Accelerometry Measuring the Outcome of Robot-Supported Upper Limb Training in Chronic Stroke: A Randomized Controlled Trial
Identifieur interne : 001472 ( Main/Merge ); précédent : 001471; suivant : 001473Accelerometry Measuring the Outcome of Robot-Supported Upper Limb Training in Chronic Stroke: A Randomized Controlled Trial
Auteurs : Ryanne J. M. Lemmens [Pays-Bas] ; Annick A. A. Timmermans [Pays-Bas, Belgique] ; Yvonne J. M. Janssen-Potten [Pays-Bas] ; Sanne A. N. T. D. Pulles [Pays-Bas] ; Richard P. J. Geers [Pays-Bas] ; Wilbert G. M. Bakx [Pays-Bas] ; Rob J. E. M. Smeets [Pays-Bas] ; Henk A. M. Seelen [Pays-Bas]Source :
- PLoS ONE [ 1932-6203 ] ; 2014.
Abstract
This study aims to assess the extent to which accelerometers can be used to determine the effect of robot-supported task-oriented arm-hand training, relative to task-oriented arm-hand training alone, on the actual amount of arm-hand use of chronic stroke patients in their home situation.
This single-blind randomized controlled trial included 16 chronic stroke patients, randomly allocated using blocked randomization (n = 2) to receive task-oriented robot-supported arm-hand training or task-oriented (unsupported) arm-hand training. Training lasted 8 weeks, 4 times/week, 2×30 min/day using the (T-)TOAT ((Technology-supported)-Task-Oriented-Arm-Training) method. The actual amount of arm-hand use, was assessed at baseline, after 8 weeks training and 6 months after training cessation. Duration of use and intensity of use of the affected arm-hand during unimanual and bimanual activities were calculated.
Duration and intensity of use of the affected arm-hand did not change significantly during and after training, with or without robot-support (i.e. duration of use of unimanual use of the affected arm-hand: median difference of −0.17% in the robot-group and −0.08% in the control group between baseline and after training cessation; intensity of the affected arm-hand: median difference of 3.95% in the robot-group and 3.32% in the control group between baseline and after training cessation). No significant between-group differences were found.
Accelerometer data did not show significant changes in actual amount of arm-hand use after task-oriented training, with or without robot-support. Next to the amount of use, discrimination between activities performed and information about quality of use of the affected arm-hand are essential to determine actual arm-hand performance.
Controlled-trials.com
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DOI: 10.1371/journal.pone.0096414
PubMed: 24823925
PubMed Central: 4019639
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Geers</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, the Netherlands</addr-line></nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek</wicri:regionArea><wicri:noRegion>Hoensbroek</wicri:noRegion></affiliation></author><author><name sortKey="Bakx, Wilbert G M" sort="Bakx, Wilbert G M" uniqKey="Bakx W" first="Wilbert G. M." last="Bakx">Wilbert G. M. Bakx</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, the Netherlands</addr-line></nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek</wicri:regionArea><wicri:noRegion>Hoensbroek</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4"><addr-line>Adelante Rehabilitation Centre, Hoensbroek, the Netherlands</addr-line></nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Adelante Rehabilitation Centre, Hoensbroek</wicri:regionArea><wicri:noRegion>Hoensbroek</wicri:noRegion></affiliation></author><author><name sortKey="Smeets, Rob J E M" sort="Smeets, Rob J E M" uniqKey="Smeets R" first="Rob J. E. M." last="Smeets">Rob J. E. M. Smeets</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Research School CAPHRI, Department of Rehabilitation Medicine, Maastricht University, Maastricht, the Netherlands</addr-line></nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Research School CAPHRI, Department of Rehabilitation Medicine, Maastricht University, Maastricht</wicri:regionArea><wicri:noRegion>Maastricht</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, the Netherlands</addr-line></nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek</wicri:regionArea><wicri:noRegion>Hoensbroek</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff5"><addr-line>Department of Rehabilitation Medicine, Maastricht University Medical Centre, Maastricht, the Netherlands</addr-line></nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Rehabilitation Medicine, Maastricht University Medical Centre, Maastricht</wicri:regionArea><wicri:noRegion>Maastricht</wicri:noRegion></affiliation></author><author><name sortKey="Seelen, Henk A M" sort="Seelen, Henk A M" uniqKey="Seelen H" first="Henk A. M." last="Seelen">Henk A. M. Seelen</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Research School CAPHRI, Department of Rehabilitation Medicine, Maastricht University, Maastricht, the Netherlands</addr-line></nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Research School CAPHRI, Department of Rehabilitation Medicine, Maastricht University, Maastricht</wicri:regionArea><wicri:noRegion>Maastricht</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, the Netherlands</addr-line></nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek</wicri:regionArea><wicri:noRegion>Hoensbroek</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>This study aims to assess the extent to which accelerometers can be used to determine the effect of robot-supported task-oriented arm-hand training, relative to task-oriented arm-hand training alone, on the actual amount of arm-hand use of chronic stroke patients in their home situation.</p></sec><sec><title>Methods</title><p>This single-blind randomized controlled trial included 16 chronic stroke patients, randomly allocated using blocked randomization (n = 2) to receive task-oriented robot-supported arm-hand training or task-oriented (unsupported) arm-hand training. Training lasted 8 weeks, 4 times/week, 2×30 min/day using the (T-)TOAT ((Technology-supported)-Task-Oriented-Arm-Training) method. The actual amount of arm-hand use, was assessed at baseline, after 8 weeks training and 6 months after training cessation. Duration of use and intensity of use of the affected arm-hand during unimanual and bimanual activities were calculated.</p></sec><sec><title>Results</title><p>Duration and intensity of use of the affected arm-hand did not change significantly during and after training, with or without robot-support (i.e. duration of use of unimanual use of the affected arm-hand: median difference of −0.17% in the robot-group and −0.08% in the control group between baseline and after training cessation; intensity of the affected arm-hand: median difference of 3.95% in the robot-group and 3.32% in the control group between baseline and after training cessation). No significant between-group differences were found.</p></sec><sec><title>Conclusions</title><p>Accelerometer data did not show significant changes in actual amount of arm-hand use after task-oriented training, with or without robot-support. Next to the amount of use, discrimination between activities performed and information about quality of use of the affected arm-hand are essential to determine actual arm-hand performance.</p></sec><sec><title>Trial Registration</title><p>Controlled-trials.com <ext-link ext-link-type="uri" xlink:href="http://www.controlled--trials.com/ISRCTN82787126">ISRCTN82787126</ext-link></p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Broeks, Jg" uniqKey="Broeks J">JG Broeks</name></author><author><name sortKey="Lankhorst, Gj" uniqKey="Lankhorst G">GJ Lankhorst</name></author><author><name sortKey="Rumping, K" uniqKey="Rumping K">K Rumping</name></author><author><name sortKey="Prevo, Aj" uniqKey="Prevo A">AJ Prevo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nichols Larsen, Ds" uniqKey="Nichols Larsen D">DS Nichols-Larsen</name></author><author><name sortKey="Clark, Pc" uniqKey="Clark P">PC 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Kollen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Peter, O" uniqKey="Peter O">O Peter</name></author><author><name sortKey="Fazekas, G" uniqKey="Fazekas G">G Fazekas</name></author><author><name sortKey="Zsiga, K" uniqKey="Zsiga K">K Zsiga</name></author><author><name sortKey="Denes, Z" uniqKey="Denes Z">Z Denes</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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