Effects of Upper Limb Robot-Assisted Rehabilitation Compared with Conventional Therapy in Patients with Stroke: Preliminary Results on a Daily Task Assessed Using Motion Analysis

Robotic rehabilitation of the upper limb has demonstrated promising results in terms of the improvement of arm function in post-stroke patients. The current literature suggests that robot-assisted therapy (RAT) is comparable to traditional approaches when clinical scales are used as outcome measures...

Full description

Bibliographic Details
Main Authors: Marco Germanotta, Laura Cortellini, Sabina Insalaco, Irene Aprile
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/23/6/3089
_version_ 1797609088599719936
author Marco Germanotta
Laura Cortellini
Sabina Insalaco
Irene Aprile
author_facet Marco Germanotta
Laura Cortellini
Sabina Insalaco
Irene Aprile
author_sort Marco Germanotta
collection DOAJ
description Robotic rehabilitation of the upper limb has demonstrated promising results in terms of the improvement of arm function in post-stroke patients. The current literature suggests that robot-assisted therapy (RAT) is comparable to traditional approaches when clinical scales are used as outcome measures. Instead, the effects of RAT on the capacity to execute a daily life task with the affected upper limb are unknown, as measured using kinematic indices. Through kinematic analysis of a drinking task, we examined the improvement in upper limb performance between patients following a robotic or conventional 30-session rehabilitation intervention. In particular, we analyzed data from nineteen patients with subacute stroke (less than six months following stroke), nine of whom treated with a set of four robotic and sensor-based devices and ten with a traditional approach. According to our findings, the patients increased their movement efficiency and smoothness regardless of the rehabilitative approach. After the treatment (either robotic or conventional), no differences were found in terms of movement accuracy, planning, speed, or spatial posture. This research seems to demonstrate that the two investigated approaches have a comparable impact and may give insight into the design of rehabilitation therapy.
first_indexed 2024-03-11T05:56:36Z
format Article
id doaj.art-cb80f433869846c6922a15a49182b53b
institution Directory Open Access Journal
issn 1424-8220
language English
last_indexed 2024-03-11T05:56:36Z
publishDate 2023-03-01
publisher MDPI AG
record_format Article
series Sensors
spelling doaj.art-cb80f433869846c6922a15a49182b53b2023-11-17T13:45:48ZengMDPI AGSensors1424-82202023-03-01236308910.3390/s23063089Effects of Upper Limb Robot-Assisted Rehabilitation Compared with Conventional Therapy in Patients with Stroke: Preliminary Results on a Daily Task Assessed Using Motion AnalysisMarco Germanotta0Laura Cortellini1Sabina Insalaco2Irene Aprile3IRCCS Fondazione Don Carlo Gnocchi ONLUS, 50143 Florence, ItalyIRCCS Fondazione Don Carlo Gnocchi ONLUS, 50143 Florence, ItalyIRCCS Fondazione Don Carlo Gnocchi ONLUS, 50143 Florence, ItalyIRCCS Fondazione Don Carlo Gnocchi ONLUS, 50143 Florence, ItalyRobotic rehabilitation of the upper limb has demonstrated promising results in terms of the improvement of arm function in post-stroke patients. The current literature suggests that robot-assisted therapy (RAT) is comparable to traditional approaches when clinical scales are used as outcome measures. Instead, the effects of RAT on the capacity to execute a daily life task with the affected upper limb are unknown, as measured using kinematic indices. Through kinematic analysis of a drinking task, we examined the improvement in upper limb performance between patients following a robotic or conventional 30-session rehabilitation intervention. In particular, we analyzed data from nineteen patients with subacute stroke (less than six months following stroke), nine of whom treated with a set of four robotic and sensor-based devices and ten with a traditional approach. According to our findings, the patients increased their movement efficiency and smoothness regardless of the rehabilitative approach. After the treatment (either robotic or conventional), no differences were found in terms of movement accuracy, planning, speed, or spatial posture. This research seems to demonstrate that the two investigated approaches have a comparable impact and may give insight into the design of rehabilitation therapy.https://www.mdpi.com/1424-8220/23/6/3089rehabilitationstrokeupper extremityroboticskinematicsmovement analysis
spellingShingle Marco Germanotta
Laura Cortellini
Sabina Insalaco
Irene Aprile
Effects of Upper Limb Robot-Assisted Rehabilitation Compared with Conventional Therapy in Patients with Stroke: Preliminary Results on a Daily Task Assessed Using Motion Analysis
Sensors
rehabilitation
stroke
upper extremity
robotics
kinematics
movement analysis
title Effects of Upper Limb Robot-Assisted Rehabilitation Compared with Conventional Therapy in Patients with Stroke: Preliminary Results on a Daily Task Assessed Using Motion Analysis
title_full Effects of Upper Limb Robot-Assisted Rehabilitation Compared with Conventional Therapy in Patients with Stroke: Preliminary Results on a Daily Task Assessed Using Motion Analysis
title_fullStr Effects of Upper Limb Robot-Assisted Rehabilitation Compared with Conventional Therapy in Patients with Stroke: Preliminary Results on a Daily Task Assessed Using Motion Analysis
title_full_unstemmed Effects of Upper Limb Robot-Assisted Rehabilitation Compared with Conventional Therapy in Patients with Stroke: Preliminary Results on a Daily Task Assessed Using Motion Analysis
title_short Effects of Upper Limb Robot-Assisted Rehabilitation Compared with Conventional Therapy in Patients with Stroke: Preliminary Results on a Daily Task Assessed Using Motion Analysis
title_sort effects of upper limb robot assisted rehabilitation compared with conventional therapy in patients with stroke preliminary results on a daily task assessed using motion analysis
topic rehabilitation
stroke
upper extremity
robotics
kinematics
movement analysis
url https://www.mdpi.com/1424-8220/23/6/3089
work_keys_str_mv AT marcogermanotta effectsofupperlimbrobotassistedrehabilitationcomparedwithconventionaltherapyinpatientswithstrokepreliminaryresultsonadailytaskassessedusingmotionanalysis
AT lauracortellini effectsofupperlimbrobotassistedrehabilitationcomparedwithconventionaltherapyinpatientswithstrokepreliminaryresultsonadailytaskassessedusingmotionanalysis
AT sabinainsalaco effectsofupperlimbrobotassistedrehabilitationcomparedwithconventionaltherapyinpatientswithstrokepreliminaryresultsonadailytaskassessedusingmotionanalysis
AT ireneaprile effectsofupperlimbrobotassistedrehabilitationcomparedwithconventionaltherapyinpatientswithstrokepreliminaryresultsonadailytaskassessedusingmotionanalysis