Comparative effects of EMG-driven robot-assisted therapy versus task-oriented training on motor and daily function in patients with stroke: a randomized cross-over trial
Abstract Background Robot-assisted hand training has shown positive effects on promoting neuromuscular control. Since both robot-assisted therapy and task-oriented training are often used in post-stroke rehabilitation, we raised the question of whether two interventions engender differential effects...
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| Format: | Article |
| Language: | English |
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BMC
2022-01-01
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| Series: | Journal of NeuroEngineering and Rehabilitation |
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| Online Access: | https://doi.org/10.1186/s12984-021-00961-w |
| _version_ | 1798025224706326528 |
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| author | Yen-Wei Chen Wei-Chi Chiang Chia-Ling Chang Shih-Ming Lo Ching-Yi Wu |
| author_facet | Yen-Wei Chen Wei-Chi Chiang Chia-Ling Chang Shih-Ming Lo Ching-Yi Wu |
| author_sort | Yen-Wei Chen |
| collection | DOAJ |
| description | Abstract Background Robot-assisted hand training has shown positive effects on promoting neuromuscular control. Since both robot-assisted therapy and task-oriented training are often used in post-stroke rehabilitation, we raised the question of whether two interventions engender differential effects in different domains. Methods The study was conducted using a randomized, two-period crossover design. Twenty-four chronic stroke survivors received a 12-session robot-assisted intervention followed by a 12-session task-oriented intervention or vice versa. A 1-month washout period between each intervention was implemented. Outcome measures were evaluated before the intervention, after the first 12-session intervention, and after the second 12-session intervention. Clinical assessments included Fugl-Meyer Assessment for Upper Extremity, Wolf Motor Function Test, Action Research Arm Test and Motor Activity Log. Results Our findings suggested that EMG-driven robot-assisted therapy was as effective as task-oriented training in terms of improving upper limbs functional performance in activity domain, and robot-assisted therapy was more effective in improving movement duration during functional tasks. Task-oriented training showed better improvement in body function domain and activity and participation domain, especially in improving spontaneous use of affected arm during daily activities. Conclusions Both intervention protocol had their own advantages in different domains, and robot-assisted therapy may save manpower and be considered as an alternative intervention to task-oriented training. Combining the two approaches could yield results greater than either alone, which awaits further study. Trial registration: ClinicalTrials.gov Identifier: NCT03624153. Registered on 9th August 2018, https://clinicaltrials.gov/ct2/show/NCT03624153 . |
| first_indexed | 2024-04-11T18:15:19Z |
| format | Article |
| id | doaj.art-7b89fc2b77c44af491ea570db4653e3c |
| institution | Directory Open Access Journal |
| issn | 1743-0003 |
| language | English |
| last_indexed | 2024-04-11T18:15:19Z |
| publishDate | 2022-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of NeuroEngineering and Rehabilitation |
| spelling | doaj.art-7b89fc2b77c44af491ea570db4653e3c2022-12-22T04:09:56ZengBMCJournal of NeuroEngineering and Rehabilitation1743-00032022-01-011911910.1186/s12984-021-00961-wComparative effects of EMG-driven robot-assisted therapy versus task-oriented training on motor and daily function in patients with stroke: a randomized cross-over trialYen-Wei Chen0Wei-Chi Chiang1Chia-Ling Chang2Shih-Ming Lo3Ching-Yi Wu4Department of Occupational Therapy and Graduate Institute of Behavioral Sciences, College of Medicine, Chang Gung UniversityDepartment of Occupational Therapy, I-Shou UniversityChang Gung Memorial Hospital, Taipei BranchChang Gung Memorial Hospital, Taipei BranchDepartment of Occupational Therapy and Graduate Institute of Behavioral Sciences, College of Medicine, Chang Gung UniversityAbstract Background Robot-assisted hand training has shown positive effects on promoting neuromuscular control. Since both robot-assisted therapy and task-oriented training are often used in post-stroke rehabilitation, we raised the question of whether two interventions engender differential effects in different domains. Methods The study was conducted using a randomized, two-period crossover design. Twenty-four chronic stroke survivors received a 12-session robot-assisted intervention followed by a 12-session task-oriented intervention or vice versa. A 1-month washout period between each intervention was implemented. Outcome measures were evaluated before the intervention, after the first 12-session intervention, and after the second 12-session intervention. Clinical assessments included Fugl-Meyer Assessment for Upper Extremity, Wolf Motor Function Test, Action Research Arm Test and Motor Activity Log. Results Our findings suggested that EMG-driven robot-assisted therapy was as effective as task-oriented training in terms of improving upper limbs functional performance in activity domain, and robot-assisted therapy was more effective in improving movement duration during functional tasks. Task-oriented training showed better improvement in body function domain and activity and participation domain, especially in improving spontaneous use of affected arm during daily activities. Conclusions Both intervention protocol had their own advantages in different domains, and robot-assisted therapy may save manpower and be considered as an alternative intervention to task-oriented training. Combining the two approaches could yield results greater than either alone, which awaits further study. Trial registration: ClinicalTrials.gov Identifier: NCT03624153. Registered on 9th August 2018, https://clinicaltrials.gov/ct2/show/NCT03624153 .https://doi.org/10.1186/s12984-021-00961-wStrokeRobot-assisted therapyUpper extremityRehabilitation |
| spellingShingle | Yen-Wei Chen Wei-Chi Chiang Chia-Ling Chang Shih-Ming Lo Ching-Yi Wu Comparative effects of EMG-driven robot-assisted therapy versus task-oriented training on motor and daily function in patients with stroke: a randomized cross-over trial Journal of NeuroEngineering and Rehabilitation Stroke Robot-assisted therapy Upper extremity Rehabilitation |
| title | Comparative effects of EMG-driven robot-assisted therapy versus task-oriented training on motor and daily function in patients with stroke: a randomized cross-over trial |
| title_full | Comparative effects of EMG-driven robot-assisted therapy versus task-oriented training on motor and daily function in patients with stroke: a randomized cross-over trial |
| title_fullStr | Comparative effects of EMG-driven robot-assisted therapy versus task-oriented training on motor and daily function in patients with stroke: a randomized cross-over trial |
| title_full_unstemmed | Comparative effects of EMG-driven robot-assisted therapy versus task-oriented training on motor and daily function in patients with stroke: a randomized cross-over trial |
| title_short | Comparative effects of EMG-driven robot-assisted therapy versus task-oriented training on motor and daily function in patients with stroke: a randomized cross-over trial |
| title_sort | comparative effects of emg driven robot assisted therapy versus task oriented training on motor and daily function in patients with stroke a randomized cross over trial |
| topic | Stroke Robot-assisted therapy Upper extremity Rehabilitation |
| url | https://doi.org/10.1186/s12984-021-00961-w |
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