCT group performed two daily sessions of 30 minutes of conventional rehabilitation training. The effects of training were measured by a Manual Function Test (MFT), Manual Muscle Test (MMT), Korean version of the Modified Barthel Index (K-MBI) and a questionnaire about satisfaction with training. These measurements were taken before and after the 2-week training.Results Both groups contained 25 subjects. After training, both groups showed significant improvements in motor and daily functions measured by MFT, MMT, and K-MBI compared to the baseline. Both groups demonstrated similar training effects, except motor power of wrist flexion. Patients in the RCT group were more satisfied than those in the OCT group.Conclusion There were no significant differences in changes in most of the motor and daily functions between the two types of training. However, patients in the RCT group were more satisfied than those in the OCT group. Therefore, RCT could be a useful upper extremity rehabilitation training method.
참고문헌 (29)
- Harvey RL, "Physical medicine and rehabilitation", pp.1178~1184 (2011), Saunders
- Stein J, "Physical medicine and rehabilitation:principles and practice" (2010), Lippincott Williams & Wilkins
- Nichols-Larsen DS, "Factors influencing stroke survivors’quality of life during subacute recovery", Stroke, 36, pp.1480~1484 (2005)
- Loureiro RC, "Advances in upper limb stroke rehabilitation: a technology push. Med Biol Eng Comput 2011;49:1103-18", Med Biol Eng Comput, 49, pp.1103~1118 (2011)
- Prange GB, "Systematic review of the effect of robot-aided therapy on recovery of the hemiparetic arm after stroke", J Rehabil Res Dev, 43, pp.171~184 (2006)
- Masiero S, "Upper limb rehabilitation robotics after stroke:a perspective from the University of Padua, Italy", J Rehabil Med, 41, pp.981~985 (2009)
- Sivan M, "Systematic review of outcome measures used in the evaluation of robot-assisted upper limb exercise in stroke", J Rehabil Med, 43, pp.181~189 (2011)
- Chang YJ, "A Kinect-based system for physical rehabilitation: a pilot study for young adults with motor disabilities", Res Dev Disabil, 32, pp.2566~2570 (2011)
- Yong Joo L, "A feasibility study using interactive commercial off-the-shelf computer gaming in upper limb rehabilitation in patients after stroke", J Rehabil Med, 42, pp.437~441 (2010)
- Saposnik G, "Effectiveness of virtual reality using Wii gaming technology in stroke rehabilitation: a pilot randomized clinical trial and proof of principle", Stroke, 41, pp.1477~1484 (2010)
- Mouawad MR, "Wiibased movement therapy to promote improved upper extremity function post-stroke: a pilot study", J Rehabil Med, 43, pp.527~533 (2011)
- Hurkmans HL, "Energy expenditure in chronic stroke patients playing Wii Sports: a pilot study", J Neuroeng Rehabil, 8, pp.38~ (2011)
- Yavuzer G, "“Playstation eyetoy games’’ improve upper extremity-related motor functioning in subacute stroke: a randomized controlled clinical trial", Eur J Phys Rehabil Med, 44, pp.237~244 (2008)
- Sale P, "Recovery of hand function with robot-assisted therapy in acute stroke patients: a randomized-controlled trial", Int J Rehabil Res, 37, pp.236~242 (2014)
- Fasoli SE, "Effects of robotic therapy on motor impairment and recovery in chronic stroke", Arch Phys Med Rehabil, 84, pp.477~482 (2003)
- Masiero S, "Randomized trial of a robotic assistive device for the upper extremity during early inpatient stroke rehabilitation", Neurorehabil Neural Repair, 28, pp.377~386 (2014)
- Miyamoto S, "Reliability and validity of the Manual Function Test in patients with stroke", Am J Phys Med Rehabil, 88, pp.247~255 (2009)
- Shah S, "Efficiency, effectiveness, and duration of stroke rehabilitation", Stroke, 21, pp.241~246 (1990)
- Langhorne P, "What are the components of effective stroke unit care?", Age Ageing, 31, pp.365~371 (2002)
- 장원혁, "Robot-assisted Therapy in Stroke Rehabilitation", 대한뇌졸중학회지, 15(3), pp.174~181 (2013), 대한뇌졸중학회[DOI]
- Saposnik G, "Virtual reality in stroke rehabilitation: a meta-analysis and implications for clinicians", Stroke, 42, pp.1380~1386 (2011)
- Miltner WH, "Effects of constraint-induced movement therapy on patients with chronic motor deficits after stroke: a replication", Stroke, 30, pp.586~592 (1999)
- Masiero S, "Roboticassisted rehabilitation of the upper limb after acute stroke", Arch Phys Med Rehabil, 88, pp.142~149 (2007)
- Taveggia G, "Efficacy of robot-assisted rehabilitation for the functional recovery of the upper limb in post-stroke patients: a randomized controlled study", Eur J Phys Rehabil Med, 52, pp.767~773 (2016)
- Mehrholz J, "Electromechanical and robot-assisted arm training for improving generic activities of daily living, arm function, and arm muscle strength after stroke", Cochrane Database Syst Rev, pp.CD006876~ (2012)
- Kwakkel G, "Effects of robot-assisted therapy on upper limb recovery after stroke: a systematic review", Neurorehabil Neural Repair, 22, pp.111~121 (2008)
- Oujamaa L, "Rehabilitation of arm function after stroke. Literature review", Ann Phys Rehabil Med, 52, pp.269~293 (2009)
- Timmermans AA, "Technology-assisted training of arm-hand skills in stroke: concepts on reacquisition of motor control and therapist guidelines for rehabilitation technology design", J Neuroeng Rehabil, 6, pp.1~ (2009)
- Edmans J, "Clinical evaluation of a non-immersive virtual environment in stroke rehabilitation", Clin Rehabil, 23, pp.106~116 (2009)