Effect of Robot-Assisted Game Training on Upper Extremity Function in Stroke Patients

Area of Science:

• Neurorehabilitation
• Robotics in Medicine
• Stroke Recovery

Background:

• Upper extremity dysfunction is common after stroke, significantly impacting daily living.
• Conventional rehabilitation training (OCT) has limitations in patient engagement and motivation.
• Robot-assisted therapy offers a novel approach to enhance rehabilitation engagement.

Purpose of the Study:

• To compare the effectiveness of robot-assisted game training combined with conventional rehabilitation training (RCT) versus conventional upper extremity rehabilitation training (OCT) alone.
• To evaluate the impact on motor function, daily activities, and patient satisfaction in stroke survivors.

Main Methods:

• A randomized controlled trial involving 50 stroke patients divided into RCT and OCT groups.
• RCT group received 30 minutes of robot-assisted game training plus 30 minutes of conventional training daily.
• OCT group received 60 minutes of conventional training daily, 5 days/week for 2 weeks. Motor and functional outcomes were assessed using MFT, MMT, and K-MBI.

Main Results:

• Both groups showed significant improvements in motor and daily functions post-intervention.
• No significant differences were observed between groups in most functional outcomes, except wrist flexion motor power.
• Patients in the robot-assisted game training group reported significantly higher satisfaction.

Conclusions:

• Robot-assisted game training combined with conventional therapy is a viable alternative for upper extremity rehabilitation in stroke patients.
• While not superior in all motor outcomes, this combined approach enhances patient satisfaction.
• Robot-assisted training presents a promising avenue for improving the rehabilitation experience and adherence.