A randomized controlled trial on the recovery process of wrist rehabilitation assisted by Electromyography (EMG)-Driven robot for chronic stroke

The effect of using robots to improve motor recovery has received increased attention, while the treatment effectiveness remains a topic of study. We compared the training effects by treatments on the wrist joint of chronic stroke patients with an Electromyography (EMG)-Driven robot (interactive group, n=15) and a robot with continuous passive motion (passive group, n=12) by a randomized Controlled trial. The interactive treatment with the EMG-driven robot improved the motor function for both the wrist and elbow joints in muscle coordination and spasticity reduction after the training, which could be kept for 3 months. The passive mode training mainly reduced the spasticity in the wrist flexor, but did not contribute to the muscle coordination improvement.

[1]  W. Rymer,et al.  Abnormal muscle coactivation patterns during isometric torque generation at the elbow and shoulder in hemiparetic subjects. , 1995, Brain : a journal of neurology.

[2]  A. Georgopoulos.  On reaching. , 1986, Annual review of neuroscience.

[3]  N. Hogan,et al.  Effects of robotic therapy on motor impairment and recovery in chronic stroke. , 2003, Archives of physical medicine and rehabilitation.

[4]  Rong Song,et al.  Variation of muscle coactivation patterns in chronic stroke during robot-assisted elbow training. , 2007, Archives of physical medicine and rehabilitation.

[5]  R. Tong,et al.  Effectiveness of gait training using an electromechanical gait trainer, with and without functional electric stimulation, in subacute stroke: a randomized controlled trial. , 2006, Archives of physical medicine and rehabilitation.

[6]  Xiaoling Hu,et al.  Service robotics : robot-assisted training for stroke rehabilitation , 2008 .

[7]  J P Dewald,et al.  Upper-Limb Discoordination in Hemiparetic Stroke: Implications for Neurorehabilitation , 2001, Topics in stroke rehabilitation.

[8]  Raymond K Y Tong,et al.  A Pilot Study of Randomized Clinical Controlled Trial of Gait Training in Subacute Stroke Patients With Partial Body-Weight Support Electromechanical Gait Trainer and Functional Electrical Stimulation: Six-Month Follow-Up , 2008, Stroke.

[9]  N. Hogan,et al.  Robotics and other devices in the treatment of patients recovering from stroke , 2004, Current neurology and neuroscience reports.

[10]  H. Hislop,et al.  Movement therapy in hemiplegia : a neurophysiological approach , 1970 .

[11]  C. Hofsten,et al.  Observations on the development of reaching for moving objects. , 1979, Journal of experimental child psychology.

[12]  S. Micera,et al.  Robotic techniques for upper limb evaluation and rehabilitation of stroke patients , 2005, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[13]  O. Bar-or,et al.  Cocontraction in three age groups of children during treadmill locomotion. , 1997, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[14]  C. Granger,et al.  The functional independence measure: a new tool for rehabilitation. , 1987, Advances in clinical rehabilitation.

[15]  Paul L Gribble,et al.  Role of cocontraction in arm movement accuracy. , 2003, Journal of neurophysiology.

[16]  Le Li,et al.  Assistive Control System Using Continuous Myoelectric Signal in Robot-Aided Arm Training for Patients After Stroke , 2008, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[17]  N. Hogan,et al.  A novel approach to stroke rehabilitation , 2000, Neurology.

[18]  D. Carroll,et al.  A QUANTITATIVE TEST OF UPPER EXTREMITY FUNCTION. , 1965, Journal of chronic diseases.

[19]  Woon-fong Wallace Leung,et al.  Quantitative evaluation of motor functional recovery process in chronic stroke patients during robot-assisted wrist training. , 2009, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[20]  Hermano Igo Krebs,et al.  MIT-MANUS: a workstation for manual therapy and training. I , 1992, [1992] Proceedings IEEE International Workshop on Robot and Human Communication.

[21]  M. Rabadi,et al.  Comparison of the action research arm test and the Fugl-Meyer assessment as measures of upper-extremity motor weakness after stroke. , 2006, Archives of physical medicine and rehabilitation.

[22]  D. Corcos,et al.  Time course and temporal order of changes in movement kinematics during learning of fast and accurate elbow flexions , 1999, Experimental Brain Research.

[23]  B. Ashworth.  PRELIMINARY TRIAL OF CARISOPRODOL IN MULTIPLE SCLEROSIS. , 1964, The Practitioner.

[24]  A. Fugl-Meyer,et al.  The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. , 1975, Scandinavian journal of rehabilitation medicine.