지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Objective: To investigate the effects of short-term robot-assisted upper limb training on hemiplegicpatients compared to conventional physical therapy.
Method: This study was a prospective, single-blinded, randomized controlled trial. Eighteen hemiplegicpatients due to brain lesions were randomly assigned to: (1) robot-assisted upper limb training andconventional upper limb physical therapy for 30 min a day, respectively (Robot group); or (2) conventionalupper limb physical therapy for 30 min twice a day (Conventional group). All interventions were providedfor 2 weeks, 5 times a week. Each patient was evaluated at pre- and post-treatment by the Fugl-Meyerassessment-upper extremity (FMA-UE), Jebsen hand function test (JHFT), grip power, modified Barthelindex-upper extremity (MBI-UE), line bisection test, and Albert test.
Results: The Robot group showed significant improvement in FMA-UE (pre: 13.22 ± 14.20, post: 21.67± 15.84; p = 0.018), MBI-UE (pre: 14.33 ± 7.42, post: 16.56 ± 6.95; p = 0.041), and line bisectiontest (pre: 25.15 ± 34.48, post: 14.93 ± 28.38; p = 0.043). The Conventional group showed significantimprovement only in MBI-UE (pre: 9.22 ± 6.06, post: 15.56 ± 6.19; p = 0.008). The improvementin MBI-UE was larger in the Conventional group than Robot group (6.33 ± 3.28 vs. 2.22 ± 2.49; p= 0.014).
Conclusion: This study suggests that short-term robot-assisted upper limb training may improve upperlimb function in hemiplegic patients. However, proper physical therapy may be needed to transferimproved upper limb function to activity of daily living. In addition, goal-directed reaching tasks usinga robot are expected to be a treatment option for hemineglect.
목차
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참고문헌 (26)
참고문헌 신청
Albert ML / 1973 / A simple test of visual neglect / Neurology 23 : 658 ~ 664
Fasoli SE / 2003 / Effects of robotic therapy on motor impairment and recovery in chronic stroke / Arch Phys Med Rehabil 84 : 477 ~ 482
Fasoli SE / 2004 / Robotic therapy for chronic motor impairments after stroke : Follow-up results / Arch Phys Med Rehabil 85 : 1106 ~ 1111
Ferraro M / 2003 / Robot-aided sensorimotor arm training improves outcome in patients with chronic stroke / Neurology 61 : 1604 ~ 1607
Fugl-Meyer AR / 1975 / The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance / Scand J Rehabil Med 7 : 13 ~ 31
Fasoli SE / 2003 / Effects of robotic therapy on motor impairment and recovery in chronic stroke / Arch Phys Med Rehabil 84 : 477 ~ 482
Fasoli SE / 2004 / Robotic therapy for chronic motor impairments after stroke : Follow-up results / Arch Phys Med Rehabil 85 : 1106 ~ 1111
Ferraro M / 2003 / Robot-aided sensorimotor arm training improves outcome in patients with chronic stroke / Neurology 61 : 1604 ~ 1607
Fugl-Meyer AR / 1975 / The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance / Scand J Rehabil Med 7 : 13 ~ 31
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