TY  - BOOK
AU  - Brokaw, Elizabeth B
AU  - Holley, Rahsaan J
AU  - Lum, Peter S
AU  - Nichols, Diane
TI  - Robotic therapy provides a stimulus for upper limb motor recovery after stroke that is complementary to and distinct from conventional therapy
SN  - 1545-9683
KW  - *Exercise Therapy/mt [Methods]
KW  - *Recovery of Function
KW  - *Robotics/mt [Methods]
KW  - *Stroke/rh [Rehabilitation]
KW  - *Upper Extremity
KW  - Chronic Disease
KW  - Cross-Over Studies
KW  - Female
KW  - Humans
KW  - Male
KW  - Middle Aged
KW  - Severity of Illness Index
KW  - Stroke/pp [Physiopathology]
KW  - Time Factors
KW  - Treatment Outcome
KW  - User-Computer Interface
KW  - MedStar National Rehabilitation Network
KW  - Journal Article
KW  - Randomized Controlled Trial
KW  - Research Support, U.S. Gov't, Non-P.H.S
N1  - Available online from MWHC library: 2006 - 2009, Available in print through MWHC library: 1999 - March 2006
N2  - BACKGROUND: Individuals with chronic stroke often have long-lasting upper extremity impairments that impede function during activities of daily living. Rehabilitation robotics have shown promise in improving arm function, but current systems do not allow realistic training of activities of daily living. We have incorporated the ARMin III and HandSOME device into a novel robotic therapy modality that provides functional training of reach and grasp tasks; CONCLUSIONS: Data suggest that robotic therapy can elicit improvements in arm function that are distinct from conventional therapy and supplements conventional methods to improve outcomes. Results from this pilot study should be confirmed in a larger study; METHODS: Subjects were randomized to 12 hours of robotic or conventional therapy and then crossed over to the other therapy type after a 1-month washout period. Twelve moderate to severely impaired individuals with chronic stroke were enrolled, and 10 completed the study; OBJECTIVE: To compare the effects of equal doses of robotic and conventional therapy in individuals with chronic stroke; RESULTS: Across the 3-month study period, subjects showed significant improvements in the Fugl-Meyer (P = .013) and Box and Blocks tests (P = .028). The robotic intervention produced significantly greater improvements in the Action Research Arm Test than conventional therapy (P = .033). Gains in the Box and Blocks test from conventional therapy were larger than from robotic therapy in subjects who received conventional therapy after robotic therapy (P = .044)
UR  - http://dx.doi.org/10.1177/1545968313510974
ER  -