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Article

Benefits of Robot-Assisted Upper-Limb Rehabilitation from the Subacute Stage after a Stroke of Varying Severity: A Multicenter Randomized Controlled Trial

by
So Young Ahn
1,2,
Soo-Kyung Bok
1,2,*,
Ji Young Lee
1,
Hyeon Woo Ryoo
1,
Hoo Young Lee
3,4,
Hye Jung Park
3,4,
Hyun Mi Oh
3,4 and
Tae-Woo Kim
3,4
1
Department of Rehabilitation Medicine, Chungnam National University Hospital, Daejeon 35015, Republic of Korea
2
Department of Rehabilitation Medicine, College of Medicine, Chungnam National University Hospital, Daejeon 35015, Republic of Korea
3
Department of Brain Injury Rehabilitation, National Traffic Injury Rehabilitation Hospital, Yangpyeong 12564, Republic of Korea
4
Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul 03080, Republic of Korea
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(3), 808; https://doi.org/10.3390/jcm13030808
Submission received: 2 January 2024 / Revised: 25 January 2024 / Accepted: 26 January 2024 / Published: 30 January 2024
(This article belongs to the Section Clinical Rehabilitation)
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Abstract

Background: The aim of this study was to compare the clinical effectiveness of robot-assisted therapy with that of conventional occupational therapy according to the onset and severity of stroke. Methods: In this multicenter randomized controlled trial, stroke patients were randomized (1:1) to receive robot-assisted therapy or conventional occupational therapy. The robot-assisted training group received 30 min of robot-assisted therapy twice and 30 min of conventional occupational therapy daily, while the conventional therapy group received 90 min of occupational therapy. Therapy was conducted 5 days/week for 4 weeks. The primary outcome was the Wolf Motor Function Test (WMFT) score after 4 and 8 weeks of therapy. Results: Overall, 113 and 115 patients received robot-assisted and conventional therapy, respectively. The WMFT score after robot-assisted therapy was not significantly better than that after conventional therapy, but there were significant improvements in the Motricity Index (trunk) and the Fugl–Meyer Assessment. After robot-assisted therapy, wrist strength significantly improved in the subacute or moderate-severity group of stroke patients. Conclusions: Robot-assisted therapy improved the upper-limb functions and activities of daily living (ADL) performance as much as conventional occupational therapy. In particular, it showed signs of more therapeutic effectiveness in the subacute stage or moderate-severity group.
Keywords: robot-assisted therapy; stroke; rehabilitation; randomized controlled trial robot-assisted therapy; stroke; rehabilitation; randomized controlled trial

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MDPI and ACS Style

Ahn, S.Y.; Bok, S.-K.; Lee, J.Y.; Ryoo, H.W.; Lee, H.Y.; Park, H.J.; Oh, H.M.; Kim, T.-W. Benefits of Robot-Assisted Upper-Limb Rehabilitation from the Subacute Stage after a Stroke of Varying Severity: A Multicenter Randomized Controlled Trial. J. Clin. Med. 2024, 13, 808. https://doi.org/10.3390/jcm13030808

AMA Style

Ahn SY, Bok S-K, Lee JY, Ryoo HW, Lee HY, Park HJ, Oh HM, Kim T-W. Benefits of Robot-Assisted Upper-Limb Rehabilitation from the Subacute Stage after a Stroke of Varying Severity: A Multicenter Randomized Controlled Trial. Journal of Clinical Medicine. 2024; 13(3):808. https://doi.org/10.3390/jcm13030808

Chicago/Turabian Style

Ahn, So Young, Soo-Kyung Bok, Ji Young Lee, Hyeon Woo Ryoo, Hoo Young Lee, Hye Jung Park, Hyun Mi Oh, and Tae-Woo Kim. 2024. "Benefits of Robot-Assisted Upper-Limb Rehabilitation from the Subacute Stage after a Stroke of Varying Severity: A Multicenter Randomized Controlled Trial" Journal of Clinical Medicine 13, no. 3: 808. https://doi.org/10.3390/jcm13030808

APA Style

Ahn, S. Y., Bok, S.-K., Lee, J. Y., Ryoo, H. W., Lee, H. Y., Park, H. J., Oh, H. M., & Kim, T.-W. (2024). Benefits of Robot-Assisted Upper-Limb Rehabilitation from the Subacute Stage after a Stroke of Varying Severity: A Multicenter Randomized Controlled Trial. Journal of Clinical Medicine, 13(3), 808. https://doi.org/10.3390/jcm13030808

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