Effects of Proximal and Distal Robot-assisted Therapy Combined With Functional Training

Chang Gung Medical Foundation

Status: Completed

Conditions: Stroke

Treatments: Device: distal robot-assisted therapy; Behavioral: individualized intensive therapy; Device: proximal robot-assisted therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT02254343

103-3564A3

Details and patient eligibility

About

The purpose of this study is to compare the training effects of robot-assisted therapy focus on proximal part, distal part, or total segment of upper extremity, respectively.

Enrollment: 45 patients

Sex: All

Ages: 20 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• unilateral stroke that verified by CT scan
• Time since stroke more than 6 months
• moderate and mild upper limb motor impairment identified from the UE subtest of FMA range from 10 to 50
• Mini-Mental State Examination (MMSE) more than 24 points is needed to follow commands

Exclusion criteria

• serious visual or visual perception problems
• orthopedic or other neurological problems occurred in recent 6 months
• attend any other study in recent 3 months

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

45 participants in 3 patient groups

proximal robot-assisted therapy

Experimental group

Description:

treatment programs will target to shoulder and elbow portions of upper extremity via the InMotion2 robotic system

Treatment:

Device: proximal robot-assisted therapy

distal robot-assisted therapy

Experimental group

Description:

the InMotion3 robot system will be used to execute treatment programs focus on wrist movements. It includes three degrees of freedom to allow wrist flexion/extension, abduction/adduction, and pronation/supination.

Treatment:

Device: distal robot-assisted therapy

individualized intensive therapy

Active Comparator group

Description:

individualized occupational therapy which is dose-match to robot-assisted therapy, based on task-oriented principle.

Treatment:

Behavioral: individualized intensive therapy