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Task-Oriented Training by a Personalized Electromyography-Driven Soft Robotic Hand in Chronic Stroke: A Randomized

Xiang-Qian Shi1, Chun-Hang Eden Ti1, Hsuan-Yu Lu1

  • 1Department of Biomedical Engineering, The Chinese University of Hong Kong, Hong Kong SAR, China.

Neurorehabilitation and Neural Repair
|May 30, 2024
PubMed
Summary

Task-oriented training using a personalized electromyography (EMG)-driven soft robotic hand significantly improved motor function and muscle coordination in chronic stroke survivors compared to conventional exercises.

Keywords:
hand taskrobot-assisted therapysoft roboticsstroketask-oriented trainingupper limb rehabilitation

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Area of Science:

  • Neuroscience
  • Rehabilitation Engineering
  • Biomedical Engineering

Background:

  • Intensive task-oriented training shows promise for enhancing distal motor function in chronic stroke.
  • A personalized electromyography (EMG)-driven soft robotic hand was developed to aid task-oriented object-manipulation training.
  • This study compares the effectiveness of robotic hand-assisted training versus conventional exercises.

Purpose of the Study:

  • To evaluate the effectiveness of task-oriented training using an EMG-driven soft robotic hand for stroke rehabilitation.
  • To compare motor function improvements between robotic hand training and standard hand exercises.

Main Methods:

  • A single-blinded, randomized controlled trial involving 34 chronic stroke survivors.
  • The Hand Task (HT) group (n=17) trained with the robotic hand manipulating objects; the control (CON) group (n=17) performed hand exercises without objects.
  • Assessments included Fugl-Meyer Assessment (FMA-UE), Action Research Arm Test (ARAT), Modified Ashworth Score (MAS), Box and Block Test (BBT), grip strength, and active range of motion (AROM), with muscle co-contraction index (CI) analyzed.

Main Results:

  • The HT group demonstrated significantly greater improvements in FMA-UE (wrist/hand, shoulder/elbow) compared to the CON group (P < .05).
  • At 3-month follow-up, the HT group showed sustained significant improvements in FMA-UE, ARAT, BBT, MAS (finger), and AROMs (P < .05).
  • The HT group exhibited a significant reduction in muscle co-contractions (P < .05).

Conclusions:

  • EMG-driven task-oriented training with a personalized soft robotic hand is a practical and effective approach for stroke rehabilitation.
  • This robotic system enhances motor function, improves muscle coordination, and reduces abnormal muscle co-contractions.
  • The findings support the integration of robotic assistance in stroke recovery programs.