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Hand Passive Mobilization Performed with Robotic Assistance: Acute Effects on Upper Limb Perfusion and Spasticity in Stroke Survivors
Joint Authors
Gobbo, Massimiliano
Gaffurini, Paolo
Vacchi, Laura
Lazzarini, Sara
Villafane, Jorge
Orizio, Claudio
Negrini, Stefano
Bissolotti, Luciano
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-09-28
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
This single arm pre-post study aimed at evaluating the acute effects induced by a single session of robot-assisted passive hand mobilization on local perfusion and upper limb (UL) function in poststroke hemiparetic participants.
Twenty-three patients with subacute or chronic stroke received 20 min passive mobilization of the paretic hand with robotic assistance.
Near-infrared spectroscopy (NIRS) was used to detect changes in forearm tissue perfusion.
Muscle tone of the paretic UL was assessed by the Modified Ashworth Scale (MAS).
Symptoms concerning UL heaviness, joint stiffness, and pain were evaluated as secondary outcomes by self-reporting.
Significant (p=0.014) improvements were found in forearm perfusion when all fingers were mobilized simultaneously.
After the intervention, MAS scores decreased globally, being the changes statistically significant for the wrist (from 1.6±1.0 to 1.1±1.0; p=0.001) and fingers (from 1.2±1.1 to 0.7±0.9; p=0.004).
Subjects reported decreased UL heaviness and stiffness after treatment, especially for the hand, as well as diminished pain when present.
This study supports novel evidence that hand robotic assistance promotes local UL circulation changes, may help in the management of spasticity, and acutely alleviates reported symptoms of heaviness, stiffness, and pain in subjects with poststroke hemiparesis.
This opens new scenarios for the implications in everyday clinical practice.
Clinical Trial Registration Number is NCT03243123.
American Psychological Association (APA)
Gobbo, Massimiliano& Gaffurini, Paolo& Vacchi, Laura& Lazzarini, Sara& Villafane, Jorge& Orizio, Claudio…[et al.]. 2017. Hand Passive Mobilization Performed with Robotic Assistance: Acute Effects on Upper Limb Perfusion and Spasticity in Stroke Survivors. BioMed Research International،Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1135433
Modern Language Association (MLA)
Gobbo, Massimiliano…[et al.]. Hand Passive Mobilization Performed with Robotic Assistance: Acute Effects on Upper Limb Perfusion and Spasticity in Stroke Survivors. BioMed Research International No. 2017 (2017), pp.1-6.
https://search.emarefa.net/detail/BIM-1135433
American Medical Association (AMA)
Gobbo, Massimiliano& Gaffurini, Paolo& Vacchi, Laura& Lazzarini, Sara& Villafane, Jorge& Orizio, Claudio…[et al.]. Hand Passive Mobilization Performed with Robotic Assistance: Acute Effects on Upper Limb Perfusion and Spasticity in Stroke Survivors. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1135433
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1135433