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CURRENT ISSUEEUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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European Journal of Physical and Rehabilitation Medicine 2016 Jul 13

Efficacy of robot-assisted rehabilitation for the functional recovery of the upper limb in post-stroke patients: a randomized controlled study

Giovanni TAVEGGIA 1, Alberto BORBONI 2, Lorena SALVI 1, Chiara MULE' 1, Stefania FOGLIARESI 1, Jorge H. VILLAFANE 3, Roberto CASALE 1

1 Habilita, Istituto Clinico Ospedale di Sarnico, Italy; 2 Mechanical and Industrial Engineering Department, University of Brescia, Brescia, Italy; 3 IRCCS Don Gnocchi Foundation, Milan, Italy

BACKGROUND: We evaluated the effectiveness of robotic-assisted motion and activity in additional to Physical and Rehabilitation Medicine (PRM), of the upper limb in post stroke inpatients.
METHODS: A randomized controlled trial. Fifty-four patients, 57% female (mean ± SD age: 71 ±12 years), with upper limb function defecit post stroke. The experimental group received a passive mobilization of the upper limb through the robotic device ARMEO Spring and the control group received PRM for 6 consecutive weeks (5 days/week) in addition to traditional PRM. We assessed the impact on functional recovery (Functional Independence Measure-FIM scale), strength (ARM Motricity Index-MI), spasticity (Modified Ashworth Scale-MAS) and pain (Numeric Rating Pain Scale -NRPS). All patients were evaluated by a blinded observer using the outcomes tests at enrollment (T0), after the treatment (T1) and at follow up 6 weeks later (T2).
RESULTS: Both control and experimental groups evidenced an improvement of the outcomes after the treatment (Motricity Index, Ashworth and NRPS with p<0.05). The experimental group showed further improvements after the follow up (all outcomes with p<0.01).
CONCLUSIONS: In the treatment of pain, disability and spasticity in upper limb after stroke, robot-assisted mobilization associated to PRM is as effective as traditional rehabilitation.

language: English


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