Socially Assistive Robot for Stroke Rehabilitation: A Long-Term in-the-Wild Pilot Randomized Controlled Trial
Socially assistive robots (SARs) have been suggested as a platform for post-stroke training. It is not yet known whether long-term interaction with a SAR can lead to an improvement in the functional ability of individuals post-stroke. The aim of this pilot study was to compare the changes in motor a...
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| Format: | Article |
| Language: | English |
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IEEE
2024-01-01
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| Series: | IEEE Transactions on Neural Systems and Rehabilitation Engineering |
| Subjects: | |
| Online Access: | https://ieeexplore.ieee.org/document/10496321/ |
| _version_ | 1797197307342487552 |
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| author | Ronit Feingold-Polak Oren Barzel Shelly Levy-Tzedek |
| author_facet | Ronit Feingold-Polak Oren Barzel Shelly Levy-Tzedek |
| author_sort | Ronit Feingold-Polak |
| collection | DOAJ |
| description | Socially assistive robots (SARs) have been suggested as a platform for post-stroke training. It is not yet known whether long-term interaction with a SAR can lead to an improvement in the functional ability of individuals post-stroke. The aim of this pilot study was to compare the changes in motor ability and quality of life following a long-term intervention for upper-limb rehabilitation of post-stroke individuals using three approaches: 1) training with a SAR in addition to usual care; 2) training with a computer in addition to usual care; and 3) usual care with no additional intervention. Thirty-three post-stroke patients with moderate-severe to mild impairment were randomly allocated into three groups: two intervention groups – one with a SAR (ROBOT group) and one with a computer (COMPUTER group) – and one control group with no intervention (CONTROL group). The intervention sessions took place three times/week, for a total of 15 sessions/participant; The study was conducted over a period of two years, during which 306 sessions were held. Twenty-six participants completed the study. Participants in the ROBOT group significantly improved in their kinematic and clinical measures which included smoothness of movement, action research arm test (ARAT), and Fugl-Meyer upper-extremity assessment (FMA-UE). No significant improvement in these measures was found in the COMPUTER or the control groups. 100% of the participants in the SAR group gained improvement which reached – or exceeded – the minimal clinically important difference in the ARAT, the gold standard for upper-extremity activity performance post-stroke. This study demonstrates both the feasibility and the clinical benefit of using a SAR for long-term interaction with post-stroke individuals as part of their rehabilitation program. Trial Registration: ClinicalTrials.gov NCT03651063. |
| first_indexed | 2024-04-24T06:41:53Z |
| format | Article |
| id | doaj.art-1e4a7391ce6f4355818ea71f61abaea1 |
| institution | Directory Open Access Journal |
| issn | 1534-4320 1558-0210 |
| language | English |
| last_indexed | 2024-04-24T06:41:53Z |
| publishDate | 2024-01-01 |
| publisher | IEEE |
| record_format | Article |
| series | IEEE Transactions on Neural Systems and Rehabilitation Engineering |
| spelling | doaj.art-1e4a7391ce6f4355818ea71f61abaea12024-04-22T23:00:08ZengIEEEIEEE Transactions on Neural Systems and Rehabilitation Engineering1534-43201558-02102024-01-01321616162610.1109/TNSRE.2024.338732010496321Socially Assistive Robot for Stroke Rehabilitation: A Long-Term in-the-Wild Pilot Randomized Controlled TrialRonit Feingold-Polak0https://orcid.org/0000-0002-6244-9095Oren Barzel1Shelly Levy-Tzedek2https://orcid.org/0000-0002-5853-3235Department of Physical Therapy, Recanati School for Community Health Professions, Ben-Gurion University of Negev, Be’er Sheva, IsraelSheba Medical Center, the Adi-Negev Rehabilitation Center, and the Faculty of Medicine, Tel Aviv University, Tel Aviv, IsraelDepartment of Physical Therapy, Recanati School for Community Health Professions, Zelman Center for Neuroscience, Ben-Gurion University of Negev, Be’er Sheva, IsraelSocially assistive robots (SARs) have been suggested as a platform for post-stroke training. It is not yet known whether long-term interaction with a SAR can lead to an improvement in the functional ability of individuals post-stroke. The aim of this pilot study was to compare the changes in motor ability and quality of life following a long-term intervention for upper-limb rehabilitation of post-stroke individuals using three approaches: 1) training with a SAR in addition to usual care; 2) training with a computer in addition to usual care; and 3) usual care with no additional intervention. Thirty-three post-stroke patients with moderate-severe to mild impairment were randomly allocated into three groups: two intervention groups – one with a SAR (ROBOT group) and one with a computer (COMPUTER group) – and one control group with no intervention (CONTROL group). The intervention sessions took place three times/week, for a total of 15 sessions/participant; The study was conducted over a period of two years, during which 306 sessions were held. Twenty-six participants completed the study. Participants in the ROBOT group significantly improved in their kinematic and clinical measures which included smoothness of movement, action research arm test (ARAT), and Fugl-Meyer upper-extremity assessment (FMA-UE). No significant improvement in these measures was found in the COMPUTER or the control groups. 100% of the participants in the SAR group gained improvement which reached – or exceeded – the minimal clinically important difference in the ARAT, the gold standard for upper-extremity activity performance post-stroke. This study demonstrates both the feasibility and the clinical benefit of using a SAR for long-term interaction with post-stroke individuals as part of their rehabilitation program. Trial Registration: ClinicalTrials.gov NCT03651063.https://ieeexplore.ieee.org/document/10496321/Human-computer-interfacehuman-robotic-interactionneurorehabilitationpersonalizationupper-limb |
| spellingShingle | Ronit Feingold-Polak Oren Barzel Shelly Levy-Tzedek Socially Assistive Robot for Stroke Rehabilitation: A Long-Term in-the-Wild Pilot Randomized Controlled Trial IEEE Transactions on Neural Systems and Rehabilitation Engineering Human-computer-interface human-robotic-interaction neurorehabilitation personalization upper-limb |
| title | Socially Assistive Robot for Stroke Rehabilitation: A Long-Term in-the-Wild Pilot Randomized Controlled Trial |
| title_full | Socially Assistive Robot for Stroke Rehabilitation: A Long-Term in-the-Wild Pilot Randomized Controlled Trial |
| title_fullStr | Socially Assistive Robot for Stroke Rehabilitation: A Long-Term in-the-Wild Pilot Randomized Controlled Trial |
| title_full_unstemmed | Socially Assistive Robot for Stroke Rehabilitation: A Long-Term in-the-Wild Pilot Randomized Controlled Trial |
| title_short | Socially Assistive Robot for Stroke Rehabilitation: A Long-Term in-the-Wild Pilot Randomized Controlled Trial |
| title_sort | socially assistive robot for stroke rehabilitation a long term in the wild pilot randomized controlled trial |
| topic | Human-computer-interface human-robotic-interaction neurorehabilitation personalization upper-limb |
| url | https://ieeexplore.ieee.org/document/10496321/ |
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