Task-Oriented Training by a Personalized Electromyography-Driven Soft Robotic Hand in Chronic Stroke: A Randomized Controlled Trial.
Background: Intensive task-oriented training has shown promise in enhancing distal motor function among patients with chronic stroke. A personalized electromyography (EMG)-driven soft robotic hand was developed to assist task-oriented object-manipulation training effectively. Objective. To compare t...
| Publicado en: | Neurorehabilitation & Neural Repair Vol. 38; no. 8; pp. 595 - 607 |
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| Autores principales: | , , , , , , , , , |
| Formato: | pictorial research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Sage Publications Inc.
Aug2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178939010&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 178939010 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15459683 IRK jtl: Neurorehabilitation & Neural Repair issn: 15459683 maglogo: Y pubinfo: dt: Aug2024 vid: 38 iid: 8 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 178939010 177545944 178939010 178939010 10.1177/15459683241257519 178939010 ppf: 595 ppct: 12 formats: tig: atl: Task-Oriented Training by a Personalized Electromyography-Driven Soft Robotic Hand in Chronic Stroke: A Randomized Controlled Trial. aug: au: Shi, Xiang-Qian Ti, Chun-Hang Eden Lu, Hsuan-Yu Hu, Cheng-Peng Xie, Di-Sheng Yuan, Kai Heung, Ho-Lam Leung, Thomas Wai-Hong Li, Zheng Tong, Raymond Kai-Yu affil: Department of Biomedical Engineering, The Chinese University of Hong Kong, Hong Kong SAR, China sug: subj: Chronic Disease Rehabilitation Stroke Rehabilitation Hemiplegia Rehabilitation Task Performance and Analysis Electromyography Individualized Medicine Robotics Hand Physiopathology Object Manipulation Treatment Outcomes Human Male Female Adult Middle Age Aged Funding Source Randomized Controlled Trials Random Assignment Single-Blind Studies Comparative Studies Upper Extremity Exercises Scales Survivors Grip Strength Evaluation Range of Motion Evaluation Muscle Contraction Evaluation Rehabilitation Centers Hong Kong Physical Performance Evaluation Data Analysis, Statistical Clinical Assessment Tools Exercise Test Pretest-Posttest Control Group Design Prospective Studies Wrist Physiopathology Shoulder Physiopathology Elbow Physiopathology Rehabilitation Patients Motor Skills Psychomotor Performance Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Intensive task-oriented training has shown promise in enhancing distal motor function among patients with chronic stroke. A personalized electromyography (EMG)-driven soft robotic hand was developed to assist task-oriented object-manipulation training effectively. Objective. To compare the effectiveness of task-oriented training using the EMG-driven soft robotic hand. Methods: A single-blinded, randomized controlled trial was conducted with 34 chronic stroke survivors. The subjects were randomly assigned to the Hand Task (HT) group (n = 17) or the control (CON) group (n = 17). The HT group received 45 minutes of task-oriented training by manipulating small objects with the robotic hand for 20 sessions, while the CON group received 45 minutes of hand-functional exercises without objects using the same robot. Fugl-Meyer assessment (FMA-UE), Action Research Arm Test (ARAT), Modified Ashworth Score (MAS), Box and Block test (BBT), Maximum Grip Strength, and active range of motion (AROM) of fingers were assessed at baseline, after intervention, and 3 months follow-up. The muscle co-contraction index (CI) was analyzed to evaluate the session-by-session variation of upper limb EMG patterns. Results: The HT group showed more significant improvement in FMA-UE (wrist/hand, shoulder/elbow) compared to the CON group (P <.05). At 3-month follow-up, the HT group demonstrated significant improvements in FMA-UE, ARAT, BBT, MAS (finger), and AROMs (P <.05). The HT group exhibited a more significant decrease in muscle co-contractions compared to the CON group (P <.05). Conclusions: EMG-driven task-oriented training with the personalized soft robotic hand was a practical approach to improving motor function and muscle coordination. Clinical Trial Registry Name: Soft Robotic Hand System for Stroke Rehabilitation. Clinical Trial Registration-URL: https://clinicaltrials.gov/. Unique Identifier: NCT03286309. pubtype: Academic Journal doctype: pictorial research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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