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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici


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)
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European Journal of Physical and Rehabilitation Medicine 2017 Jun 19

DOI: 10.23736/S1973-9087.17.04691-3

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Feasibility and efficacy of wearable devices for upper limb rehabilitation in patients with chronic stroke: a randomized controlled pilot study

Li-Fong LIN 1, 2, Yi-Jia LIN 3, Zi-Hao LIN 4, Li-Yun CHUANG 4, Wei-Chun HSU 3, Yuan-Hsiang LIN 4

1 Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan; 2 School of Gerontology and Health Management, Taipei Medical University, Taipei, Taiwan; 3 Institute of Biomedical Engineering, National Taiwan University of Science and Technology, Taipei, Taiwan; 4 Department of Electronic and Computer Engineering, National Taiwan University of Science and Technology, Taipei, Taiwan


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BACKGROUND: Wearable devices based on inertial measurement units through wireless sensor networks have many applications such as real-time motion monitoring and functional outcome assessment of stroke rehabilitation. However, additional investigations are warranted to validate their clinical value, particularly in detecting the synergy patterns of movements after stroke.
AIM: To explore the feasibility and efficacy of wearable devices for upper limb rehabilitation in patients with chronic stroke and to compare the intervention effects (e.g., neurological recovery, active range of motion, and deviation angle) with those in a control group.
DESIGN: A single-blind, randomized-controlled pilot study.
SETTING: Rehabilitation ward.
METHODS: A total of 18 patients with chronic stroke were randomly distributed into a device group and control group. Both groups received conventional rehabilitation; nevertheless, the device group was additionally subjected to 15 daily sessions at least three times a week for 5 weeks. The outcome measures included the upper extremity subscores of the Fugl-Meyer assessment, active range of motion, and deviation angle. These measurements were performed pre- and post-treatment.
RESULTS: All five Fugl-Meyer assessment subscores improved in both the device and control groups after intervention; in particular, the “shoulder/elbow/forearm” subscore (p = 0.02, 0.03) and “total score” (p = 0.03, 0.03) substantially improved. The active range of motion of shoulder flexion and abduction substantially improved at pre-post treatment in both the device (p = 0.02, 0.03) and control (p = 0.02, 0.03) groups. The deviation angle of shoulder external rotation during shoulder abduction substantially improved in the device group (p = 0.02), but not in the control group.
CONCLUSIONS: The designed wearable devices are practical and efficient for use in chronic patients with stroke.
CLINICAL REHABILITATION IMPACT: Wearable devices are expected to be useful for future internet-of-things rehabilitation clinical trials at home and in long-term care institutions.


KEY WORDS: Wearable device - Stroke - Upper limb rehabilitation - Synergy pattern - Deviation angle

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Lin LF, Lin YJ, Lin ZH, Chuang LY, Hsu WC, Lin YH. Feasibility and efficacy of wearable devices for upper limb rehabilitation in patients with chronic stroke: a randomized controlled pilot study. Eur J Phys Rehabil Med 2017 Jun 19. DOI: 10.23736/S1973-9087.17.04691-3

Corresponding author e-mail

linyh@mail.ntust.edu.tw