Training With a Gravity-Balanced Exoskeleton Robot to Improve Upper Limb and Daily Function in Patients With Tetraplegia.
Objective: Patients with tetraplegia experience significant limitations in upper extremity function, restricting the performance of activities of daily living. Herein, we evaluated the effects of upper extremity training using an exoskeleton robot device, in the form of mobile arm support, on functi...
| Publicado en: | American Journal of Physical Medicine & Rehabilitation Vol. 105; no. 6; pp. 472 - 479 |
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| Autores principales: | , , |
| Formato: | clinical trial pictorial research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jun2026
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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=194126226&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194126226 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08949115 44N jtl: American Journal of Physical Medicine & Rehabilitation issn: 08949115 maglogo: N pubinfo: dt: Jun2026 vid: 105 iid: 6 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 194126226 194126226 194126226 10.1097/PHM.0000000000002811 194126226 ppf: 472 ppct: 7 formats: tig: atl: Training With a Gravity-Balanced Exoskeleton Robot to Improve Upper Limb and Daily Function in Patients With Tetraplegia. aug: au: Cho, Duk Youn Lim, Jung Eun Kim, Onyoo affil: From the National Rehabilitation Research Center, National Rehabilitation Center and Hospital, Seoul, Korea sug: subj: Quadriplegia Rehabilitation Upper Extremity Exercises Exoskeleton Devices Utilization Gravity, Altered Upper Extremity Physiology Functional Assessment Activities of Daily Living Physical Performance Evaluation Human Male Female Adult Middle Age Aged South Korea Rehabilitation Centers Clinical Trials Pretest-Posttest Design Comparative Studies Task Performance and Analysis Toothbrushing Range of Motion Clinical Assessment Tools Wilcoxon Signed Rank Test Descriptive Statistics Data Analysis Software Shoulder Physiology Muscle Strength Flexion Extension Abduction Adduction Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Objective: Patients with tetraplegia experience significant limitations in upper extremity function, restricting the performance of activities of daily living. Herein, we evaluated the effects of upper extremity training using an exoskeleton robot device, in the form of mobile arm support, on functional recovery and activities of daily living performance. Design: This preliminary study employed a one-group pre-post test design and used a Wilmington robotic exoskeleton for training. The training comprised six sessions conducted three times per week over a 2-wk period. Assessments were conducted using the Manual Muscle Test, range of motion, Upper Extremity Functional Index, and Efficiency of Assistive Technology and Services. Twenty participants were enrolled. Results: The participants demonstrated significant improvements in muscle strength across shoulder and elbow flexion. Regarding range of motion, significant improvements were observed in all areas except for shoulder internal rotation and elbow flexion. The Upper Extremity Functional Index results indicated no significant differences in the difficulty of performing most tasks. The Efficiency of Assistive Technology and Services showed some improvement in task performance difficulty; however, they were not significant. Conclusions: A gravity-balanced exoskeleton robot effectively improved the upper extremity muscle strength and range of motion in patients with tetraplegia. Mobile arm support devices can be utilized to assist in upper extremity function and training in patients with tetraplegia. pubtype: Academic Journal doctype: clinical trial pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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