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Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System
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Assistive technology on upper extremity function for stroke patients: A systematic review with meta-analysis.

Sujin Hwang1, Kyoung-Chul Min2, Chiang-Soon Song3

  • 1Department of Physical Therapy, Division of Health Science, Baekseok University, Cheonan, Republic of Korea; Graduate School of Health Welfare, Baekseok University, Seoul, Republic of Korea.

Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists
|May 25, 2024
PubMed
Summary

Assistive devices, particularly upper-limb robots, show limited superiority over conventional stroke rehabilitation methods. However, they may aid in improving upper extremity function, especially in chronic stroke patients, by increasing movement repetitions.

Keywords:
ArmAssistanceBrain injuryDeviceRecoveryRehabilitation

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Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System
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Author Spotlight: Enhancing Upper Limb Rehabilitation in Stroke Patients Through Advanced Robotic and Neuromodulation Technologies
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Author Spotlight: Enhancing Upper Limb Rehabilitation in Stroke Patients Through Advanced Robotic and Neuromodulation Technologies

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Author Spotlight: Enhancing Post-Stroke Upper Limb Rehabilitation with Robotic Technologies for Improved Motor Recovery and Functional Outcomes
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Author Spotlight: Enhancing Post-Stroke Upper Limb Rehabilitation with Robotic Technologies for Improved Motor Recovery and Functional Outcomes

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Area of Science:

  • Neurorehabilitation
  • Assistive Technology
  • Stroke Recovery

Background:

  • Assistive devices are crucial for stroke rehabilitation, significantly impacting upper limb functional recovery.
  • The choice of device influences patients' ability to perform daily activities.

Purpose of the Study:

  • To review randomized controlled trials (RCTs) on the effectiveness of common assistive devices for upper extremity function in stroke patients.
  • To analyze therapeutic effects, intervention intensity, and outcomes.

Main Methods:

  • Qualitative synthesis of 31 RCTs, assessing bias, heterogeneity, and outcomes.
  • Quantitative synthesis of 16 RCTs using RoB 2 and RevMan 5.4 software.
  • Evaluation of risk of bias, heterogeneity, mean difference, confidence intervals, and I-squared values.

Main Results:

  • Qualitative synthesis revealed minimal bias in randomization and reporting, but concerns regarding intervention bias and missing data.
  • Quantitative synthesis showed a significant improvement in Fugl-Meyer Assessment-Upper Extremity (FMA-UE) scores in chronic stroke patients (mean difference: 2.40, p=0.03).
  • No significant differences were observed in other outcome measures.

Conclusions:

  • Upper-limb robots did not significantly outperform conventional treatments, except for FMA-UE scores in chronic stroke patients.
  • The observed FMA-UE improvement was below the minimally important difference.
  • Upper-limb robots may enhance stroke patient function by supporting clinicians and enabling more repetitions.