Effects of task-oriented robot training on arm function, activity, and quality of life in chronic stroke patients: a randomized controlled trial.
Identifieur interne : 000706 ( PubMed/Curation ); précédent : 000705; suivant : 000707Effects of task-oriented robot training on arm function, activity, and quality of life in chronic stroke patients: a randomized controlled trial.
Auteurs : Annick A A. Timmermans [Pays-Bas] ; Ryanne J M. Lemmens ; Maurice Monfrance ; Richard P J. Geers ; Wilbert Bakx ; Rob J E M. Smeets ; Henk A M. SeelenSource :
- Journal of neuroengineering and rehabilitation [ 1743-0003 ] ; 2014.
English descriptors
- KwdEn :
- MESH :
- instrumentation : Exercise Therapy.
- methods : Exercise Therapy, Robotics.
- physiology : Motor Activity.
- physiopathology : Arm.
- rehabilitation : Stroke.
- Female, Humans, Male, Middle Aged, Quality of Life, Recovery of Function, Single-Blind Method.
Abstract
Over fifty percent of stroke patients experience chronic arm hand performance problems, compromising independence in daily life activities and quality of life. Task-oriented training may improve arm hand performance after stroke, whereby augmented therapy may lead to a better treatment outcome. Technology-supported training holds opportunities for increasing training intensity. However, the effects of robot-supported task-oriented training with real life objects in stroke patients are not known to date. The aim of the present study was to investigate the effectiveness and added value of the Haptic Master robot combined with task-oriented arm hand training in chronic stroke patients.
DOI: 10.1186/1743-0003-11-45
PubMed: 24684808
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Lemmens</name></author><author><name sortKey="Monfrance, Maurice" sort="Monfrance, Maurice" uniqKey="Monfrance M" first="Maurice" last="Monfrance">Maurice Monfrance</name></author><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></author><author><name sortKey="Bakx, Wilbert" sort="Bakx, Wilbert" uniqKey="Bakx W" first="Wilbert" last="Bakx">Wilbert Bakx</name></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></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></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="doi">10.1186/1743-0003-11-45</idno><idno type="RBID">pubmed:24684808</idno><idno type="pmid">24684808</idno><idno type="wicri:Area/PubMed/Corpus">000706</idno><idno type="wicri:Area/PubMed/Curation">000706</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Effects of task-oriented robot training on arm function, activity, and quality of life in chronic stroke patients: a randomized controlled trial.</title><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><affiliation wicri:level="1"><nlm:affiliation>Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, The Netherlands. Annick.Timmermans@uhasselt.be.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek</wicri:regionArea></affiliation></author><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></author><author><name sortKey="Monfrance, Maurice" sort="Monfrance, Maurice" uniqKey="Monfrance M" first="Maurice" last="Monfrance">Maurice Monfrance</name></author><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></author><author><name sortKey="Bakx, Wilbert" sort="Bakx, Wilbert" uniqKey="Bakx W" first="Wilbert" last="Bakx">Wilbert Bakx</name></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></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></author></analytic><series><title level="j">Journal of neuroengineering and rehabilitation</title><idno type="eISSN">1743-0003</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arm (physiopathology)</term><term>Exercise Therapy (instrumentation)</term><term>Exercise Therapy (methods)</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Motor Activity (physiology)</term><term>Quality of Life</term><term>Recovery of Function</term><term>Robotics (methods)</term><term>Single-Blind Method</term><term>Stroke (rehabilitation)</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Exercise Therapy</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Exercise Therapy</term><term>Robotics</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Motor Activity</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Arm</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Stroke</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Quality of Life</term><term>Recovery of Function</term><term>Single-Blind Method</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Over fifty percent of stroke patients experience chronic arm hand performance problems, compromising independence in daily life activities and quality of life. Task-oriented training may improve arm hand performance after stroke, whereby augmented therapy may lead to a better treatment outcome. Technology-supported training holds opportunities for increasing training intensity. However, the effects of robot-supported task-oriented training with real life objects in stroke patients are not known to date. The aim of the present study was to investigate the effectiveness and added value of the Haptic Master robot combined with task-oriented arm hand training in chronic stroke patients.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">24684808</PMID><DateCreated><Year>2014</Year><Month>04</Month><Day>03</Day></DateCreated><DateCompleted><Year>2014</Year><Month>08</Month><Day>22</Day></DateCompleted><DateRevised><Year>2015</Year><Month>05</Month><Day>14</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1743-0003</ISSN><JournalIssue CitedMedium="Internet"><Volume>11</Volume><PubDate><Year>2014</Year></PubDate></JournalIssue><Title>Journal of neuroengineering and rehabilitation</Title><ISOAbbreviation>J Neuroeng Rehabil</ISOAbbreviation></Journal><ArticleTitle>Effects of task-oriented robot training on arm function, activity, and quality of life in chronic stroke patients: a randomized controlled trial.</ArticleTitle><Pagination><MedlinePgn>45</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/1743-0003-11-45</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Over fifty percent of stroke patients experience chronic arm hand performance problems, compromising independence in daily life activities and quality of life. Task-oriented training may improve arm hand performance after stroke, whereby augmented therapy may lead to a better treatment outcome. Technology-supported training holds opportunities for increasing training intensity. However, the effects of robot-supported task-oriented training with real life objects in stroke patients are not known to date. The aim of the present study was to investigate the effectiveness and added value of the Haptic Master robot combined with task-oriented arm hand training in chronic stroke patients.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">In a single-blind randomized controlled trial, 22 chronic stroke patients were randomly allocated to receive either task-oriented robot-assisted arm-hand training (experimental group) or task-oriented non-robotic arm-hand training (control group). For training, the T-TOAT (Technology-supported Task-Oriented Arm Training) method was applied. Training was provided during 8 weeks, 4 times/week, 2 × 30 min/day.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A significant improvement after training on the Action Research Arm Test (ARAT) was demonstrated in the experimental group (p = 0.008). Results were maintained until 6 months after cessation of the training. On the perceived performance measure (Motor Activity Log (MAL)), both, the experimental and control group improved significantly after training (control group p = 0.008; experimental group p = 0.013). The improvements on MAL in both groups were maintained until 6 months after cessation of the training. With regard to quality of life, only in the control group a significant improvement after training was found (EuroQol-5D p = 0.015, SF-36 physical p = 0.01). However, the improvement on SF-36 in the control group was not maintained (p = 0.012). No between-group differences could be demonstrated on any of the outcome measures.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Arm hand performance improved in chronic stroke patients, after eight weeks of task oriented training. The use of a Haptic Master robot in support of task-oriented arm training did not show additional value over the video-instructed task-oriented exercises in highly functional stroke patients.</AbstractText><AbstractText Label="CLINICAL TRIAL REGISTRATION INFORMATION" NlmCategory="BACKGROUND">Current Controlled Trials ISRCTN82787126.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Timmermans</LastName><ForeName>Annick A A</ForeName><Initials>AA</Initials><AffiliationInfo><Affiliation>Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, The Netherlands. Annick.Timmermans@uhasselt.be.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lemmens</LastName><ForeName>Ryanne J M</ForeName><Initials>RJ</Initials></Author><Author ValidYN="Y"><LastName>Monfrance</LastName><ForeName>Maurice</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Geers</LastName><ForeName>Richard P J</ForeName><Initials>RP</Initials></Author><Author ValidYN="Y"><LastName>Bakx</LastName><ForeName>Wilbert</ForeName><Initials>W</Initials></Author><Author ValidYN="Y"><LastName>Smeets</LastName><ForeName>Rob J E M</ForeName><Initials>RJ</Initials></Author><Author ValidYN="Y"><LastName>Seelen</LastName><ForeName>Henk A M</ForeName><Initials>HA</Initials></Author></AuthorList><Language>eng</Language><DataBankList CompleteYN="Y"><DataBank><DataBankName>ISRCTN</DataBankName><AccessionNumberList><AccessionNumber>ISRCTN82787126</AccessionNumber></AccessionNumberList></DataBank></DataBankList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>03</Month><Day>31</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Neuroeng Rehabil</MedlineTA><NlmUniqueID>101232233</NlmUniqueID><ISSNLinking>1743-0003</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Arch Phys Med Rehabil. 2001 Jan;82(1):14-9</RefSource><PMID Version="1">11239280</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Clin Exp Neuropsychol. 2001 Oct;23(5):599-607</RefSource><PMID Version="1">11778637</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Stroke. 2002 Jul;33(7):1840-4</RefSource><PMID Version="1">12105363</PMID></CommentsCorrections><CommentsCorrections 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Version="1">22696362</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>IEEE Trans Neural Syst Rehabil Eng. 2012 May;20(3):237-8</RefSource><PMID Version="1">22792550</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D001132">Arm</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000503">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005081">Exercise Therapy</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000295">instrumentation</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName 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