Robot-assisted arm trainer for the passive and active practice of bilateral forearm and wrist movements in hemiparetic subjects
To determine whether use of a robotic arm trainer for bilateral exercise in daily repetitive training for a 3-week period reduced spasticity and improved motor control in the arm of severely affected, chronic hemiparetic subjects. Before-after trial. Community rehabilitation center in Germany. Conse...
Saved in:
| Published in: | Archives of physical medicine and rehabilitation Vol. 84; no. 6; p. 915 |
|---|---|
| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
United States
01.06.2003
|
| Subjects: | |
| ISSN: | 0003-9993 |
| Online Access: | Get more information |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Abstract | To determine whether use of a robotic arm trainer for bilateral exercise in daily repetitive training for a 3-week period reduced spasticity and improved motor control in the arm of severely affected, chronic hemiparetic subjects.
Before-after trial.
Community rehabilitation center in Germany.
Consecutive sample of 12 chronic hemiparetic patients; minimum stroke interval 6 months; patients could maximally protract the affected shoulder, hold the extended arm, or slightly flex and extend the elbow.
Additional daily therapy of 15 minutes with the arm trainer for 3 weeks; the 1 degree of freedom trainer enabled the bilateral passive and active practice of a forearm pronation and supination and wrist dorsiflexion and volarflexion; impedance control guaranteed a smooth movement.
Patients' impressions, the Modified Ashworth Scale (MAS) score (range, 0-5) to assess spasticity, and the arm section of the Rivermead Motor Assessment (RMA) score (range, 0-15) to assess motor control were rated before therapy, after each 3-week interval, and at follow-up 3 months later.
All patients had favorable impressions: the extremity felt more vivid, and 8 subjects noticed a reduction in spasticity, an ease of hand hygiene, and pain relief. The MAS score of the wrist and fingers joints decreased significantly (P<.0125) from a median of 3 (2-3) and 3 (3-4) to 2 (1-2) and 2.5 (2-3). The RMA score minimally increased in 5 cases without improvement in functional tasks. The median RMA score before therapy was 2.0 (1-2) and 2.0 (1-3.75) after therapy. There were no side effects. At follow-up, the effects had waned.
The arm trainer made possible intensive bilateral elbow and wrist training of severely affected stroke patients. Future studies should address the treatment effect in subacute stroke patients and determine the optimum treatment intensity. |
|---|---|
| AbstractList | To determine whether use of a robotic arm trainer for bilateral exercise in daily repetitive training for a 3-week period reduced spasticity and improved motor control in the arm of severely affected, chronic hemiparetic subjects.
Before-after trial.
Community rehabilitation center in Germany.
Consecutive sample of 12 chronic hemiparetic patients; minimum stroke interval 6 months; patients could maximally protract the affected shoulder, hold the extended arm, or slightly flex and extend the elbow.
Additional daily therapy of 15 minutes with the arm trainer for 3 weeks; the 1 degree of freedom trainer enabled the bilateral passive and active practice of a forearm pronation and supination and wrist dorsiflexion and volarflexion; impedance control guaranteed a smooth movement.
Patients' impressions, the Modified Ashworth Scale (MAS) score (range, 0-5) to assess spasticity, and the arm section of the Rivermead Motor Assessment (RMA) score (range, 0-15) to assess motor control were rated before therapy, after each 3-week interval, and at follow-up 3 months later.
All patients had favorable impressions: the extremity felt more vivid, and 8 subjects noticed a reduction in spasticity, an ease of hand hygiene, and pain relief. The MAS score of the wrist and fingers joints decreased significantly (P<.0125) from a median of 3 (2-3) and 3 (3-4) to 2 (1-2) and 2.5 (2-3). The RMA score minimally increased in 5 cases without improvement in functional tasks. The median RMA score before therapy was 2.0 (1-2) and 2.0 (1-3.75) after therapy. There were no side effects. At follow-up, the effects had waned.
The arm trainer made possible intensive bilateral elbow and wrist training of severely affected stroke patients. Future studies should address the treatment effect in subacute stroke patients and determine the optimum treatment intensity. To determine whether use of a robotic arm trainer for bilateral exercise in daily repetitive training for a 3-week period reduced spasticity and improved motor control in the arm of severely affected, chronic hemiparetic subjects.OBJECTIVETo determine whether use of a robotic arm trainer for bilateral exercise in daily repetitive training for a 3-week period reduced spasticity and improved motor control in the arm of severely affected, chronic hemiparetic subjects.Before-after trial.DESIGNBefore-after trial.Community rehabilitation center in Germany.SETTINGCommunity rehabilitation center in Germany.Consecutive sample of 12 chronic hemiparetic patients; minimum stroke interval 6 months; patients could maximally protract the affected shoulder, hold the extended arm, or slightly flex and extend the elbow.PARTICIPANTSConsecutive sample of 12 chronic hemiparetic patients; minimum stroke interval 6 months; patients could maximally protract the affected shoulder, hold the extended arm, or slightly flex and extend the elbow.Additional daily therapy of 15 minutes with the arm trainer for 3 weeks; the 1 degree of freedom trainer enabled the bilateral passive and active practice of a forearm pronation and supination and wrist dorsiflexion and volarflexion; impedance control guaranteed a smooth movement.INTERVENTIONSAdditional daily therapy of 15 minutes with the arm trainer for 3 weeks; the 1 degree of freedom trainer enabled the bilateral passive and active practice of a forearm pronation and supination and wrist dorsiflexion and volarflexion; impedance control guaranteed a smooth movement.Patients' impressions, the Modified Ashworth Scale (MAS) score (range, 0-5) to assess spasticity, and the arm section of the Rivermead Motor Assessment (RMA) score (range, 0-15) to assess motor control were rated before therapy, after each 3-week interval, and at follow-up 3 months later.MAIN OUTCOME MEASURESPatients' impressions, the Modified Ashworth Scale (MAS) score (range, 0-5) to assess spasticity, and the arm section of the Rivermead Motor Assessment (RMA) score (range, 0-15) to assess motor control were rated before therapy, after each 3-week interval, and at follow-up 3 months later.All patients had favorable impressions: the extremity felt more vivid, and 8 subjects noticed a reduction in spasticity, an ease of hand hygiene, and pain relief. The MAS score of the wrist and fingers joints decreased significantly (P<.0125) from a median of 3 (2-3) and 3 (3-4) to 2 (1-2) and 2.5 (2-3). The RMA score minimally increased in 5 cases without improvement in functional tasks. The median RMA score before therapy was 2.0 (1-2) and 2.0 (1-3.75) after therapy. There were no side effects. At follow-up, the effects had waned.RESULTSAll patients had favorable impressions: the extremity felt more vivid, and 8 subjects noticed a reduction in spasticity, an ease of hand hygiene, and pain relief. The MAS score of the wrist and fingers joints decreased significantly (P<.0125) from a median of 3 (2-3) and 3 (3-4) to 2 (1-2) and 2.5 (2-3). The RMA score minimally increased in 5 cases without improvement in functional tasks. The median RMA score before therapy was 2.0 (1-2) and 2.0 (1-3.75) after therapy. There were no side effects. At follow-up, the effects had waned.The arm trainer made possible intensive bilateral elbow and wrist training of severely affected stroke patients. Future studies should address the treatment effect in subacute stroke patients and determine the optimum treatment intensity.CONCLUSIONSThe arm trainer made possible intensive bilateral elbow and wrist training of severely affected stroke patients. Future studies should address the treatment effect in subacute stroke patients and determine the optimum treatment intensity. |
| Author | Werner, Cordula Hesse, Stefan Konrad, Matthias Schulte-Tigges, Gotthard Bardeleben, Anita |
| Author_xml | – sequence: 1 givenname: Stefan surname: Hesse fullname: Hesse, Stefan email: bhesse@zedat.fu-berlin.de organization: Klinik Berlin, Department of Neurological Rehabilitation, Free University Berlin, Germany. bhesse@zedat.fu-berlin.de – sequence: 2 givenname: Gotthard surname: Schulte-Tigges fullname: Schulte-Tigges, Gotthard – sequence: 3 givenname: Matthias surname: Konrad fullname: Konrad, Matthias – sequence: 4 givenname: Anita surname: Bardeleben fullname: Bardeleben, Anita – sequence: 5 givenname: Cordula surname: Werner fullname: Werner, Cordula |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/12808550$$D View this record in MEDLINE/PubMed |
| BookMark | eNo9kDlPxDAQhV0sYg_4CSBXCIqAjziOS7TiklZC4qgj25los0riYDuLqPjrJGKhmjfz3vuKWaJZ5zpA6IySa0podvNKCOGJUopfEnZFUiXSRM7Q4v88R8sQduOaCU6P0ZyynORCkAX6fnHGxUSHUIcIJda-xdHrugOPK-dx3ALuJ3cPWHejb-Mkez8JC9hV2NSNjuB1MxVgAkzBTz8Ccev20EIXA647vIW27rWHsYjDYHZgYzhBR5VuApwe5gq939-9rR-TzfPD0_p2kwCXKibUEjApcJPS0uS6NBTAiDLntjIpy6wGIY0QWqlKAZOUciFYxmylgbCKp2yFLn65vXcfA4RYtHWw0DS6AzeEQnIumRRyDJ4fgoNpoSx6X7fafxV_L2M_JaVyEQ |
| ContentType | Journal Article |
| DBID | CGR CUY CVF ECM EIF NPM 7X8 |
| DOI | 10.1016/S0003-9993(02)04954-7 |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE MEDLINE - Academic |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | no_fulltext_linktorsrc |
| Discipline | Medicine Physical Therapy |
| ExternalDocumentID | 12808550 |
| Genre | Research Support, Non-U.S. Gov't Journal Article |
| GroupedDBID | --- --K -~X .1- .55 .FO .GJ 07C 0R~ 1B1 1CY 1P~ 1~5 23N 3O- 4.4 41~ 457 4G. 53G 5GY 5RE 5VS 6J9 7-5 AAEDT AAEDW AALRI AAQFI AAQOH AAQQT AAQXK AAWTL AAXUO ABDQB ABFRF ABJNI ABLJU ABMAC ABOCM ABWVN ACBNA ACGFO ACGUR ACRPL ADBBV ADMUD ADNMO ADPAM ADRMJ AEFWE AENEX AEVXI AFCTW AFFNX AFJKZ AFRHN AFTJW AGNAY AGZHU AI. AITUG AJUYK AKRWK ALMA_UNASSIGNED_HOLDINGS AMRAJ ASPBG AVWKF AZFZN BELOY BR6 C5W CAG CGR COF CS3 CUY CVF E3Z EBS ECM EFJIC EIF EJD F5P FDB FEDTE FGOYB FIRID FRP G-Q GBLVA HVGLF HZ~ IHE J1W J5H K-O KOM KOO L7B M41 MO0 N4W NEJ NPM NQ- O-3 O9- OH. OHT OK1 OT. P2P PKN QTD QZG R2- RIG ROL RPZ SEL SES SJN SKT SSZ TWZ UDS UGJ UHB UHS UPT UQV UV1 VH1 WH7 WHG X7M XH2 XOL YQJ YRY YZZ Z5R ZGI ZXP ~S- 7X8 ABUFD AIGII EFKBS |
| ID | FETCH-LOGICAL-e379t-1c0eb4e3b41db8adb1eeb5d83cfb426cae57b55a99f9e2711355262cfae02f342 |
| IEDL.DBID | 7X8 |
| ISICitedReferencesCount | 380 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000183337000024&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 0003-9993 |
| IngestDate | Sun Nov 09 13:51:36 EST 2025 Wed Feb 19 02:36:09 EST 2025 |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 6 |
| Language | English |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-e379t-1c0eb4e3b41db8adb1eeb5d83cfb426cae57b55a99f9e2711355262cfae02f342 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| PMID | 12808550 |
| PQID | 73372757 |
| PQPubID | 23479 |
| ParticipantIDs | proquest_miscellaneous_73372757 pubmed_primary_12808550 |
| PublicationCentury | 2000 |
| PublicationDate | 2003-06-01 |
| PublicationDateYYYYMMDD | 2003-06-01 |
| PublicationDate_xml | – month: 06 year: 2003 text: 2003-06-01 day: 01 |
| PublicationDecade | 2000 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States |
| PublicationTitle | Archives of physical medicine and rehabilitation |
| PublicationTitleAlternate | Arch Phys Med Rehabil |
| PublicationYear | 2003 |
| SSID | ssj0006531 |
| Score | 2.3050563 |
| Snippet | To determine whether use of a robotic arm trainer for bilateral exercise in daily repetitive training for a 3-week period reduced spasticity and improved motor... |
| SourceID | proquest pubmed |
| SourceType | Aggregation Database Index Database |
| StartPage | 915 |
| SubjectTerms | Adult Aged Disability Evaluation Disabled Persons - rehabilitation Exercise Therapy - methods Female Forearm - physiology Humans Male Middle Aged Motion Therapy, Continuous Passive - instrumentation Motion Therapy, Continuous Passive - methods Movement - physiology Paresis - etiology Paresis - physiopathology Paresis - rehabilitation Recovery of Function Rehabilitation Centers Robotics - instrumentation Stroke - complications Stroke - physiopathology Stroke Rehabilitation Treatment Outcome Wrist - physiology |
| Title | Robot-assisted arm trainer for the passive and active practice of bilateral forearm and wrist movements in hemiparetic subjects |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/12808550 https://www.proquest.com/docview/73372757 |
| Volume | 84 |
| WOSCitedRecordID | wos000183337000024&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1Lb9QwEB6VFiEuFAqFlpcPHOBg4Ucc2xISqioqDnS1QgXtbeXHWFqpTZbNthz569h50BPiwCWHOCNFnsnMl_HMNwBvojCOSQzURBZoZROnRiVJtWXOGoW67nO637_o2cwsFna-Ax-mXphSVjn5xN5RxzaUHPl7LWUOtUp_XP-gZWZUOVsdB2jcgT2ZgUwp6NKLW67wWsk_8_IyDJK3_TuFQnS8-ZaJdxkkq4rqv2PMPtac7f_fWz6EByPGJCeDUTyCHWwO4N75eIp-APvzUTnkYuAUeAy_vra-3dKMpIvaI3GbK9JPj8ANybCWZJhI1mX1Bolr8nrvJsnUY0XaRPzq0pV25ssiUDLl_YM_ixMhV21PS77tyKohhaKg1L1nQdJd-5II6p7At7NPF6ef6TibgaLUdkt5YOgrlL7i0RsXPUf0KhoZks9BPzhU2ivlrE0WheY84xpRi5AcMpFkJQ5ht2kbfAaEpUqIWBsWaszw0OY_HGcjVmh4Cs7yI3g97fUy23450HANttfdctrtI3g6qGu5Hig6ljnqlgI8dvxP2edwXwwTFSnjL2Av5a8eX8LdcLNddZtXvUnl62x-_htnbdfq |
| linkProvider | ProQuest |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Robot-assisted+arm+trainer+for+the+passive+and+active+practice+of+bilateral+forearm+and+wrist+movements+in+hemiparetic+subjects&rft.jtitle=Archives+of+physical+medicine+and+rehabilitation&rft.au=Hesse%2C+Stefan&rft.au=Schulte-Tigges%2C+Gotthard&rft.au=Konrad%2C+Matthias&rft.au=Bardeleben%2C+Anita&rft.date=2003-06-01&rft.issn=0003-9993&rft.volume=84&rft.issue=6&rft.spage=915&rft_id=info:doi/10.1016%2Fs0003-9993%2802%2904954-7&rft.externalDBID=NO_FULL_TEXT |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0003-9993&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0003-9993&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0003-9993&client=summon |