Effects of robotic rehabilitation on recovery of hand functions in acute stroke: A preliminary randomized controlled study

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dc.authorid0000-0002-7226-510X
dc.contributor.authorKaragözoğlu Coşkunsu, Dilber
dc.contributor.authorAkçay, Sümeyye
dc.contributor.authorErkan Oğul, Özden
dc.contributor.authorAkyol, D. Kübra
dc.contributor.authorÖztürk, Necla
dc.contributor.authorZileli, Füsun
dc.contributor.authorBaştan Tüzün, Birgül
dc.contributor.authorKrespi, Yakup
dc.date.accessioned2022-11-21T09:14:36Z
dc.date.available2022-11-21T09:14:36Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Sağlık Bilimleri Fakültesi, Ergoterapi Bölümü
dc.description.abstractObjective The aim of this study was to investigate the effects of EMG-driven robotic rehabilitation on hand motor functions and daily living activities of patients with acute ischemic stroke. Materials & Method A preliminary randomized-controlled, single-blind trial rectuited twenty-four patients with acute ischemic stroke (<1 month after cerebrovascular accident) and randomly allocated to experimental group (EG) and control group (CG). Neurophysiological rehabilitation program was performed to both EG and CG for 5 days a week and totally 15 sessions. The EG also received robotic rehabilitation with the EMG-driven exoskeleton hand robot (Hand of Hope (R), Rehab-Robotics Company) 15 sessions over 3 weeks. Hand motor functions (Fugl-Meyer Assessment-Upper Extremity (FMA-UE) and Action Research Arm Test (ARAT)), activities of daily living (Motor Activity Log (MAL)), force and EMG activities of extensor and flexor muscles for the cup test were evaluated before treatment (pretreatment) and after the 15th session (posttreatment). Results Eleven patients (59.91 +/- 14.20 yr) in the EG and 9 patients (70 +/- 14.06 yr) in the CG completed the study. EG did not provide a significant advantage compared with the CG in FMA-UE, ARAT and MAL scores and cup-force and EMG activities (p > .05 for all). Conclusion In this preliminary study, improvement in motor functions, daily living activities and force were found in both groups. However, addition of the EMG-driven robotic treatment to the neurophysiological rehabilitation program did not provide an additional benefit to the clinical outcomes in 3 weeks in acute stroke patients.
dc.description.sponsorshipRehab Robotic Companyen_US
dc.identifier.citationKaragözoğlu Coşkunsu, D., Akçay, S., Erkan Oğul, Ö., Akyol, D. K., Öztürk, N., Zileli, F. ... Krespi, Y. (2022). Effects of robotic rehabilitation on recovery of hand functions in acute stroke: A preliminary randomized controlled study. Acta Neurologica Scandinavica, 146(5), 499-511. https://doi.org/10.1111/ane.13672
dc.identifier.doi10.1111/ane.13672
dc.identifier.endpage511
dc.identifier.issn0001-6314
dc.identifier.issn1600-0404
dc.identifier.issue5
dc.identifier.pmid35855628
dc.identifier.scopus2-s2.0-85134375101
dc.identifier.scopusqualityQ1
dc.identifier.startpage499
dc.identifier.urihttps://doi.org/10.1111/ane.13672
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10001
dc.identifier.volume146
dc.identifier.wos000827677400001en_US
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorErkan Oğul, Özden
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofActa Neurologica Scandinavicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectHand
dc.subjectRehabilitation
dc.subjectRobotics
dc.subjectStroke Acute
dc.titleEffects of robotic rehabilitation on recovery of hand functions in acute stroke: A preliminary randomized controlled study
dc.typeArticle

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