Effect on arm function and cost of robot-assisted group therapy in subacute patients with stroke and a moderately to severely affected arm: A randomized controlled trial

Clinical Rehabilitation

Volumn 28, Issue 7, 2014, Pages 637-647

  Hesse, Stefan ^a   Heß, Anke ^b   Werner C, Cordula ^a   Kabbert, Nadine ^a   Buschfort, Rüdiger ^b  

^a CHARITÉ UNIVERSITÄTSMEDIZIN BERLIN   (Germany)

^b Klinik am Stein   (Germany)

Author keywords

neurological rehabilitation; randomized controlled trial; rehabilitation intervention; robot assisted devices; Stroke

Indexed keywords

ADULT; AGED; ARM; CEREBROVASCULAR ACCIDENT; CONTROLLED STUDY; CONVALESCENCE; ECONOMICS; FEMALE; GROUP THERAPY; HEALTH CARE COST; HUMAN; MALE; MIDDLE AGED; MOTOR ACTIVITY; PATHOPHYSIOLOGY; RANDOMIZED CONTROLLED TRIAL; ROBOTICS; SINGLE BLIND PROCEDURE; STROKE REHABILITATION; TREATMENT OUTCOME; VERY ELDERLY;

ADULT; AGED; AGED, 80 AND OVER; ARM; FEMALE; HEALTH CARE COSTS; HUMANS; MALE; MIDDLE AGED; MOTOR ACTIVITY; PSYCHOTHERAPY, GROUP; RECOVERY OF FUNCTION; ROBOTICS; SINGLE-BLIND METHOD; STROKE; STROKE REHABILITATION; TREATMENT OUTCOME;

EID: 84902317394     PISSN: 02692155     EISSN: 14770873     Source Type: Journal    
DOI: 10.1177/0269215513516967     Document Type: Article

References (28)

1. Kolominsky-Rabas PL, Heuschmann PU, Marschall D, et al. Lifetime cost of ischemic stroke in Germany: results and national projections from a population-based stroke registry: the Erlangen Stroke Project. Stroke. 2006 ; 37: 1179-1183
2. Platz T. Evidenzbasierte Armrehabilitation: eine systematische Literaturübersicht [Evidence-based arm rehabilitation - a systematic review of the literature]. Nervenarzt. 2003 ; 74: 841-849
3. Kwakkel G, Kollen BJ, an der Grond J, et al. Probability of regaining dexterity in the flaccid upper limb. The impact of severity of paresis and time since onset in acute stroke. Stroke. 2003 ; 34: 2181-2186
4. Kwakkel G, Wagenaar RC, Twisk JWR, et al. Intensity of leg and arm training after primary middle-cerebral-artery stroke: a randomised trial. Lancet. 1999 ; 354: 191-196
5. Kwakkel G, Kollen BJ, Krebs HI. Effects of robot-assisted therapy on upper limb recovery after stroke: a systematic review. Neurorehabil Neural Repair. 2008 ; 22: 111-121
6. Aisen ML, Krebs HI, Hogan N, et al. The effect of robot-assisted therapy and rehabilitative training on motor recovery following stroke. Arch Neurol. 1997 ; 54: 443-446
7. Volpe BT, Krebs HI, Hogan N, et al. A novel approach to stroke rehabilitation: robot-aided sensorimotor stimulation. Neurology. 2000 ; 54: 1938-1944
8. Hesse S, Werner C, Pohl M, et al. Computerized arm training improves the motor control of the severely affected arm after stroke. A single-blinded randomized trial in two centres. Stroke. 2005 ; 36: 1960-1966
9. Masiero S, Celia A, Rosati G, et al. Robotic-assisted rehabilitation of the upper limb after acute stroke. Arch Phys Med Rehabil. 2007 ; 88: 142-149
10. Buschfort R, Brocke J, Hess A, et al. Arm studio to intensify the upper limb rehabilitation after stroke: concept, acceptance, utilization and preliminary clinical results. J Rehabil Med. 2010 ; 42: 310-314
11. Carr JH, Shepherd RB A motor relearing programme. London: William Heinemann ; 1987: 1-25.
12. Platz T, Winter T, Müller N, et al. Arm ability training for stroke and traumatic brain injured patients with mild arm paresis: a single-blind randomized controlled trial. Arch Phys Med Rehabil. 2001 ; 81: 961-968
13. Platz T, Eickhof C, van Kaick S, et al. Impairment-oriented training or Bobath therapy for severe arm paresis after stroke: a single-blind, multicentre randomized controlled trial. Clin Rehabil. 2005 ; 19: 714-724
14. Langhammer B. Bobath or motor learning programme? A comparison of two different approaches of physiotherapy in stroke rehabilitation: a randomized controlled study. Clin Rehabil. 2000 ; 14: 361-369
15. Fugl-Meyer AR, Jasko L, Leyman I, et al. The post-stroke patient. 1: A method for evaluation of physical performance. Scand J Rehab Med. 1975 ; 7: 13-31
16. Wade DT Measurement in Neurological Rehabilitation. New York: Oxford University Press ; 1992 :
17. Arya KN, Verma R, Garg RK. Estimating the minimal clinically important difference of an upper extremity recovery measure in subacute stroke patients. Top Stroke Rehabil. 2011 ; 18: 599-610
18. Hesse S, Schulte-Tigges G, Konrad M, et al. Robot-assisted arm trainer for the passive and active practice of bilateral forearm and wrist movement in hemiparetic subjects. Arch Phys Med Rehabil. 2003 ; 84: 915-920
19. Hesse S, Kuhlmann H, Wilk J, et al. A new electromechanical trainer for sensorimotor rehabilitation of paralysed fingers: a case series in chronic and acute stroke patients. J Neuroeng Rehabil. 2008 ; 4: 5-21
20. Hesse S, Werner C, Pohl M, et al. Mechanical arm trainer for the treatment of the severely affected arm after a stroke: a single-blinded randomized trial in two centers. Am J Phys Med Rehabil. 2008 ; 87: 779-788
21. O'Dwyer NJ, Ada L, Neilson PD. Reflex hyperexcitability and muscle contracture in relation to spastic hypertonia. Curr Opin Neurol. 1996 ; 9: 451-455
22. Bütefisch C, Hummelsheim H, Denzler P, et al. Repetitive training of isolated movements improves the outcome of motor rehabilitation of the centrally paretic hand. J Neurol Sci. 1995 ; 130: 59-68
23. Lyle RC. A performance test for assessment of upper limb function in physical rehabilitation treatment and research. Int J Rehab Research. 1981 ; 4: 483-492
24. Mathiowetz V, Volland G, Kashman N, et al. Adults norms for the Box & Block test of manual dexterity. Am J Occup Ther. 1985 ; 39: 386-391
25. Chan DY, Chan CC, Au DK. Motor relearning programme for stroke patients: a randomized controlled trial. Clin Rehabil. 2006 ; 20: 191-200
26. Langhammer B, Stanghelle JK. Can physiotherapy after stroke based on the Bobath concept result in improved quality of movement compared to the motor relearning programme. Physiother Res Int. 2011 ; 16: 69-80
27. Duncan PW, Lai SM, Keighley J. Defining post-stroke recovery: implications for design and interpretation of drug trials. Neuropharmacol. 2000 ; 39: 835-841
28. English CK, Hiller SL, Stiller KR, et al. Circuit class therapy versus individual physiotherapy sessions during in-patient stroke rehabilitation: a controlled trial. Arch Phys Med Rehabil. 2007 ; 88: 955-963