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...
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Elsevier
2021-09-01
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Series: | Archives of Rehabilitation Research and Clinical Translation |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2590109521000549 |
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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. |
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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 |
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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 |
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