Kim Si-Yun, Kim Yu-Mi, Koo See-Won, Park Hyun-Bin, Yoon Yong-Soon
Department of Rehabilitation Medicine, Presbyterian Medical Center, Jeonju 54987, Republic of Korea.
Healthcare (Basel). 2023 May 10;11(10):1369. doi: 10.3390/healthcare11101369.
This study aimed to determine whether the treatment effect differs for patients with stroke who perform robot-assisted upper-extremity rehabilitation by themselves compared to those whose rehabilitation is actively assisted by a therapist. Stroke patients with hemiplegia were randomly divided into two groups and received robot-assisted upper-limb rehabilitation for four weeks. In the experimental group, a therapist actively intervened in the treatment, while in the control group, the therapist only observed. After four weeks of rehabilitation, the manual muscle strength, Brunnstrom stage, Fugl-Meyer assessment of the upper-extremity (FMA-UE), box and block test, and functional independence measure (FIM) showed significant improvement in both groups compared to that before treatment; however, no interval change in spasticity was noted. The post-treatment values showed that the FMA-UE and box and block tests were significantly improved in the experimental group compared to those in the control group. Comparing the changes in the pre- and post-treatment values, the FMA-UE, box and block test, and FIM of the experimental group were significantly improved compared to those in the control group. Our results suggest that active intervention by therapists during robot-assisted upper-limb rehabilitation positively impacts upper-extremity function outcomes in patients with stroke.
本研究旨在确定与由治疗师积极协助进行康复的中风患者相比，自行进行机器人辅助上肢康复的中风患者的治疗效果是否存在差异。将偏瘫中风患者随机分为两组，并接受为期四周的机器人辅助上肢康复治疗。在实验组中，治疗师积极干预治疗，而在对照组中，治疗师仅进行观察。经过四周的康复治疗后，与治疗前相比，两组患者的徒手肌力、Brunnstrom分期、上肢Fugl-Meyer评估（FMA-UE）、箱块测试和功能独立性测量（FIM）均有显著改善；然而，未观察到痉挛的间期变化。治疗后的值显示，与对照组相比，实验组的FMA-UE和箱块测试有显著改善。比较治疗前后值的变化，实验组的FMA-UE、箱块测试和FIM与对照组相比有显著改善。我们的结果表明，在机器人辅助上肢康复过程中治疗师的积极干预对中风患者的上肢功能结局有积极影响。
