Effects of Rehabilitation Robot Training on Physical Function, Functional Recovery, and Daily Living Activities in Patients with Sub-Acute Stroke.

Publisher: MDPI Country of Publication: Switzerland NLM ID: 9425208 Publication Model: Electronic Cited Medium: Internet ISSN: 1648-9144 (Electronic) Linking ISSN: 1010660X NLM ISO Abbreviation: Medicina (Kaunas) Subsets: MEDLINE

Publication: 2018- : Basel, Switzerland : MDPI
Original Publication: Kaunas : Lietuvos gydytojų sąjunga

Activities of Daily Living* ; Stroke Rehabilitation*/methods ; Stroke Rehabilitation*/instrumentation ; Robotics*/methods ; Recovery of Function*; Humans ; Female ; Male ; Middle Aged ; Aged ; Stroke/physiopathology ; Exercise Therapy/methods ; Exercise Therapy/instrumentation ; Treatment Outcome

Stroke often results in sensory deficits, muscular weakness, and diminished postural control, thereby restricting mobility and functional capabilities. It is important to promote neuroplasticity by implementing task-oriented exercises that induce changes in patients. Therefore, this study aimed to investigate the effects of rehabilitation robot training on physical function, functional recovery, and activities of daily living (ADLs) in patients with subacute stroke. The study participants were patients with subacute stroke receiving treatment at Hospitals A and B. They were selected as research subjects based on selection and exclusion criteria. The experimental group received rehabilitation robot training in sessions of 30 min, five times weekly, for a total of 20 sessions over four weeks. Conversely, the control group underwent standard rehabilitation equipment training with an identical frequency, duration, and number of sessions. Measurements were taken before and after the training period to assess changes in physical function, functional recovery, and activities of daily living using tools such as the MMT, BBS, FBG, FAC, FIM, and MBI. The results were as follows: in the within-group comparison, the rehabilitation robot training group showed significant differences in MMT, BBS, FBG, FAC, FIM, and MBI ( p < 0.05), while the control group showed significant differences in FIM ( p < 0.05). Statistically significant differences were observed in the time, group, and time × group interaction effects among the MMT, static seated FBG, dynamic seated FBG, FIM, and MBI ( p < 0.05). Based on these results, rehabilitation robotic training resulted in significant improvements in physical function, functional recovery, and activities of daily living in patients with subacute stroke. Based on these findings, providing a basic protocol for a rehabilitation program that applies rehabilitation robot training to patients with subacute stroke may offer more effective treatment and outcomes in the future.

J Particip Med. 2018 Jan 18;10(1):e3. (PMID: 33052128)
BMJ. 2012 May 10;344:e2672. (PMID: 22577186)
BMJ Open. 2017 Dec 12;7(12):e016739. (PMID: 29233831)
Phys Ther. 2008 May;88(5):559-66. (PMID: 18292215)
BMC Med Res Methodol. 2017 Aug 25;17(1):131. (PMID: 28841846)
J Family Med Prim Care. 2021 Nov;10(11):3983-3990. (PMID: 35136756)
J Neuroeng Rehabil. 2022 Sep 14;19(1):99. (PMID: 36104706)
Neuropsychiatr Dis Treat. 2014 Sep 09;10:1677-91. (PMID: 25228808)
Sci Rep. 2017 Jun 22;7(1):4070. (PMID: 28642466)
Neurol Sci. 2023 Apr;44(4):1301-1310. (PMID: 36544079)
Arch Phys Med Rehabil. 2023 Feb;104(2):188-194. (PMID: 36261056)
NeuroRehabilitation. 2021;49(2):255-265. (PMID: 34397433)
PLoS One. 2018 Mar 29;13(3):e0194531. (PMID: 29596450)
Neurorehabil Neural Repair. 2019 Aug;33(8):681-690. (PMID: 31313626)
Int J Rehabil Res. 2016 Mar;39(1):29-35. (PMID: 26512928)
Biomed Res Int. 2019 Mar 25;2019:9351689. (PMID: 31019976)
Pak J Med Sci. 2022 May-Jun;38(5):1222-1227. (PMID: 35799720)
Medicina (Kaunas). 2022 Aug 30;58(9):. (PMID: 36143861)
J Clin Med. 2022 Nov 23;11(23):. (PMID: 36498486)
Stroke Res Treat. 2013;2013:946056. (PMID: 23691432)
NeuroRehabilitation. 2022;51(4):681-691. (PMID: 36530100)
Neurol Neurochir Pol. 2016 Nov - Dec;50(6):449-454. (PMID: 27585746)
BMC Neurol. 2013 Oct 07;13:141. (PMID: 24099524)
Stroke Res Treat. 2013;2013:128641. (PMID: 23738231)
Front Neurol. 2020 Jun 17;11:494. (PMID: 32625162)
Restor Neurol Neurosci. 2015;33(5):671-81. (PMID: 26410207)
J Stroke Cerebrovasc Dis. 2018 Jan;27(1):1-31. (PMID: 29111342)
Arq Neuropsiquiatr. 2021 Sep;79(9):832-843. (PMID: 34669820)
J Neuroeng Rehabil. 2022 Jan 28;19(1):12. (PMID: 35090517)
PM R. 2018 Sep;10(9 Suppl 2):S174-S188. (PMID: 30269804)
Medicine (Baltimore). 2019 Feb;98(8):e14501. (PMID: 30813152)
Neurorehabil Neural Repair. 2017 Aug;31(8):769-780. (PMID: 28803535)
Biomed Res Int. 2021 Jul 28;2021:9916492. (PMID: 34368358)
Arch Phys Med Rehabil. 1993 Feb;74(2):133-8. (PMID: 8431095)
BMC Neurol. 2018 Sep 13;18(1):141. (PMID: 30213258)
J Neurol. 2023 Mar;270(3):1721-1734. (PMID: 36536249)
Arch Phys Med Rehabil. 2007 Oct;88(10):1314-9. (PMID: 17908575)
Brain Sci. 2020 Nov 06;10(11):. (PMID: 33171938)
Expert Rev Med Devices. 2014 Mar;11(2):187-98. (PMID: 24479445)
Cureus. 2022 Nov 7;14(11):e31222. (PMID: 36514562)
Cureus. 2022 Nov 4;14(11):e31075. (PMID: 36475123)
Int J Environ Res Public Health. 2023 Jan 05;20(2):. (PMID: 36673749)
Adv Clin Exp Med. 2012 Jul-Aug;21(4):513-7. (PMID: 23240457)
Cochrane Database Syst Rev. 2016 Mar 24;3:CD003316. (PMID: 27010219)
BMC Sports Sci Med Rehabil. 2022 Apr 8;14(1):62. (PMID: 35395819)
Cureus. 2023 Jan 25;15(1):e34207. (PMID: 36843743)
Brain Sci. 2022 Aug 06;12(8):. (PMID: 36009107)
Arch Physiother. 2020 Feb 04;10:3. (PMID: 32042447)

Keywords: activities of daily living; balance; functional status; muscle strength; robot rehabilitation; sub-acute stroke

Date Created: 20240525 Date Completed: 20240525 Latest Revision: 20240527

20240527

PMC11123305

10.3390/medicina60050811

38792996