Effectiveness of Adjunct Robotic Therapy With a Patient-Guided Suspension System for Stroke Rehabilitation Using a 7-Days-a-Week Model of Care: A Comparison With Conventional Rehabilitation

Objective: To determine and compare the effectiveness of robotic therapy with a patient-guided suspension system for stroke rehabilitation using a 7-days-a-week model of care with that of conventional rehabilitation. Design: Retrospective cohort study. Setting: Inpatient rehabilitation unit of an ac...

Full description

Bibliographic Details
Main Authors: San San Tay, MBBS, Christine Alejandro Visperas, MD, Abbas Bin Zainul Abideen, MD, Mark Min Jian Tan, MD, Ei Mon Zaw, MBBS, Hsuan Lai, MD, Edmund Jin Rui Neo, MBBS
Format: Article
Language:English
Published: Elsevier 2021-09-01
Series:Archives of Rehabilitation Research and Clinical Translation
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590109521000549
_version_ 1818718474534387712
author San San Tay, MBBS
Christine Alejandro Visperas, MD
Abbas Bin Zainul Abideen, MD
Mark Min Jian Tan, MD
Ei Mon Zaw, MBBS
Hsuan Lai, MD
Edmund Jin Rui Neo, MBBS
author_facet San San Tay, MBBS
Christine Alejandro Visperas, MD
Abbas Bin Zainul Abideen, MD
Mark Min Jian Tan, MD
Ei Mon Zaw, MBBS
Hsuan Lai, MD
Edmund Jin Rui Neo, MBBS
author_sort San San Tay, MBBS
collection DOAJ
description Objective: To determine and compare the effectiveness of robotic therapy with a patient-guided suspension system for stroke rehabilitation using a 7-days-a-week model of care with that of conventional rehabilitation. Design: Retrospective cohort study. Setting: Inpatient rehabilitation unit of an acute general hospital. Participants: A total of 100 consecutive patients with stroke (N=100) admitted within a 7-month period who fulfilled the criteria to undergo robotic therapy with a patient-guided suspension system were enrolled in this study. Interventions: Patients either underwent robotic therapy in addition to conventional therapy (robotic group) or conventional therapy only (control group). There were 50 patients in each cohort. Main Outcome Measures: FIM and its derivatives (FIM gain and FIM efficiency); Berg Balance Scale (BBS), functional ambulation category (FAC); modified Rankin Scale (mRS); and National Institutes of Health Stroke Scale. Results: The average FIM gains in both groups were statistically significant (P<.01). The robotic group had greater improvement in FAC scores (1.24 vs 0.78, P=.007). However, other measurements such as FIM efficiency, BBS, and mRS were not significantly different between the 2 groups. The robotics group reported high patient satisfaction rates, with most patients finding the intervention both beneficial and desirable. Conclusions: Adjunct robotic therapy has the potential to increase the efficacy of stroke rehabilitation. However, further studies are needed to strengthen the evidence.
first_indexed 2024-12-17T19:51:37Z
format Article
id doaj.art-ceb74d5a373f43c6be2db39c3f55a694
institution Directory Open Access Journal
issn 2590-1095
language English
last_indexed 2024-12-17T19:51:37Z
publishDate 2021-09-01
publisher Elsevier
record_format Article
series Archives of Rehabilitation Research and Clinical Translation
spelling doaj.art-ceb74d5a373f43c6be2db39c3f55a6942022-12-21T21:34:43ZengElsevierArchives of Rehabilitation Research and Clinical Translation2590-10952021-09-0133100144Effectiveness of Adjunct Robotic Therapy With a Patient-Guided Suspension System for Stroke Rehabilitation Using a 7-Days-a-Week Model of Care: A Comparison With Conventional RehabilitationSan San Tay, MBBS0Christine Alejandro Visperas, MD1Abbas Bin Zainul Abideen, MD2Mark Min Jian Tan, MD3Ei Mon Zaw, MBBS4Hsuan Lai, MD5Edmund Jin Rui Neo, MBBS6Department of Rehabilitation Medicine, Changi General Hospital, Singapore; Corresponding author San San Tay, MBBS, Department of Rehabilitation Medicine, Changi General Hospital, 2 Simei St 3, Singapore 529889.Department of Rehabilitation Medicine, Changi General Hospital, SingaporeDepartment of General Medicine, Changi General Hospital, SingaporeDepartment of Rehabilitation Medicine, Changi General Hospital, SingaporeDepartment of Rehabilitation Medicine, Changi General Hospital, SingaporeDepartment of Rehabilitation Medicine, Changi General Hospital, SingaporeRehabilitation Medicine, SingHealth Residency, SingaporeObjective: To determine and compare the effectiveness of robotic therapy with a patient-guided suspension system for stroke rehabilitation using a 7-days-a-week model of care with that of conventional rehabilitation. Design: Retrospective cohort study. Setting: Inpatient rehabilitation unit of an acute general hospital. Participants: A total of 100 consecutive patients with stroke (N=100) admitted within a 7-month period who fulfilled the criteria to undergo robotic therapy with a patient-guided suspension system were enrolled in this study. Interventions: Patients either underwent robotic therapy in addition to conventional therapy (robotic group) or conventional therapy only (control group). There were 50 patients in each cohort. Main Outcome Measures: FIM and its derivatives (FIM gain and FIM efficiency); Berg Balance Scale (BBS), functional ambulation category (FAC); modified Rankin Scale (mRS); and National Institutes of Health Stroke Scale. Results: The average FIM gains in both groups were statistically significant (P<.01). The robotic group had greater improvement in FAC scores (1.24 vs 0.78, P=.007). However, other measurements such as FIM efficiency, BBS, and mRS were not significantly different between the 2 groups. The robotics group reported high patient satisfaction rates, with most patients finding the intervention both beneficial and desirable. Conclusions: Adjunct robotic therapy has the potential to increase the efficacy of stroke rehabilitation. However, further studies are needed to strengthen the evidence.http://www.sciencedirect.com/science/article/pii/S2590109521000549GaitStrokeRehabilitationRobotics
spellingShingle San San Tay, MBBS
Christine Alejandro Visperas, MD
Abbas Bin Zainul Abideen, MD
Mark Min Jian Tan, MD
Ei Mon Zaw, MBBS
Hsuan Lai, MD
Edmund Jin Rui Neo, MBBS
Effectiveness of Adjunct Robotic Therapy With a Patient-Guided Suspension System for Stroke Rehabilitation Using a 7-Days-a-Week Model of Care: A Comparison With Conventional Rehabilitation
Archives of Rehabilitation Research and Clinical Translation
Gait
Stroke
Rehabilitation
Robotics
title Effectiveness of Adjunct Robotic Therapy With a Patient-Guided Suspension System for Stroke Rehabilitation Using a 7-Days-a-Week Model of Care: A Comparison With Conventional Rehabilitation
title_full Effectiveness of Adjunct Robotic Therapy With a Patient-Guided Suspension System for Stroke Rehabilitation Using a 7-Days-a-Week Model of Care: A Comparison With Conventional Rehabilitation
title_fullStr Effectiveness of Adjunct Robotic Therapy With a Patient-Guided Suspension System for Stroke Rehabilitation Using a 7-Days-a-Week Model of Care: A Comparison With Conventional Rehabilitation
title_full_unstemmed Effectiveness of Adjunct Robotic Therapy With a Patient-Guided Suspension System for Stroke Rehabilitation Using a 7-Days-a-Week Model of Care: A Comparison With Conventional Rehabilitation
title_short Effectiveness of Adjunct Robotic Therapy With a Patient-Guided Suspension System for Stroke Rehabilitation Using a 7-Days-a-Week Model of Care: A Comparison With Conventional Rehabilitation
title_sort effectiveness of adjunct robotic therapy with a patient guided suspension system for stroke rehabilitation using a 7 days a week model of care a comparison with conventional rehabilitation
topic Gait
Stroke
Rehabilitation
Robotics
url http://www.sciencedirect.com/science/article/pii/S2590109521000549
work_keys_str_mv AT sansantaymbbs effectivenessofadjunctrobotictherapywithapatientguidedsuspensionsystemforstrokerehabilitationusinga7daysaweekmodelofcareacomparisonwithconventionalrehabilitation
AT christinealejandrovisperasmd effectivenessofadjunctrobotictherapywithapatientguidedsuspensionsystemforstrokerehabilitationusinga7daysaweekmodelofcareacomparisonwithconventionalrehabilitation
AT abbasbinzainulabideenmd effectivenessofadjunctrobotictherapywithapatientguidedsuspensionsystemforstrokerehabilitationusinga7daysaweekmodelofcareacomparisonwithconventionalrehabilitation
AT markminjiantanmd effectivenessofadjunctrobotictherapywithapatientguidedsuspensionsystemforstrokerehabilitationusinga7daysaweekmodelofcareacomparisonwithconventionalrehabilitation
AT eimonzawmbbs effectivenessofadjunctrobotictherapywithapatientguidedsuspensionsystemforstrokerehabilitationusinga7daysaweekmodelofcareacomparisonwithconventionalrehabilitation
AT hsuanlaimd effectivenessofadjunctrobotictherapywithapatientguidedsuspensionsystemforstrokerehabilitationusinga7daysaweekmodelofcareacomparisonwithconventionalrehabilitation
AT edmundjinruineombbs effectivenessofadjunctrobotictherapywithapatientguidedsuspensionsystemforstrokerehabilitationusinga7daysaweekmodelofcareacomparisonwithconventionalrehabilitation