The Effects of Robot-Assisted Therapy on Upper Extremity Functions and Functional Independence in Geriatric...

Area of Science:

• Neurology
• Rehabilitation Medicine
• Geriatrics

Background:

• Stroke frequently causes upper extremity motor deficits, impacting patient independence and quality of life.
• Functional recovery is crucial for post-stroke geriatric patients to regain autonomy in daily activities.

Purpose of the Study:

• To evaluate the impact of robot-assisted therapy on upper extremity function in geriatric stroke survivors.
• To assess the effect of robot-assisted therapy on activities of daily living (ADL) in chronic stroke rehabilitation.

Main Methods:

• Geriatric stroke patients (stroke > 6 months prior) were randomized into two groups: conventional physiotherapy plus robot-assisted therapy (ReoGo system) or conventional physiotherapy alone.
• The intervention group underwent 60-minute robot-assisted therapy sessions combined with daily physiotherapy for four weeks.
• Motor function and ADL independence were measured using the Fugl-Meyer Upper Extremity Assessment Scale and Functional Independence Measure, respectively.

Main Results:

• The robot-assisted therapy group demonstrated statistically significant improvements in upper extremity function and ADL independence compared to the control group (p < .05).
• The control group showed minimal improvements, which were not statistically significant, indicating the superior efficacy of the combined therapy approach.

Conclusions:

• Robot-assisted therapy, particularly with systems like ReoGo, enhances motor recovery and functional gains in geriatric stroke patients.
• The repetitive, controlled movements facilitated by robotic systems may promote neuroplasticity, leading to better motor learning and improved independence.
• Robot-assisted therapy shows promise as a valuable addition to conventional physiotherapy for improving long-term stroke rehabilitation outcomes and patient quality of life.