The Effect of Combined Robotic Hand Therapy and Conventional Therapy in Stroke Patients
Stroke, Robot Assisted Therapy, Robotic Rehabilitation
About this trial
This is an interventional treatment trial for Stroke
Eligibility Criteria
Inclusion Criteria: 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). - Exclusion Criteria: 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 -
Sites / Locations
- Sevda Adar
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Robot Assisted Therapy Group
Conventional Therapy Group
In addition to the conventional treatment for 60 minutes in the Robot asisted therapy (RAT) group, it was planned to perform robotic rehabilitation with a hand-finger robot [Amadeo (Tyromotion, Graz, Austria)] for 30 minutes, accompanied by a physiotherapist who is trained in the field of robotic rehabilitation and has at least 5 years of experience. For the purpose of conventional therapy, an exercise program consisting of 45 minutes of range of motion exercises, strengthening exercises, balance exercises and neurophysiological exercises (Brunstroom exercises) accompanied by a physiotherapist experienced in stroke rehabilitation for at least 5 years, and neuromuscular therapy for the upper and lower extremities for 15 minutes.Electrical stimulation (NMES) application was planned. It was planned to apply a total of 60 sessions of treatment 5 days a week to both groups. They will be advised to continue the medical treatment they have been using during the treatment program.
45 minutes of range of motion exercises, strengthening exercises, balance exercises and neurophysiological studies were performed in the presence of a physiotherapist experienced in stroke rehabilitation for at least 5 years.An exercise program consisting of exercises (Brunstroom exercises) and 15 minutes of NMES were planned. It was planned to apply a total of 60 sessions of treatment 5 days a week to both groups. They will be advised to continue the medical treatment they have been using during the treatment program.