The Effect of Combined Robotic Hand Therapy and Conventional Therapy to Rehabilitation Outcomes in Stroke Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- ABILHAND Stroke Hand Function Questionnaire
研究概览
简要总结
RAT is an innovative approach that includes intensive, repeatable, interactive and personalized applications.The aim of tihis study is to investigate the effect of robotic hand therapy added to conventional rehabilitation on rehabilitation outcomes in stroke patients.
详细描述
Effective therapy in stroke rehabilitation should include repetitive, functional and task-specific exercises with high intensity and duration. In this context, in addition to traditional treatments, many new treatment approaches have come up in recent years. Robot-assisted therapy (RAT) is one of these new treatment approaches. RAT is an innovative approach that includes intensive, repeatable, interactive and personalized applications. It is seen that robotic systems are very suitable for the patient to receive more intense and task-oriented motor training by integrating with other rehabilitation approaches. Considering the scarcity of studies on robotic hand therapy, it was seen that larger scale and long-term studies are needed. In this study, investigators aimed to investigate the effect of robotic hand therapy added to conventional rehabilitation on motor functions and quality of life in stroke patients. Patients will be evaluated pretreatment, posttreatment and 3 months later after treatment. Evaluation parameters consist of Brunnstrom Staging, Modified Ashworth Scale (MAS), Fugl Meyer Assessment of The Upper Extremity, Functional Independence Measure Scale (FIM) and ABILHAND Questionnaire, Stroke Impact Scale (SIS), Stroke-Specific Quality of Life Scale (SS-QOL) and SF-36 Quality of Life Questionnaire. We think that robot-assisted therapy will contribute to the improvement of hand functions and quality of life in stroke patients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 40 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Unilateral stroke
- •Between 4 weeks and 6 months after stroke
- •health status was suitable for rehabilitation
- •who could understand commands with a mini mental test score of 15 and above
- •who had Brunnstrom grade 3 and below (≤3).
排除标准
- •Patients with persistent upper extremity pain on the hemiplegic side (VAS>40)
- •Patients with severe spasticity in the hand (MAS≥3)
- •Patients with contractures in the hand
- •Patients who had fractures or operations on the hemiplegic side in the last 6 months
- •Patients who received botulinum toxin injection to the upper extremity in the last 6 months
- •Patients with skin ulcers
- •Patients with brain stem or cerebellar lesions
- •Patients with neglect or apraxia
- •Patients with severe visual impairment and severe depression
结局指标
主要结局
ABILHAND Stroke Hand Function Questionnaire
时间窗: 15 minutes
The ABILHAND Hand Questionnaire was developed in 1998 to measure patient-perceived dexterity. It contains 23 questions about how difficult the patient has to do the activities. impossible (0 points), difficult (1 point), easly (2 points) options is marked. The total score is 46.
upper extremity spasticity assessment
时间窗: 5 minutes
It was planned to evaluate spasticity with the Modified Ashworth Scale (MAS). In MAS, patients are evaluated over 5 points. 0; there is no increase in muscle tone, and 4 indicates that the extremity is rigid in the direction of flexion and extension.
Brunnstrom stage
时间窗: 5 minutes
Brunnstrom Staging is a test that evaluates the motor development of hemiplegic patients. In this test, the neurophysiological recovery process of the hemiplegic patient was defined as 6 stages. According to this staging low stage; stage 1 (flask, the stage without voluntary movement), the highest stage was determined as stage 6 (stage with isolated joint movement). Hand, upper and lower limbs in Brunnstrom staging extremities are evaluated separately.
Fugl Meyer Upper Extremity Assessment Questionnaire wrist and hand assessment
时间窗: 15 minutes
The Fugl-Meyer Upper Extremity Motor Rating Scale was developed to quantitatively evaluate sensorimotor recovery after stroke.Based on Brunnstrom's stages of motor recovery
次要结局
- Functional Independence Scale(20 minutes)
- Stroke Specific Quality of Life Scale: SSQOL(30 minutes)
- short form 36(30 minutes)
- Stroke Impact Survey(20 minutes)
研究者
Sevda Adar
assistant professor
Afyonkarahisar Health Sciences University