Related Experiment Video
Updated: Jul 2, 2026
Application of a Dual Upper Limb Task-Oriented Robotic System for the Functional Recovery of the Upper Limb in Stroke Patients
Published on: October 11, 2024
Task-specific, patient-driven neuroprosthesis training in chronic stroke: results of a 3-week clinical study
Valerie Hill-Hermann1, Ashley Strasser, Bethany Albers
1Department of Rehabilitation Sciences, University of Cincinnati Academic Medical Center (UCAMC), Cincinnati, OH, USA.
Objective:
We examined the efficacy of a clinically based regimen in which a woman 16 months' poststroke participated in daily practice sessions of valued activities of daily living (ADLs). A unique aspect of this intervention was that it was largely patient driven, with the patient practicing ADLs while wearing an electrical stimulation neuroprosthesis.
Method:
The Fugl-Meyer Assessment (FM), Action Research Arm Test (ARA), Arm Motor Activity Test (AMAT), and Canadian Occupational Performance Measure (COPM) were administered before intervention. Therapy consisted of 3-hr ADL training sessions every weekday during a 3-week period using a neuroprosthesis featuring functional electrical stimulation during treatment sessions. One week after the end of the treatment phase, the FM, ARA, AMAT, and COPM were again administered.
Results:
The patient exhibited reduced impairment (FM score change from 31 to 35), decreased time needed to complete AMAT tasks (from 998 s to 558 s), and increased ARA score (from 27 to 31).
Conclusions:
Clinically meaningful changes were realized with distant or minimal therapist supervision, making this regimen a practical and efficacious alternative.
