tailieunhanh - Báo cáo hóa học: " Results of Clinicians Using a Therapeutic Robotic System in an Inpatient Stroke Rehabilitation Unit"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành hóa học dành cho các bạn yêu hóa học tham khảo đề tài: Results of Clinicians Using a Therapeutic Robotic System in an Inpatient Stroke Rehabilitation Unit | Abdullah et al. Journal of NeuroEngineering and Rehabilitation 2011 8 50 http content 8 1 50 Iril JOURNAL OF NEUROENGINEERING NCR AND REHABILITATION RESEARCH Open Access Results of Clinicians Using a Therapeutic Robotic System in an Inpatient Stroke Rehabilitation Unit 1 1 2 3 4 Hussein A Abdullah Cole Tarry Cynthia Lambert Susan Barreca and Brian O Allen Abstract Background Physical rehabilitation is an area where robotics could contribute significantly to improved motor return for individuals following a stroke. This paper presents the results of a preliminary randomized controlled trial RCT of a robot system used in the rehabilitation of the paretic arm following a stroke. Methods The study s objectives were to explore the efficacy of this new type of robotic therapy as compared to standard physiotherapy treatment in treating the post-stroke arm to evaluate client satisfaction with the proposed robotic system and to provide data for sample size calculations for a proposed larger multicenter RCT. Twenty clients admitted to an inpatient stroke rehabilitation unit were randomly allocated to one of two groups an experimental robotic arm therapy group or a control group conventional therapy . An occupational therapist blinded to patient allocation administered two reliable measures the Chedoke Arm and Hand Activity Inventory CAHAI-7 and the Chedoke McMaster Stroke Assessment of the Arm and Hand CMSA at admission and discharge. For both groups at admission the CMSA motor impairment stage of the affected arm was between 1 and 3. Results Data were compared to determine the effectiveness of robot-assisted versus conventional therapy treatments. At the functional level both groups performed well with improvement in scores on the CAHAI-7 showing clinical and statistical significance. The CAHAI-7 range7-49 is a measure of motor performance using functional items. Individuals in the robotic therapy group on average improved by 62 95 CI 26 to 107 while