Error Enhancement for Upper Limb Rehabilitation in the Chronic Phase after Stroke: A 5-Day Pre-Post Intervention Study
A large proportion of chronic stroke survivors still struggle with upper limb (UL) problems in daily activities, typically reaching tasks. During three-dimensional reaching movements, the deXtreme robot offers error enhancement forces. Error enhancement aims to improve the quality of movement. We in...
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MDPI AG
2024-01-01
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| Series: | Sensors |
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| Online Access: | https://www.mdpi.com/1424-8220/24/2/471 |
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| author | Marjan Coremans Eli Carmeli Ineke De Bauw Bea Essers Robin Lemmens Geert Verheyden |
| author_facet | Marjan Coremans Eli Carmeli Ineke De Bauw Bea Essers Robin Lemmens Geert Verheyden |
| author_sort | Marjan Coremans |
| collection | DOAJ |
| description | A large proportion of chronic stroke survivors still struggle with upper limb (UL) problems in daily activities, typically reaching tasks. During three-dimensional reaching movements, the deXtreme robot offers error enhancement forces. Error enhancement aims to improve the quality of movement. We investigated clinical and patient-reported outcomes and assessed the quality of movement before and after a 5 h error enhancement training with the deXtreme robot. This pilot study had a pre-post intervention design, recruiting 22 patients (mean age: 57 years, mean days post-stroke: 1571, male/female: 12/10) in the chronic phase post-stroke with UL motor impairments. Patients received 1 h robot treatment for five days and were assessed at baseline and after training, collecting (1) clinical, (2) patient-reported, and (3) kinematic (KINARM, BKIN Technologies Ltd., Kingston, ON, Canada) outcome measures. Our analysis revealed significant improvements (median improvement (Q1–Q3)) in (1) UL Fugl–Meyer assessment (1.0 (0.8–3.0), <i>p</i> < 0.001) and action research arm test (2.0 (0.8–2.0), <i>p</i> < 0.001); (2) motor activity log, amount of use (0.1 (0.0–0.3), <i>p</i> < 0.001) and quality of use (0.1 (0.1–0.5), <i>p</i> < 0.001) subscale; (3) KINARM-evaluated position sense (−0.45 (−0.81–0.09), <i>p</i> = 0.030) after training. These findings provide insight into clinical self-reported and kinematic improvements in UL functioning after five hours of error enhancement UL training. |
| first_indexed | 2024-03-08T09:47:22Z |
| format | Article |
| id | doaj.art-8a76ec68c885402bb334372502d565b9 |
| institution | Directory Open Access Journal |
| issn | 1424-8220 |
| language | English |
| last_indexed | 2024-03-08T09:47:22Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Sensors |
| spelling | doaj.art-8a76ec68c885402bb334372502d565b92024-01-29T14:15:07ZengMDPI AGSensors1424-82202024-01-0124247110.3390/s24020471Error Enhancement for Upper Limb Rehabilitation in the Chronic Phase after Stroke: A 5-Day Pre-Post Intervention StudyMarjan Coremans0Eli Carmeli1Ineke De Bauw2Bea Essers3Robin Lemmens4Geert Verheyden5Department of Rehabilitation Sciences, KU Leuven, 3001 Leuven, BelgiumDepartment of Physical Therapy, University of Haifa, Haifa 3498838, IsraelDepartment of Rehabilitation Sciences, KU Leuven, 3001 Leuven, BelgiumDepartment of Rehabilitation Sciences, KU Leuven, 3001 Leuven, BelgiumDepartment of Neurosciences, Experimental Neurology, KU Leuven, 3000 Leuven, BelgiumDepartment of Rehabilitation Sciences, KU Leuven, 3001 Leuven, BelgiumA large proportion of chronic stroke survivors still struggle with upper limb (UL) problems in daily activities, typically reaching tasks. During three-dimensional reaching movements, the deXtreme robot offers error enhancement forces. Error enhancement aims to improve the quality of movement. We investigated clinical and patient-reported outcomes and assessed the quality of movement before and after a 5 h error enhancement training with the deXtreme robot. This pilot study had a pre-post intervention design, recruiting 22 patients (mean age: 57 years, mean days post-stroke: 1571, male/female: 12/10) in the chronic phase post-stroke with UL motor impairments. Patients received 1 h robot treatment for five days and were assessed at baseline and after training, collecting (1) clinical, (2) patient-reported, and (3) kinematic (KINARM, BKIN Technologies Ltd., Kingston, ON, Canada) outcome measures. Our analysis revealed significant improvements (median improvement (Q1–Q3)) in (1) UL Fugl–Meyer assessment (1.0 (0.8–3.0), <i>p</i> < 0.001) and action research arm test (2.0 (0.8–2.0), <i>p</i> < 0.001); (2) motor activity log, amount of use (0.1 (0.0–0.3), <i>p</i> < 0.001) and quality of use (0.1 (0.1–0.5), <i>p</i> < 0.001) subscale; (3) KINARM-evaluated position sense (−0.45 (−0.81–0.09), <i>p</i> = 0.030) after training. These findings provide insight into clinical self-reported and kinematic improvements in UL functioning after five hours of error enhancement UL training.https://www.mdpi.com/1424-8220/24/2/471strokeupper limb rehabilitationerror enhancement |
| spellingShingle | Marjan Coremans Eli Carmeli Ineke De Bauw Bea Essers Robin Lemmens Geert Verheyden Error Enhancement for Upper Limb Rehabilitation in the Chronic Phase after Stroke: A 5-Day Pre-Post Intervention Study Sensors stroke upper limb rehabilitation error enhancement |
| title | Error Enhancement for Upper Limb Rehabilitation in the Chronic Phase after Stroke: A 5-Day Pre-Post Intervention Study |
| title_full | Error Enhancement for Upper Limb Rehabilitation in the Chronic Phase after Stroke: A 5-Day Pre-Post Intervention Study |
| title_fullStr | Error Enhancement for Upper Limb Rehabilitation in the Chronic Phase after Stroke: A 5-Day Pre-Post Intervention Study |
| title_full_unstemmed | Error Enhancement for Upper Limb Rehabilitation in the Chronic Phase after Stroke: A 5-Day Pre-Post Intervention Study |
| title_short | Error Enhancement for Upper Limb Rehabilitation in the Chronic Phase after Stroke: A 5-Day Pre-Post Intervention Study |
| title_sort | error enhancement for upper limb rehabilitation in the chronic phase after stroke a 5 day pre post intervention study |
| topic | stroke upper limb rehabilitation error enhancement |
| url | https://www.mdpi.com/1424-8220/24/2/471 |
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