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Robotic therapy for the hemiplegic shoulder pain: a pilot study
Ruthber Rodríguez Serrezuela1, Mauricio Torres Quezada2, Marcia Hernández Zayas3
1University Corporation of Hulia, Nevia, Huila, Colombia. ruthber.rodriguez@corhuila.edu.co.
Journal of Neuroengineering and Rehabilitation
|April 24, 2020
Summary
Robotic therapy effectively reduced pain and spasticity in patients with Hemiplegic Shoulder Pain (HSP). This neurorehabilitation approach improved joint mobility and muscle tone, showing promising results for stroke recovery.
Area of Science:
- Neurorehabilitation
- Robotics in Medicine
- Clinical Trials
Background:
- Upper limb exoskeletons are crucial for neurorehabilitation, but clinical validation is limited.
- Hemiplegic Shoulder Pain (HSP) significantly impacts stroke survivors' quality of life.
- Few upper limb exoskeleton prototypes undergo rigorous clinical testing for healthcare system integration.
Purpose of the Study:
- To evaluate the effectiveness of robotic therapy for Hemiplegic Shoulder Pain (HSP).
- To assess improvements in pain, spasticity, subluxation, muscle tone, and strength.
- To measure patient satisfaction with robotic therapy interventions.
Main Methods:
- An experimental study involving 16 post-stroke patients with painful shoulders.
- Comparison between conventional therapy and robotic therapy groups using anti-gravitational movements.
- Clinical data collected from September 2016 to March 2018, analyzing pain, spasticity, subluxation, mobility, tone, strength, and satisfaction.
Main Results:
- Robotic therapy significantly decreased pain and spasticity.
- Improvements observed in joint range of motion and muscle tone.
- Positive influence on functional recovery and patient-reported outcomes.
Conclusions:
- Robotic therapy demonstrates efficacy in managing Hemiplegic Shoulder Pain (HSP).
- The technology offers a viable option for enhancing neurorehabilitation outcomes.
- Further research and clinical integration of robotic systems are warranted.

