|4/2016 - 14|
Testing of a Hybrid FES-Robot Assisted Hand Motor Training Program in Sub-Acute Stroke SurvivorsGRIGORAS, A. V. , IRIMIA, D. C. , POBORONIUC, M. S. , POPESCU, C. D.
|Click to see author's profile in SCOPUS, IEEE Xplore, Web of Science|
|Download PDF (1,787 KB) | Citation | Downloads: 226 | Views: 902|
electrical stimulation, mechatronic hand, neuromuscular stimulation, rehabilitation robotics, robot control
stroke(15), rehabilitation(10), upper(8), patients(6), limb(5), therapy(4), stimulation(4), neurol(4), movement(4), exoskeleton(4)
Blue keywords are present in both the references section and the paper title.
About this article
Date of Publication: 2016-11-30
Volume 16, Issue 4, Year 2016, On page(s): 89 - 94
ISSN: 1582-7445, e-ISSN: 1844-7600
Digital Object Identifier: 10.4316/AECE.2016.04014
Web of Science Accession Number: 000390675900014
SCOPUS ID: 85007565874
While hands-on therapy is the most commonly used technique for upper limb rehabilitation after stroke, it requires a therapist and residual activity and is best suited for active-assisted exercises. Robotic therapy on the other hand, can provide intention driven training in a motivating environment. We compared a robotic and standard therapy group, allowing intention driven finger flexion/extention respectively active-assisted exercises and a standard therapy only group. A total of 25 patients, 2 to 6 months post-stroke, with moderate motor deficit (Fugl-Meyer Assessment or FMA between 15 and 50), were randomly assigned in one of the groups. Patients practiced 30 minutes of hands-on therapy each day for 2 weeks with a supplementary 30 minutes of robotic therapy each day for patients in the experimental group. Subjects were evaluated using the FMA, Box and Blocks test (BBT) and Stroke Impact Scale (SIS) before and after the treatment. Patients in the experimental group showed higher average gain in all tests than those in the control group but only the SIS average gain was on the limit of statistical significance. This study shows the potential efficacy of robotic therapy for hand rehabilitation in subacute stroke patients.
|References|||||Cited By «-- Click to see who has cited this paper|
| V.L. Feigin, G.A. Mensah, B. Norrving, C.J. Murray, G.A. Roth, "Atlas of the Global Burden of Stroke (1990-2013): The GBD 2013 Study", Neuroepidemiology, vol. 45, no. 3, pp. 230-236, 2015. |
[CrossRef] [Web of Science Times Cited 50] [SCOPUS Times Cited 58]
 S.C. Cramer, "Repairing the human brain after stroke: I. Mechanisms of spontaneous recovery", Ann. Neurol., vol. 63, pp. 272-287, 2008.
[CrossRef] [Web of Science Times Cited 333] [SCOPUS Times Cited 367]
 D.G. Kamper, W.Z. Rymer, "Impairment of voluntary control of finger motion following stroke: role of inappropriate muscle coactivation", Muscle Nerve, vol. 24, no. 5, pp. 673-681, 2001.
 D.J. Reinkensmeyer, S.J. Housman, "If I can't do it once, why do it a hundred times?: Connecting volition to movement success in a virtual environment motivates people to exercise the arm after stroke", in Proc. Virtual Rehabilitation Conference, 2007, pp. 44-48.
[CrossRef] [SCOPUS Times Cited 35]
 V. Crocher, A. Sahbani, J. Robertson, "Constraining Upper Limb Synergies of Hemiparetic Patients Using a Robotic Exoskeleton in the Perspective of Neuro-Rehabilitation", IEEE Transactions on Neural Systems and Rehabilitation Engineering, vol. 20, pp. 247-257, 2012.
[CrossRef] [Web of Science Times Cited 20] [SCOPUS Times Cited 24]
 C. Bütefisch, H. Hummelsheim, P. Denzler, H. Mauritz, "Repetitive training of isolated movements improves the outcome of motor rehabilitation of the centrally paretic hand", J Neurol Sci, vol. 130, no. 1, pp. 59-68, 1995.
[CrossRef] [Web of Science Times Cited 471] [SCOPUS Times Cited 596]
 D.B. Popovic, T. Sinkaer, M.B. Popovic, "Electrical stimulation as a means for achieving recovery of function in stroke patients", NeuroRehabilitation, vol. 25, no. 1, pp. 45-58, 2009.
[CrossRef] [Web of Science Times Cited 43] [SCOPUS Times Cited 55]
 S. Machado, J. Bittencourt, D. Minc, C.E. Portella, B. Velasques, M. Cunha, H. Budde, L.F. Basile, G. Chadi, M. Cagy, R. Piedade, P. Riberio, "Therapeutic applications of repetitive transcranial magnetic stimulation in clinical neurorehabilitation", Funct. Neurol., vol. 23, no. 3, pp. 113-122, 2008
 A. McIntyre, R. Vlana, S. Janzen, S. Mehta, S. Pereira, R. Teassel, "Systematic review and meta analysis of constraint induced movement therapy in the hemiparetic upper extremity more than six months post stroke", Top Stroke Rehabil, vol. 19, pp. 499-451, 2012.
[CrossRef] [Web of Science Times Cited 34] [SCOPUS Times Cited 41]
 S.M. Schmidt, L. Guo, S.J. Scheer, "Changes in the status of hospitalized stroke patients since inception of the prospective payment system in 1983", Arch Phys Med. Rehabil, vol. 83, pp. 894-898, 2002.
[CrossRef] [Web of Science Times Cited 18] [SCOPUS Times Cited 20]
 L. Pignolo, "Robotics in Neuro-Rehabilitation", Journal of Rehabilitation Medicine, vol. 41, pp. 955-960, 2009.
[CrossRef] [Web of Science Times Cited 41] [SCOPUS Times Cited 46]
 A. Risedal, B. Mattsson, P. Dahlqvist, "Environmental influences on functional outcome after a cortical infarct in the rat", Brain Res Bull, vol. 58, pp. 315-321, 2002
 V. Klamroth-Marganska, J. Blanco, K. Campen et al. "Three-dimensional, task-specific robot therapy of the arm after stroke: a multicentre, parallel-group randomized trial", Lancet Neurol., vol. 13, pp. 159-166, 2014
[CrossRef] [Web of Science Times Cited 151] [SCOPUS Times Cited 191]
 E. Susanto, R. Tong, C. Ockenfeld, N. Ho, "Efficacy of robot-assisted fingers training in chronic stroke survivors: a pilot randomized-controlled trial", J. of Neuroeng. and Rehab., vol. 12, no. 42, 2015,
[CrossRef] [Web of Science Times Cited 16] [SCOPUS Times Cited 23]
 D. Lynch, M. Ferraro, J Krol, "Continuous passive motion improves shoulder joint integrity following stroke", Clin. Rehabil, vol. 19, pp. 594-599, 2005.
[CrossRef] [Web of Science Times Cited 59] [SCOPUS Times Cited 65]
 J.L. Patton, F.A. Mussa-Ivaldi, "Robot assisted adaptative training: custom force fields for teaching movement patterns", IEEE Rev. Biomed. Eng., vol. 51, pp. 636-646, 2002.
[CrossRef] [Web of Science Times Cited 140] [SCOPUS Times Cited 175]
 A. Otten, C. Voort, A. Stienen, "LIMPACT: A Hydraulically Powered Self-Aligning Upper Limb Exoskeleton", in ASME Transactions on mechatronics, vol. 20, pp. 2285-2298, 2015.
 N. Kawashima, M. Popovic, V. Zivanovic, "Effect of Intensive Functional Electrical Stimulation Therapy on Upper-Limb Motor Recovery after Stroke: Case Study of a Patient with Chronic Stroke", Physiotherapy Canada, vol 65, pp. 20-28, 2013.
[CrossRef] [Web of Science Times Cited 16] [SCOPUS Times Cited 22]
 F. Serea, M.S. Poboroniuc, S. Hartopanu, R. Olaru, "Preliminary Tests on a Hybrid Upper Arm Exoskeleton for Upper Arm Rehabilitation for Disabled Patients", in Proc. 8th Int. Conf. and Exposition on Electrical and Power Engineering, IEEE, Iasi, Romania, Catalog Number CFP-1447S-USB, pp. 153-157, 2014.
[CrossRef] [SCOPUS Times Cited 6]
 P. Maciejasz, J. Eschweiler, K. Gerlach-Hahn, "A survey on robotic devices for upper limb rehabilitation", J. of Neuroeng. and Rehab., vol. 11, no. 3, 2014.
[CrossRef] [Web of Science Times Cited 258] [SCOPUS Times Cited 272]
 T.A. Thrasher, V. Zivanovic, W. McIlroy et al. "Rehabilitation of reaching and grasping function in severe hemiplegic patients using functional electrical stimulation therapy", Neurorehabil Neural Repair. vol. 22, pp. 706-714, 2008
[CrossRef] [Web of Science Times Cited 95] [SCOPUS Times Cited 108]
 E. Ambrosini, S. Ferrante, T. Schauer, "A myocontrolled neuroprosthesis integrated with a passive exoskeleton to support upper limb activities", Journal of Electromyography and Kinesiology, vol. 24, pp. 307-317, 2014.
[CrossRef] [Web of Science Times Cited 14] [SCOPUS Times Cited 19]
 W.R. Staines, W.E. McIlroy, S.J. Graham, Bilateral movement enhances ipsilesional cortical activity in acute stroke: a pilot funtional MRI study", J. of Neurology, vol. 56, pp. 401-404, 2001
[CrossRef] [Web of Science Times Cited 55] [SCOPUS Times Cited 78]
 S. Hartopanu, F. Serea, D. Irimia, M. Poboroniuc, G. Livint, "New issues on FES and robotic glove device to improve the hand rehabilitation in stroke patients", the 6th Int. Conf. on Modern Power Systems, Cluj-Napoca, 2015, in Acta Electrotehnica, vol.56, No.3, pp.123-127, ISSN 1841-3323, 2015.
Web of Science® Citations for all references: 1,814 TCR
SCOPUS® Citations for all references: 2,201 TCR
Web of Science® Average Citations per reference: 73 ACR
SCOPUS® Average Citations per reference: 88 ACR
TCR = Total Citations for References / ACR = Average Citations per Reference
We introduced in 2010 - for the first time in scientific publishing, the term "References Weight", as a quantitative indication of the quality ... Read more
Citations for references updated on 2018-11-12 18:39 in 134 seconds.
Note1: Web of Science® is a registered trademark of Clarivate Analytics.
Note2: SCOPUS® is a registered trademark of Elsevier B.V.
Disclaimer: All queries to the respective databases were made by using the DOI record of every reference (where available). Due to technical problems beyond our control, the information is not always accurate. Please use the CrossRef link to visit the respective publisher site.
Faculty of Electrical Engineering and Computer Science
Stefan cel Mare University of Suceava, Romania
All rights reserved: Advances in Electrical and Computer Engineering is a registered trademark of the Stefan cel Mare University of Suceava. No part of this publication may be reproduced, stored in a retrieval system, photocopied, recorded or archived, without the written permission from the Editor. When authors submit their papers for publication, they agree that the copyright for their article be transferred to the Faculty of Electrical Engineering and Computer Science, Stefan cel Mare University of Suceava, Romania, if and only if the articles are accepted for publication. The copyright covers the exclusive rights to reproduce and distribute the article, including reprints and translations.
Permission for other use: The copyright owner's consent does not extend to copying for general distribution, for promotion, for creating new works, or for resale. Specific written permission must be obtained from the Editor for such copying. Direct linking to files hosted on this website is strictly prohibited.
Disclaimer: Whilst every effort is made by the publishers and editorial board to see that no inaccurate or misleading data, opinions or statements appear in this journal, they wish to make it clear that all information and opinions formulated in the articles, as well as linguistic accuracy, are the sole responsibility of the author.