Article
Robotics
Nathaniel Dennler, Amelia Cain, Erica De Guzmann, Claudia Chiu, Carolee J. Winstein, Stefanos Nikolaidis, Maja J. Mataric
Summary: An often-observed phenomenon in survivors of hemispheric stroke is the overreliance on the less-affected limb for functional tasks, despite the recovered capacity of the paretic limb. To better quantify this arm nonuse, a bimanual arm reaching test with a robot (BARTR) was developed. The BARTR is a valid, reliable, and simple instrument for assessing arm nonuse in chronic stroke survivors.
Article
Clinical Neurology
Ze-Jian Chen, Ming-Hui Gu, Chang He, Cai-Hua Xiong, Jiang Xu, Xiao-Lin Huang
Summary: This study aimed to investigate the effects of robot-assisted arm training on stroke patients with unilateral spatial neglect. The results showed that this training program was feasible and safe, leading to significant improvements in neglect symptoms, motor function recovery, and social participation, but not in activities of daily living. The findings provide preliminary support for using robot-assisted arm training to remediate unilateral spatial neglect after stroke.
FRONTIERS IN NEUROLOGY
(2021)
Review
Engineering, Biomedical
Liping Zhang, Gongwei Jia, Jingxi Ma, Sanrong Wang, Li Cheng
Summary: Robot-assisted therapy (RAT) has significant immediate benefits for motor control and activity function in poststroke patients, but there is no evidence to support its long-term additional benefits. The effectiveness of RAT in improving motor control and activity function is limited by the amount of training time and the level of patients' active participation.
JOURNAL OF NEUROENGINEERING AND REHABILITATION
(2022)
Review
Rehabilitation
Bohan Zhang, Ka Po Wong, Ruifu Kang, Shuojin Fu, Jing Qin, Qian Xiao
Summary: This study evaluated the effectiveness of robot-assisted training, virtual reality, and robot-assisted rehabilitation combined with virtual reality in patients with stroke. The findings suggest that robot-assisted rehabilitation combined with virtual reality is most effective for improving balance, while virtual reality is beneficial for enhancing velocity and daily function in stroke patients.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2023)
Article
Engineering, Biomedical
Yen-Wei Chen, Wei-Chi Chiang, Chia-Ling Chang, Shih-Ming Lo, Ching-Yi Wu
Summary: Both robot-assisted hand training and task-oriented training have positive effects in post-stroke rehabilitation, but they have slightly different effects in different domains. EMG-driven robot-assisted therapy is as effective as task-oriented training in improving upper limbs functional performance, and it is more effective in improving movement duration during functional tasks. Task-oriented training shows better improvement in body function and activity and participation domains.
JOURNAL OF NEUROENGINEERING AND REHABILITATION
(2022)
Article
Food Science & Technology
Jen-Wen Hung, Chu-Ling Yen, Ku-Chou Chang, Wei-Chi Chiang, I-Ching Chuang, Ya-Ping Pong, Wen-Chi Wu, Ching-Yi Wu
Summary: This study investigated the effects of combined task-oriented trainings following BoNT-A injection on motor functions and spasticity in stroke patients, showing positive effects on improving motor functions and reducing spasticity for all 3 types of trainings, with AC having the most significant impact on QOM in MAL at the 3-month follow-up.
Review
Clinical Neurology
Sofia Straudi, Ludovica Baluardo, Chiara Arienti, Michela Bozzolan, Stefano G. Lazzarini, Michela Agostini, Irene Aprile, Matteo Paci, Emanuela Casanova, Dario Marino, Giuseppe La Rosa, Federica Bressi, Silvia Sterzi, Daniele Giansanti, Luca Perrero, Alberto Battistini, Sandra Miccinilli, Serena Filoni, Monica Sicari, Salvatore Petrozzino, Claudio Marcello Solaro, Stefano Gargano, Paolo Benanti, Paolo Boldrini, Donatella Bonaiuti, Enrico Castelli, Francesco Draicchio, Vincenzo Falabella, Silvia Galeri, Francesca Gimigliano, Mauro Grigioni, Stefano Mazzoleni, Stefano Mazzon, Franco Molteni, Maurizio Petrarca, Alessandro Picelli, Federico Posteraro, Michele Senatore, Giuseppe Turchetti, Giovanni Morone
Summary: This study provides an overview of systematic reviews on the effectiveness and safety of robot-assisted arm therapy (RAT) in stroke rehabilitation. The findings suggest that RAT can effectively improve motor function and muscle strength in stroke patients, but its effects on muscle tone and pain remain inconclusive.
NEUROREHABILITATION
(2022)
Article
Chemistry, Analytical
Gerrit Ruben Hendrik Regterschot, Ruud W. Selles, Gerard M. Ribbers, Johannes B. J. Bussmann
Summary: This study investigates how wrist-worn accelerometers measuring arm use are affected by whole-body movements and finds that not correcting for these movements substantially increases arm use outcomes, potentially compromising the validity of measured arm use outcomes and changes.
Article
Medicine, General & Internal
Cheon Ji Kang, Min Ho Chun, Junekyung Lee, Ji Yeon Lee
Summary: The study investigated the effects of SUBAR-assisted gait training in chronic stroke patients. Results showed improvements in some gait parameters, but no significant differences compared to conventional physiotherapy.
Article
Engineering, Biomedical
Alexa B. Keeling, Mark Piitz, Jennifer A. Semrau, Michael D. Hill, Stephen H. Scott, Sean P. Dukelow
Summary: The study developed robotic upper extremity therapy tasks for subacute stroke patients and found significant improvements in FMA UE, ARAT, FIM, and Visually Guided Reaching scores in the robotic therapy group post-intervention. However, only FIM and Arm Position Match scores improved in the control group over the same time period. The Kinarm therapy tasks show potential for improving outcomes in subacute stroke, but further studies are needed to confirm the benefits in a larger cohort.
JOURNAL OF NEUROENGINEERING AND REHABILITATION
(2021)
Article
Rehabilitation
Natapatchakrid Thimabut, Pattarapol Yotnuengnit, Jittima Charoenlimprasert, Thipwimon Sillapachai, Satoshi Hirano, Eiichi Saitoh, Krisna Piravej
Summary: The study found that the robot-assisted gait training device combined with physiotherapy has better effects on improving ambulatory functions in patients with subacute stroke with hemiplegia compared to physiotherapy alone. It can lead to early improvements in walking ability and Barthel Index for Activities of Daily Living.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Engineering, Biomedical
G. R. H. Regterschot, J. B. J. Bussmann, Malou H. J. Fanchamps, Carel G. M. Meskers, Gerard M. Ribbers, Ruud W. Selles
Summary: After stroke, the use of the affected arm and the ratio between arms increase during the first 26 weeks poststroke, especially in patients with excellent arm recovery.
JOURNAL OF NEUROENGINEERING AND REHABILITATION
(2021)
Article
Chemistry, Analytical
Marco Germanotta, Laura Cortellini, Sabina Insalaco, Irene Aprile
Summary: Robotic rehabilitation of the upper limb has shown promising results in improving arm function in post-stroke patients. Robot-assisted therapy (RAT) is comparable to traditional approaches in terms of clinical scales, but its effects on executing daily life tasks are unknown. This study compared the improvement in upper limb performance between patients who underwent robotic or conventional rehabilitation interventions and found that both approaches resulted in increased movement efficiency and smoothness. There were no differences in terms of movement accuracy, planning, speed, or spatial posture between the two approaches, suggesting their comparable impact on rehabilitation therapy.
Article
Chemistry, Analytical
Rachel Proffitt, Mengxuan Ma, Marjorie Skubic
Summary: This study developed an algorithm within an ambient, in-home depth sensor system to classify and quantify home activities of individuals post-stroke. The algorithm achieved high precision in recognizing and localizing clinically relevant actions, providing useful information for personalized rehabilitation plans.
Article
Engineering, Biomedical
Yen-Nung Lin, Shih-Wei Huang, Yi-Chun Kuan, Hung-Chou Chen, Wen-Shan Jian, Li-Fong Lin
Summary: This study evaluated the effectiveness of a novel hybrid RAGT system in nonambulatory patients with subacute stroke. The results showed that the RAGT group outperformed the control group in lower-extremity motor function, but there were no significant differences in other assessment measures. Therefore, further research is needed to investigate the clinical effectiveness of this system in stroke patients with substantial leg dysfunction.
JOURNAL OF NEUROENGINEERING AND REHABILITATION
(2022)
Article
Rehabilitation
Ting-Ting Yeh, Ku-Chou Chang, Ching-Yi Wu, Chao-Jung Chen, I-Ching Chuang
Summary: The study aimed to evaluate the effects of a sequential combination of aerobic exercise and cognitive training in stroke survivors with cognitive impairment. The results showed significant improvements in cognitive function with the combined training, while no between-group differences were observed in other outcomes.
TOPICS IN STROKE REHABILITATION
(2022)
Article
Engineering, Biomedical
Yen-Wei Chen, Wei-Chi Chiang, Chia-Ling Chang, Shih-Ming Lo, Ching-Yi Wu
Summary: Both robot-assisted hand training and task-oriented training have positive effects in post-stroke rehabilitation, but they have slightly different effects in different domains. EMG-driven robot-assisted therapy is as effective as task-oriented training in improving upper limbs functional performance, and it is more effective in improving movement duration during functional tasks. Task-oriented training shows better improvement in body function and activity and participation domains.
JOURNAL OF NEUROENGINEERING AND REHABILITATION
(2022)
Article
Multidisciplinary Sciences
Szu-Hung Lin, Tong-Rong Yang, I-Ching Chuang, Chia-Ling Chen, Ching-Yi Wu
Summary: This study analyzed the structural relationship between somatosensory capability, upper extremity muscle strength, upper extremity motor function, cognitive capability, and independence in daily function among stroke individuals. The results showed that somatosensory capability influenced muscle strength through motor function, and muscle strength positively influenced independence in daily function. Additionally, somatosensory capability had a direct positive influence on cognitive capability, which marginally affected the performance of independence in daily function.
SCIENTIFIC REPORTS
(2022)
Article
Biophysics
Meng-Ta Lee, Ching-Yi Wu, Chiu-Wen Chen, Hsien-Lin Cheng, Chih-Chi Chen, Yu-Wei Hsieh
Summary: This study investigated the impact of age and sex on the biomechanical and viscoelastic properties of arm muscles in middle-aged and older adults. The findings revealed that age and sex have significant influences on the muscle properties of the upper limbs.
JOURNAL OF BIOMECHANICS
(2022)
Article
Geriatrics & Gerontology
Yi-chang Chen, Keh-chung Lin, Shu-Hui Yeh, Chih-Hung Wang, Ay-Woan Pan, Hao-Ling Chen, Chen-Jung Chen
Summary: Joint contractures and degenerative osteoarthritis are common joint diseases in the elderly population and can have negative impacts on their quality of life, activities, and participation. Among elderly residents, joint contractures affecting both the upper and lower limbs are associated with the most severe activity limitations and participation restrictions, regardless of the presence of osteoarthritis.
Article
Rehabilitation
I-Ching Chuang, Wan-Wen Liao, Ching-Yi Wu, Ting-Ting Yeh, Chia-Ling Chen, Chung-Hao Lin, Tzu-Hsin Huang, Yu-Cheng Pei
Summary: Baseline global cognitive function affects the outcomes of combined physical and cognitive training among older adults with cognitive decline. The effects vary depending on the severity of cognitive decline, with improvements in cognitive function and instrumental activities of daily living seen in mild cognitive decline, and improvements in general cognitive function and instrumental activities of daily living seen in moderate to severe cognitive decline. These findings can help refine current training protocols and develop personalized programs for older adults with cognitive impairments.
AMERICAN JOURNAL OF OCCUPATIONAL THERAPY
(2022)
Article
Multidisciplinary Sciences
Wan-Wen Liao, Yu-Wei Hsieh, Tsong-Hai Lee, Chia-ling Chen, Ching-yi Wu
Summary: This study aimed to determine whether machine learning algorithms could accurately predict significant improvements in health-related quality of life (HRQOL) after sensorimotor rehabilitation interventions for stroke patients and identify important predictors. The results showed that random forest and k-nearest neighbors models outperformed the other models in predicting HRQOL recovery.
SCIENTIFIC REPORTS
(2022)
Article
Rehabilitation
Yi-chun Li, Keh-chung Lin, Chia-ling Chen, Grace Yao, Ya-ju Chang, Ya-yun Lee, Chien-ting Liu, Wen-Shiang Chen
Summary: This study aimed to compare the effects of mirror therapy and bilateral arm training in stroke rehabilitation. It found that mirror therapy was more effective in improving upper limb motor function, and the effect can be maintained at three months follow-up.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2023)
Article
Rehabilitation
Hui-Ing Ma, Wan-Wen Liao, Chu-Hsu Lin, I-Chen Chen, Ching-Yi Wu
Summary: This study aimed to determine whether motor function indirectly affects quality of life (QoL) through daily use of the affected arm and activities of daily living (ADL) in patients with chronic stroke. The results showed that motor function had significant indirect effects on QoL through daily arm use and ADL, highlighting the importance of daily arm use in task-specific training for improving QoL.
DISABILITY AND REHABILITATION
(2023)
Article
Rehabilitation
Meng-Ta Lee, Tsu-Hsin Howe, Chih-Chi Chen, Ching-Yi Wu, Yu-Wei Hsieh
Summary: This study compared and predicted grip strength in both hands between normal controls and stroke patients, revealing the combined effects of pathological, sex, and age factors on grip strength in stroke patients. In clinical rehabilitation, it is important to consider these factors along with the affected hand (right dominant or left non-dominant) when predicting grip strength in stroke patients.
EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE
(2023)
Article
Rehabilitation
Yi-chia Liu, Yi-chen Lee, Pai-chuan Huang, I-Hui Lee, Keh-chung Lin
Summary: This study investigated the perspectives of OT educators and trainees on using DOPS for OT postgraduate year (PGY) training. Most respondents agreed that DOPS was a practical and appropriate assessment for OT training.
OCCUPATIONAL THERAPY INTERNATIONAL
(2023)
Article
Geriatrics & Gerontology
I-Ching Chuang, I-Chen Chen, Ken-Hsien Su, Yih-Ru Wu, Ching-Yi Wu
Summary: This study investigated the effects of different training frequencies on cognitive function for older adults with cognitive decline undergoing combined physical and cognitive training. The results showed that the high-frequency group demonstrated greater improvement in immediate memory and executive function, while the low-frequency group showed greater improvement in delayed memory. These findings can assist clinical practitioners in choosing appropriate training frequencies for intervention in older adults with cognitive decline.
Article
Engineering, Electrical & Electronic
Wei-Cheng Lin, Ching-Yi Wu, Chien-Hung Liao, Chun-Ting Hsieh, Ren-Jie Zeng, Yun-Yu Hsieh, Ming-Chiu Chang, Peng-Ru Hou, Chun-Wei Yeh
Summary: A fully integrated fluxgate magnetometer with wireless connectivity has been developed for monitoring motor current in a finger exoskeleton device. It uses a fluxgate sensor and a 2.4-GHz wireless transmission circuit to improve accuracy and naturalness of finger movement, while reducing weight and complexity of the exoskeleton design compared to traditional Bowden cable transmission systems.
IEEE SENSORS JOURNAL
(2023)
Article
Rehabilitation
Rose Goonan, Edward Mohandoss, Celia Marston, Jaqueline Kay, Anurika Priyanjali De Silva, Andrea B. Maier, Esmee Reijnierse, Marlena Klaic
Summary: This study evaluated the physical and functional outcomes of the 'Ending Pyjama Paralysis' intervention in geriatric rehabilitation patients. The results showed that this intervention did not lead to additional functional and physical benefits in this setting.
CLINICAL REHABILITATION
(2024)
Article
Rehabilitation
Sinikka Kilpikoski, Arja H. Hakkinen, Jussi P. Repo, Kati Kyrola, Juhani Multanen, Markku Kankaanpaa, Aki Vainionpaa, Esa-Pekka Takala, Hannu Kautiainen, Jari Ylinen
Summary: This study aimed to compare the effectiveness of a McKenzie Method intervention with guideline-based patient education in patients with sciatica. The results showed that multiple sessions of McKenzie-based back exercises combined with a patient's educational book had similar long-term effects to guideline-based advice. However, the small sample size and confounding factors limited the power of these results.
CLINICAL REHABILITATION
(2024)
Article
Rehabilitation
Margot W. M. de Waal, Michael Jansen, Loes M. Bakker, Arno J. Doornebosch, Elizabeth M. Wattel, Dennis Visser, Ewout B. Smit
Summary: The Utrecht Scale for Evaluation of Rehabilitation has been shown to be effective in evaluating physical and cognitive functioning in geriatric rehabilitation. A minimal important change of 14.5 points has been established for physical functioning.
CLINICAL REHABILITATION
(2024)