Bayındır Ozun, Akyüz Gülseren, Sekban Nimet
Department of Physical Medicine and Rehabilitation, Marmara University Faculty of Medicine, Istanbul, Türkiye.
Turk J Phys Med Rehabil. 2022 Jun 1;68(2):254-261. doi: 10.5606/tftrd.2022.8705. eCollection 2022 Jun.
This study aimed to investigate the effectiveness of adding robot-assisted hand therapy (HandTutor) to conventional rehabilitation program compared to a conventional rehabilitation program alone in stroke survivors.
Between March 2012 and December 2012, a total of 33 stroke patients (21 males, 12 females; median age: 56 years; range, 38 to 73 years) were included in this prospective, randomized-controlled study. The patients were randomly divided into two groups as experimental (n=16) and control (n=17). Both groups received conventional rehabilitation for 3 h/day, for two days/week, totally for five weeks, while the experimental group received additional 1-hour robot-assisted hand therapy during each session. Outcome measures were the Fugl-Meyer Assessment, Box and Block Test, Nine-Hole Peg Test, Jebsen-Taylor Hand Function Test, grip strength, and pinch strength. All patients were assessed at baseline, at the end of the treatment, and three months after the treatment.
Both groups showed statistically significant improvements in all the parameters (p<0.05). No significant differences were observed between the groups at any time points (p>0.05). The changes between baseline and three-month follow-up after the treatment revealed that adding robot-aided hand therapy led to greater changes in all the parameters related to functional activities and muscle strength, except for the Fugl-Meyer Assessment.
Adding robot-assisted therapy to conventional rehabilitation may provide greater changes in upper extremity rehabilitation of subacute stroke patients compared to conventional rehabilitation program alone.
本研究旨在调查与仅采用传统康复方案相比，在中风幸存者中，将机器人辅助手部治疗（HandTutor）添加到传统康复方案中的有效性。
在2012年3月至2012年12月期间，共有33例中风患者（21例男性，12例女性；中位年龄：56岁；范围38至73岁）纳入这项前瞻性随机对照研究。患者被随机分为两组，即实验组（n = 16）和对照组（n = 17）。两组均接受每天3小时、每周两天、共五周的传统康复治疗，而实验组在每次治疗期间额外接受1小时的机器人辅助手部治疗。结果测量指标包括Fugl-Meyer评估、箱块测试、九孔插板测试、Jebsen-Taylor手部功能测试、握力和捏力。所有患者在基线、治疗结束时以及治疗后三个月均接受评估。
两组在所有参数上均显示出统计学上的显著改善（p < 0.05）。在任何时间点，两组之间均未观察到显著差异（p > 0.05）。治疗后基线与三个月随访之间的变化表明，除Fugl-Meyer评估外，添加机器人辅助手部治疗在所有与功能活动和肌肉力量相关的参数上导致了更大的变化。
与仅采用传统康复方案相比，在传统康复中添加机器人辅助治疗可能会使亚急性中风患者的上肢康复产生更大的变化。
