Robotic-assisted Therapy With Bilateral Practice Improves Task and Motor Performance of the Upper Extremity for Chronic Stroke Patients

National Cheng-Kung University

Status

Completed

Conditions

Stroke Rehabilitation

Treatments

Other: Unilateral Task-specific Training

Other: Robotic-assisted Therapy with Bilateral Practice

Other: Sensorimotor Stimulation Program

Study type

Interventional

Funder types

Other

Identifiers

NCT03847103

B-ER-102-247

Details and patient eligibility

About

Task-specific repetitive training, an usual care in occupational therapy practice, and robotic-aided rehabilitation with bilateral practice to improve limb's movement control has been popularised; however the difference in treatment effects between this two therapeutic strategies has been rarely described. The aim of the study was to compare the efficacy of robotic-assisted therapy with bilateral practice (RTBP) and usual care on task and motor performance for chronic stroke patients.

Enrollment

43 patients

Sex

All

Ages

20 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

chronic stroke patients with unilateral cerebral infarction or hemorrhage and whose disease duration was more than six months following stroke
no evidence of any other cerebral pathology in study screening CT scan
a score for the Fugl-Meyer upper extremity motor assessment ranging from 23-53 corresponding to poor to notable arm-hand capacity
pre stroke ability to speak the Chinese
without any other possible somatic sensory impairment, no major cognitive-perceptual deficit based on the results of selective neuropsychological tests, such as the mini-mental state examination (MMSE) and Lowenstein occupational therapy cognitive assessment (LOTCA)
premorbid right-handedness

Exclusion criteria

less than six months following stroke
CT shows multiple cerebral infarction or hemorrhage
whose comprehension skills were insufficient to understand instructions
individuals whose score of MMSE was lower than 24 or sub-item scores of visual perception, spatial perception, praxis, and visuomotor organization in LOTCA was lower than 8, 6, 6, and 14, respectively
premorbid left-handedness

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

43 participants in 2 patient groups

Robotic-aided rehabilitation with bilateral practice

Experimental group

Description:

In addition to a 10-minutes sensorimotor stimulation programs, the experimental group received 40-minutes Robotic-assisted Therapy with Bilateral Practice programs.

Treatment:

Other: Sensorimotor Stimulation Program

Other: Robotic-assisted Therapy with Bilateral Practice

Unilateral task-specific training

Active Comparator group

Description:

In addition to a 10-minutes sensorimotor stimulation programs, the control subjects received 40-minute unilateral task-specific training.

Treatment:

Other: Sensorimotor Stimulation Program

Other: Unilateral Task-specific Training