Hand Functional Recovery in Sub-acute Brain Injury Stage Patients using AMADEO® Robotic-assisted Therapy - A Pilot Clinical Study with Apraxic and Neglect Patients

Pedro A. Serrano López-Terradas, Diana Moya Rosendo, Marcos Ríos Lago

Abstract

INTRODUCTION: Repeated and intensive exercise with AMADEO® Robot-Assisted Therapies (RAT) has been found useful in restoring functions of hand paresis in some brain-injured patients. OBJECTIVES: Evaluate the effects of RAT using AMADEO® device in combination with Conventional Neuro-rehabilitation Therapy (CNT) for the hand functional recovery in post-acute phase patients and to identify differences in the hand outcome trends among infants and adults with different recovery potential. METHODS: 12 adults and 3 infants with neglect or apraxia and hemi-paresis of the upper limb were enrolled in this prospective randomized pre-post pilot clinical study. They were assigned a priori to positive (PF+) or negative (PF-) prognostic factor groups. All subjects followed the same standardized protocol with AMADEO® and CNT. The outcome measures selected were: ARAT, MAS, COTNAB (subtest III), RASP, RPAB, and AMADEO® ROM and Strength Assessment Tools. RESULTS: Statistical analysis showed important differences between PF+ and PF- groups in hand function outcome measurements. Similar improved trends were found between PF+ and the group of infants. Both groups improved in extension variables, total score, level of difficulty, and speed in performing robot-graded tasks. They also showed more strength and motor control. Patients in the PF- group showed only hand recovery in flexion and ROM variables after using the robotic device. Positive intra- and intersession effects were found in all patients. DISCUSSION: The results suggest that finger motor activation and less somato-sensorial impairments in pre-test could be a better sign for the prognosis of hand recovery and for the decision to apply Amadeo® in opposite to the presence or absence of apraxic or neglect symptoms, which have been referred as contraindications. Amadeo® was a valuable tool, easy to use, safe and useful to monitor hand recovery and improve grip and finger motor function in spite of the presence of other cognitive impairments.

References

  1. Enzinger, C., Pargfrieder, C. Pegritz, S., Wurm, W., Linderl-Madrutter, R., Reiter, G., et al., 2012. A proof of concept study on the effects of a robotic-assisted hand rehabilitation programme after stroke oncentral movement control. Conference Meeting.
  2. Hwang, C. H., Seong, J. W., Son, D. S., 2012. Individual Finger synchronized robot-assisted hand rehabilitation in subacute to chronic stroke: a prospective randomized clinical trial of efficacy. Clinical Rehabilitation 0, 1.
  3. MacClelland, L., Bradham, D., Whitall, J., Volpe, B., Wilson, P. D., Ohlhoff, J. et al., 2012. Robotic upperlimb rehabilitation in chronic stroke patients. J. Rehabil. Res. Develop. 42, 6, 717.
  4. Norouzi-Gheidari, N., Archambault, P., Fung, J., 2012. Effects of robot-assisted therapy on stroke rehabilitation in upper limbs: Systematic review and meta-analysis of the literature. J. Rehabil. Res. Develop. 49, 4, 479.
  5. Sale, P., Lombardi, V., Franceschini, M, 2012. Hand Robotics Rehabilitation: Feasibility and Preliminary results of a robotic Treatment in patients with hemiparesis. Stoke Res. Treatment article ID 820931.
  6. Sivan, M., OConnor, R. J., Makower, S., Levesley, M., Bhakta, B., 2011. Systematic review of outcome measures used in the evaluation of robot-assitested upper limb exercise in stroke. J. Rehab. Med. 43, 181.
  7. Takahashi, C. D., Der-Yeghiaian, L., Le, V., Motiwala, R. R., Cramer, S. C., 2008. Robot-based hand motor therapy after stroke. Brain 131, 425.
  8. Wang, F., 2012. Recent research advances in upperextremity rehabilitation. J. Adv. Robot. Automat. 1, 3.
Download


Paper Citation


in Harvard Style

Serrano López-Terradas P., Moya Rosendo D. and Ríos Lago M. (2013). Hand Functional Recovery in Sub-acute Brain Injury Stage Patients using AMADEO® Robotic-assisted Therapy - A Pilot Clinical Study with Apraxic and Neglect Patients . In - VirtRehab, (NEUROTECHNIX 2013) ISBN , pages 0-0


in Bibtex Style

@conference{virtrehab13,
author={Pedro A. Serrano López-Terradas and Diana Moya Rosendo and Marcos Ríos Lago},
title={Hand Functional Recovery in Sub-acute Brain Injury Stage Patients using AMADEO® Robotic-assisted Therapy - A Pilot Clinical Study with Apraxic and Neglect Patients},
booktitle={ - VirtRehab, (NEUROTECHNIX 2013)},
year={2013},
pages={},
publisher={SciTePress},
organization={INSTICC},
doi={},
isbn={},
}


in EndNote Style

TY - CONF
JO - - VirtRehab, (NEUROTECHNIX 2013)
TI - Hand Functional Recovery in Sub-acute Brain Injury Stage Patients using AMADEO® Robotic-assisted Therapy - A Pilot Clinical Study with Apraxic and Neglect Patients
SN -
AU - Serrano López-Terradas P.
AU - Moya Rosendo D.
AU - Ríos Lago M.
PY - 2013
SP - 0
EP - 0
DO -