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Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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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.