Clinical effects of using HEXORR (Hand Exoskeleton Rehabilitation Robot) for movement therapy in stroke rehabilitation.

MedStar author(s):
Citation: American Journal of Physical Medicine & Rehabilitation. 92(11):947-58, 2013 Nov.PMID: 23900016Institution: MedStar National Rehabilitation NetworkForm of publication: Journal ArticleMedline article type(s): Journal Article | Research Support, Non-U.S. Gov't | Research Support, U.S. Gov't, Non-P.H.S.Subject headings: *Exercise Therapy/is [Instrumentation] | *Hand | *Robotics | *Stroke/rh [Rehabilitation] | Adult | Aged | Algorithms | Cohort Studies | Female | Hand Strength | Humans | Male | Middle Aged | Muscle Hypertonia/et [Etiology] | Muscle Hypertonia/pp [Physiopathology] | Muscle Hypertonia/rh [Rehabilitation] | Pilot Projects | Range of Motion, Articular | Stroke/co [Complications] | Stroke/pp [Physiopathology] | Treatment OutcomeLocal holdings: Available online from MWHC library: 1996 - presentISSN:
  • 0894-9115
Name of journal: American journal of physical medicine & rehabilitation / Association of Academic PhysiatristsAbstract: CONCLUSIONS: Future work is needed to better manage higher levels of hypertonia and provide more support to subjects with higher impairment levels; however, the current results support further study into the Hand Exoskeleton Rehabilitation Robot treatment.DESIGN: Nine subjects with chronic stroke (one excluded from analysis) completed 18 sessions of training with the Hand Exoskeleton Rehabilitation Robot and a preevaluation, a postevaluation, and a 90-day clinical evaluation.OBJECTIVE: The goals of this pilot study were to quantify the clinical benefits of using the Hand Exoskeleton Rehabilitation Robot for hand rehabilitation after stroke and to determine the population best served by this intervention.RESULTS: Overall, the subjects improved in both range of motion and clinical measures. Compared with the preevaluation, the subjects showed significant improvements in range of motion, grip strength, and the hand component of the Fugl-Meyer (mean 130224s, 6.60 degrees, 8.84 percentage points, and 1.86 points, respectively). A subgroup of six subjects exhibited lower tone and received a higher dosage of training. These subjects had significant gains in grip strength, the hand component of the Fugl-Meyer, and the Action Research Arm Test (mean 130224s, 8.42 percentage points, 2.17 points, and 2.33 points, respectively).All authors: Godfrey SB, Holley RJ, Lum PSDigital Object Identifier: Date added to catalog: 2014-02-24
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article Available 23900016

Available online from MWHC library: 1996 - present

CONCLUSIONS: Future work is needed to better manage higher levels of hypertonia and provide more support to subjects with higher impairment levels; however, the current results support further study into the Hand Exoskeleton Rehabilitation Robot treatment.

DESIGN: Nine subjects with chronic stroke (one excluded from analysis) completed 18 sessions of training with the Hand Exoskeleton Rehabilitation Robot and a preevaluation, a postevaluation, and a 90-day clinical evaluation.

OBJECTIVE: The goals of this pilot study were to quantify the clinical benefits of using the Hand Exoskeleton Rehabilitation Robot for hand rehabilitation after stroke and to determine the population best served by this intervention.

RESULTS: Overall, the subjects improved in both range of motion and clinical measures. Compared with the preevaluation, the subjects showed significant improvements in range of motion, grip strength, and the hand component of the Fugl-Meyer (mean 130224s, 6.60 degrees, 8.84 percentage points, and 1.86 points, respectively). A subgroup of six subjects exhibited lower tone and received a higher dosage of training. These subjects had significant gains in grip strength, the hand component of the Fugl-Meyer, and the Action Research Arm Test (mean 130224s, 8.42 percentage points, 2.17 points, and 2.33 points, respectively).

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