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Am J Occup Ther. 2019 Jan/Feb;73(1):7301205010p1-7301205010p9. doi: 10.5014/ajot.2019.022368.

Comparative Assessment of Two Robot-Assisted Therapies for the Upper Extremity in People With Chronic Stroke.

Author information

1
Chung-shan Hung, PhD, is Occupational Therapist, Community Health Center, Department of Community and Aging, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan. At the time of the study, she was Doctoral Candidate, School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.
2
Yu-wei Hsieh, PhD, is Associate Professor, Department of Occupational Therapy and Graduate Institute of Behavioral Sciences, College of Medicine, and Healthy Aging Research Center, Chang Gung University, Taoyuan, Taiwan.
3
Ching-yi Wu, ScD, OTR, is Professor and Chair, Department of Occupational Therapy and Graduate Institute of Behavioral Sciences, College of Medicine, and Healthy Aging Research Center, Chang Gung University, Taoyuan, Taiwan.
4
Keh-chung Lin, ScD, OTR, is Professor, School of Occupational Therapy, College of Medicine, and Division of Occupational Therapy, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan; kehchunglin@ntu.edu.tw.
5
Jui-chi Lin, MS, is Director, Division of Occupational Therapy, Department of Physical Medicine and Rehabilitation, Taipei Medical University-Shuang Ho Hospital, Ministry of Health and Welfare, New Taipei City, Taiwan.
6
Li-min Yeh, BS, is Director, Division of Occupational Therapy, Department of Physical Medicine and Rehabilitation, Taoyuan Chang Gung Memorial Hospital, Taoyuan, Taiwan.
7
Hsin-pei Yin, MD, is Attending Physician and Chair, Department of Physical Medicine and Rehabilitation, Lo-Sheng Sanatorium and Hospital, Ministry of Health and Welfare, Taoyuan County, Taiwan.

Abstract

OBJECTIVE:

We investigated the effects on motor and daily function of robot-assisted therapies in people with chronic stroke using the Bi-Manu-Track (BMT) and InMotion 3.0 (IMT) compared with control treatment (CT).

METHOD:

In this comparative efficacy trial, 30 participants were randomized to receive BMT, IMT, or CT. Outcome measures included the Fugl-Meyer Assessment (FMA), Modified Ashworth Scale (MAS), Motor Activity Log (MAL), and Medical Research Council (MRC) scale.

RESULTS:

The IMT group improved more in FMA and proximal MAS scores than the BMT group (both ps < .01) and the CT group (p < .01 and p = .03, respectively). The IMT and BMT groups showed clinically relevant improvements after treatment on the MRC rather than the MAL.

CONCLUSION:

The results indicate that the IMT might improve motor function. The IMT and BMT groups showed similar benefits for muscle power but limited improvements in self-perceived use of the affected arm.

PMID:
30839256
DOI:
10.5014/ajot.2019.022368
[Indexed for MEDLINE]

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