Effects of Home-Based Robotic Therapy Involving the Single-Joint Hybrid Assistive Limb Robotic Suit in the Chronic Phase of Stroke: A Pilot Study
Joint Authors
Inoue, Tooru
Higaki, Yasuki
Morishita, Takashi
Shiota, Etsuji
Uehara, Yoshinari
Hyakutake, Koichi
Saita, Kazuya
Fukuda, Hiroyuki
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-03-18
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Introduction.
Robotic therapy has drawn attention in the rehabilitation field including home-based rehabilitation.
A previous study has reported that home-based therapy could be more effective for increasing upper limb activity than facility-based therapy.
The single-joint hybrid assistive limb (HAL-SJ) is an exoskeleton robot developed according to the interactive biofeedback theory, and several studies have shown its effectiveness for upper limb function in stroke patients.
A study of home-based robotic therapy has shown to enhance rehabilitation effectiveness for stroke patient with a paretic upper limb.
However, home-based therapy involving a HAL-SJ in stroke patients with paretic upper limbs has not been investigated.
The present study aimed to investigate paretic upper limb activity and function with home-based robotic therapy involving a HAL-SJ in stroke patients.
Materials and Methods.
A home-based robotic therapy program involving a HAL-SJ was performed for 30 min per session followed by standard therapy for 30 min per session, 2 times a week, for 4 weeks (i.e., completion of all 8 sessions involved 8 h of rehabilitation), at home.
After the intervention, patients were followed up by telephone and home visits for 8 weeks.
The paretic upper limb activity and function were assessed using the Motor Activity Log (MAL; amount of use (AOU)), arm triaxial accelerometry (laterality index (LI)), the Fugl–Meyer assessment (FMA), and the action research arm test (ARAT), at baseline and week 4 and week 12 after the start of training.
Results.
The study included 10 stroke patients (5 men; mean age, 61.1 ± 7.1 years).
The AOU scores and LI significantly improved at week 4 after the start of training (p<0.05).
However, no significant changes were observed in the LI at week 12 (p=0.161) and the FMA scores at both week 4 and week 12 (p=0.059 and p=0.083, respectively).
The ARAT scores significantly improved at both week 4 and week 12 (p<0.05).
Conclusion.
Home-based robotic therapy combined with conventional therapy could be a valuable approach for increasing paretic upper limb activity and maintaining paretic upper limb function in the chronic phase of stroke.
American Psychological Association (APA)
Hyakutake, Koichi& Morishita, Takashi& Saita, Kazuya& Fukuda, Hiroyuki& Shiota, Etsuji& Higaki, Yasuki…[et al.]. 2019. Effects of Home-Based Robotic Therapy Involving the Single-Joint Hybrid Assistive Limb Robotic Suit in the Chronic Phase of Stroke: A Pilot Study. BioMed Research International،Vol. 2019, no. 2019, pp.1-9.
https://search.emarefa.net/detail/BIM-1126053
Modern Language Association (MLA)
Hyakutake, Koichi…[et al.]. Effects of Home-Based Robotic Therapy Involving the Single-Joint Hybrid Assistive Limb Robotic Suit in the Chronic Phase of Stroke: A Pilot Study. BioMed Research International No. 2019 (2019), pp.1-9.
https://search.emarefa.net/detail/BIM-1126053
American Medical Association (AMA)
Hyakutake, Koichi& Morishita, Takashi& Saita, Kazuya& Fukuda, Hiroyuki& Shiota, Etsuji& Higaki, Yasuki…[et al.]. Effects of Home-Based Robotic Therapy Involving the Single-Joint Hybrid Assistive Limb Robotic Suit in the Chronic Phase of Stroke: A Pilot Study. BioMed Research International. 2019. Vol. 2019, no. 2019, pp.1-9.
https://search.emarefa.net/detail/BIM-1126053
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1126053