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The Armeo Spring as training tool to improve upper limb functionality in multiple sclerosis: a pilot study.

Domien Gijbels1, Ilse Lamers, Lore Kerkhofs

  • 1REVAL Rehabilitation Research Center, Hasselt University, Agoralaan Building A, BE-3590 Diepenbeek, Belgium. domien.gijbels@uhasselt.be

Journal of Neuroengineering and Rehabilitation
|January 26, 2011
PubMed
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This pilot study shows that technology-enhanced physical rehabilitation improves upper limb function in multiple sclerosis (MS) patients. Mechanical-assisted training enhanced daily living activities for individuals with significant MS-related paresis.

Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Biomedical Engineering

Background:

  • Upper limb dysfunction significantly impacts daily living activities in multiple sclerosis (MS) patients.
  • Limited research has explored physical rehabilitation for upper limb deficits in MS.
  • Technology-assisted rehabilitation offers a promising complementary approach to traditional MS therapies.

Purpose of the Study:

  • To assess the feasibility of an 8-week mechanical-assisted training program for MS patients with paresis.
  • To evaluate the program's impact on upper limb muscle strength and functional capacity.

Main Methods:

  • A case series design involving 10 high-level disability MS patients (EDSS 7.0-8.5).
  • An 8-week program using a gravity-supporting exoskeleton (Armeo Spring) for task-oriented training in a virtual environment (3 sessions/week, 30 minutes/session).

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  • Assessment of muscle strength (Motricity Index, Jamar dynamometer) and functional capacity (TEMPA, ARAT, 9-Hole Peg Test) pre-training, post-training, and at 2-month follow-up.

    • Main Results:

    • No significant changes in muscle strength were observed.
    • Significant improvements were noted in functional capacity tests, including TEMPA scores (p=0.02).
    • Sustained and further improved functional gains were observed at follow-up for TEMPA (p=0.01) and ARAT (p=0.02) compared to post-intervention.

    Conclusions:

    • Technology-enhanced physical rehabilitation positively influences upper limb functionality in MS patients with high-level disability.
    • The mechanical-assisted training program demonstrates potential for improving functional capacity in this population.
    • Further research is warranted to explore the long-term effects and broader applicability of this rehabilitation approach.