Robotic Enhanced Error Training of Upper Limb Function in Post-stroke Patients

Launched by REUTH REHABILITATION HOSPITAL · Dec 13, 2021

Keywords

ClinConnect Summary

Background: At least 85% of stroke survivors suffer from weakness in their upper limbs. Around 40% of stroke survivors will suffer from severe handicap in their paretic arm, negatively affecting their independence and quality of life. Only 30% - 70% of survivors will recover enough function to enable daily use of the arm. These numbers clearly indicate that despite significant advances in the ability to rehabilitate stroke patients, there is still a need for more effective methods.

Traditional rehabilitative methods to improve arm function after stroke are often time-consuming and labor-in...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Hebrew speaker.
• • First stroke (ischemic or hemorrhagic).
• • Weakness on one side of the body (left or right).
• • At least 21 days have passed since the stroke event.
• • At least 21 days left for inpatient rehabilitative care.
• • Have partial mobility in the elbow and shoulder and the ability to open and close the hand.
• • A minimum score of 10 (out of the 66) on the Fugl-Meyer Assessment for the upper limb.
• • Cognitive status: Mini-Mental State Examination \[MMSE\] = 23 or higher; or MoCA test = 26 or higher.
• Exclusion Criteria:
• • Complete paralysis of the affected side.
• • Comorbid central nervous system diseases that may affect brain plasticity (MS, ALS).
• • Sensory Aphasia (as per the medical diagnosis).
• • One-side neglect.
• • Apraxia.
• • Pregnancy or breastfeeding.
• • Strong pain in the shoulder (VAS\>6) that may prevent the ability to execute the tasks
• • A severe orthopedic problem in the upper limb that prevents the ability to execute tasks on the robotic system.