Is Robot-Assisted Therapy Effective for the Upper Extremity Following a Stroke
Stroke
About this trial
This is an interventional treatment trial for Stroke focused on measuring Robotic Rehabilitation, Conventional Rehabilitation, Intensıve Trunk Rehabilitation, Motor Function
Eligibility Criteria
Inclusion Criteria:
- Age 40-85 years and having had a stroke in the last six months,
- Mini-Mental State Assessment score >20,
- Able to sit safely,
- No neglect issue,
- Fugl-Meyer Upper Extremity Assessment score <58.
Exclusion Criteria:
- Modified Ashworth Scale >2,
- Severe reduction in visual acuity,
- Participation in another rehabilitation program,
- Subluxation or pain in the shoulder region.
Sites / Locations
- Marmara University
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Robotic Rehabilitation Group
Conventional Rehabilitation Group
The standardized ITR program was applied to both groups for 60 minutes a day, five days a week, for six weeks. The ITR program included exercises of abdominal strengthening, controlled pelvic movements, bridging, trunk lateral flexion and rotation, reaching forward, and push-ups with a Swiss Ball. This group received a robotic rehabilitation program for the upper extremity with a Houston Bionics ExoRehab X brand/model device. This device has no motor force of repulsion or attraction. Patients initiate and maintain their movements during the exercise. The device supports the patient's active movement and allows extensive movement repetition. Before starting robotic rehabilitation, the patient was seated upright on the platform. The games were projected onto a 43-inch television screen. The exercise program was planned to include upper extremity movements in all directions.
The standardized ITR program was applied to both groups for 60 minutes a day, five days a week, for six weeks. During this period, lower extremity rehabilitation was added if needed in addition to trunk rehabilitation. Exercises for the lower extremities were applied according to the patient's individual needs. The ITR program included exercises of abdominal strengthening, controlled pelvic movements, bridging, trunk lateral flexion and rotation, reaching forward and sideways, and push-ups with a Swiss Ball. CR applied after the ITR program consisted of an individualized rehabilitation program for the upper extremities. These rehabilitation programs generally included activities for functional purposes (dressing, object manipulation, reaching, cup holding, range of motion, strengthening, weight-bearing, etc.). The treatment program was applied five days a week for six weeks, with the session duration limited to 60 minutes.