Effects of Robot-Assisted Upper Extremity Training on Cognitive and Physical Functions After Stroke

Launched by ANKARA UNIVERSITY · Apr 3, 2020

Keywords

ClinConnect Summary

This study is planned as a prospective randomized single blind controlled study. It was approved by the Ethics Committee of Ankara University, Faculty of Medicine and will be conducted in accordance with the Declaration of Helsinki. The study will include 38 stroke survivors who are admitted for rehabilitation at the Department of Physical Medicine and Rehabilitation, Ankara University Medical Faculty. Patients fulfilling the inclusion criteria of the study will randomly be divided into 2 groups as robotic group and control group. Random allocation software (RAS) program will be used to ass...

Gender

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Eligibility criteria

• Inclusion Criteria:
• • Patients within the age range of 18-80 years
• • Patients with subacute stroke (post-stroke duration 1 month - 1 year)
• • Patients who have cognitive deficits and who can understand the commands to adapt to robotic training (MMSE ≤ 26)
• • Patients with first stroke attack
• • Patients who have never received robotic rehabilitation therapy
• • Patients with upper extremity (UE) Brunnstrom Stage III and above
• • Patients with a spasticity level below 3 (MAS 1-5 assessment system) according to the modified Ashworth Scale (MAS) in the affected upper extremity
• • Patients who agreed to participate in the study and signed the informed consent form
• Exclusion Criteria:
• • Patients who cannot understand commands or give informed consent
• • Patients without cognitive deficit (MMSE \> 26)
• • Patients with aphasia
• • Patients who do not have sitting balance
• • Patients with unilateral neglect
• • Patients with unstable systemic medical diseases that may prevent the patient to receive robotic training sessions
• • Patients with psychiatric disorders
• • Patients with posterior cerebral artery infarction and subarachnoid hemorrhage
• • Patients with impaired vision that may affect robotic training
• • Patients with a peripheral nerve injury or musculoskeletal disease of the affected upper extremity
• • Patients who have pain in the affected upper extremity such that this pain might impede the patient to adapt to robotic training
• • Patients with involuntary abnormal movements (e.g. dystonia)