Accelerometry Measuring the Outcome of Robot-Supported Upper Limb Training in Chronic Stroke: A Randomized Controlled Trial
Identifieur interne : 003004 ( Ncbi/Checkpoint ); précédent : 003003; suivant : 003005Accelerometry 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
Url:
DOI: 10.1371/journal.pone.0096414
PubMed: 24823925
PubMed Central: 4019639
Affiliations:
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<author><name sortKey="Lemmens, Ryanne J M" sort="Lemmens, Ryanne J M" uniqKey="Lemmens R" first="Ryanne J. M." last="Lemmens">Ryanne J. M. Lemmens</name>
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<author><name sortKey="Timmermans, Annick A A" sort="Timmermans, Annick A A" uniqKey="Timmermans A" first="Annick A. A." last="Timmermans">Annick A. A. Timmermans</name>
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<author><name sortKey="Pulles, Sanne A N T D" sort="Pulles, Sanne A N T D" uniqKey="Pulles S" first="Sanne A. N. T. D." last="Pulles">Sanne A. N. T. D. Pulles</name>
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<author><name sortKey="Geers, Richard P J" sort="Geers, Richard P J" uniqKey="Geers R" first="Richard P. J." last="Geers">Richard P. J. Geers</name>
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<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>
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<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>
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<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>
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<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>
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