Joo Min-Cheol, Jung Kyeoung-Man, Kim Ji-Hee, Jung Yu-Jin, Chang Woo-Nam, Shin Hyeon-Jin
Department of Rehabilitation Medicine and Institute of Wonkwang Medical Science, Wonkwang University School of Medicine and Hospital, Iksan, South Korea.
Department of Physical Therapy, Wonkwang University Hospital, Iksan, South Korea.
J Stroke Cerebrovasc Dis. 2022 May;31(5):106330. doi: 10.1016/j.jstrokecerebrovasdis.2022.106330. Epub 2022 Feb 24.
Reducing the compensatory mechanism by restraining unnecessary trunk movements may help enhance the effectiveness of robot-assisted therapy.
This study aimed to investigate the effects of robot-assisted therapy in combination with trunk restraint on upper extremity function and on daily activities in patients with acute stroke (≤ 30days of onset).
Thirty-six acute stroke patients were randomly assigned to an experimental (n=18) or control (n=18) group. The experimental group performed robot-assisted therapy combined with trunk restraint, while the control group performed only robot-assisted therapy. Both groups were treated for 30 min, 5 days a week, for a total of 3 weeks. The outcome measures included the Fugl-Meyer assessment upper extremity, wolf motor function test, motor activity log, upper extremity muscle strength, and modified Barthel index.
After the intervention, both groups showed significant improvements in Fugl-Meyer assessment upper extremity, wolf motor function test, motor activity log, elbow extensor muscle strength, and modified Barthel index (p < 0.05). Post-intervention, the experimental group exhibited greater changes in the Fugl-Meyer assessment upper extremity, motor activity log, and elbow extensor muscle strength (p < 0.05).
Our study suggests that robot-assisted therapy in combination with trunk restraint is more effective for improving upper extremity function than only robot-assisted therapy in acute stroke patients.
通过抑制不必要的躯干运动来减少代偿机制可能有助于提高机器人辅助治疗的效果。
本研究旨在探讨机器人辅助治疗联合躯干约束对急性卒中（发病≤30天）患者上肢功能和日常活动的影响。
36例急性卒中患者被随机分为实验组（n = 18）和对照组（n = 18）。实验组进行机器人辅助治疗联合躯干约束，而对照组仅进行机器人辅助治疗。两组均每周治疗5天，每次30分钟，共治疗3周。疗效指标包括Fugl-Meyer上肢评估、Wolf运动功能测试、运动活动日志、上肢肌肉力量和改良Barthel指数。
干预后，两组在Fugl-Meyer上肢评估、Wolf运动功能测试、运动活动日志、肘伸肌力量和改良Barthel指数方面均有显著改善（p < 0.05）。干预后，实验组在Fugl-Meyer上肢评估、运动活动日志和肘伸肌力量方面的变化更大（p < 0.05）。
我们的研究表明，对于改善急性卒中患者的上肢功能，机器人辅助治疗联合躯干约束比单纯机器人辅助治疗更有效。
