Effects of robotic rehabilitation on recovery of hand functions in acute stroke: A preliminary randomized controlled study

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dc.authoridYakup Krespi / 0000-0001-5246-5908en_US
dc.authorscopusidYakup Krespi / 7005049488
dc.contributor.authorKaragozoglu Coskunsu, Dilber
dc.contributor.authorAkcay, Sumeyye
dc.contributor.authorOgul, Ozden Erkan
dc.contributor.authorAkyol, D. Kubra
dc.contributor.authorOzturk, Necla
dc.contributor.authorZileli, Fusun
dc.contributor.authorBaştan Tuzun, Birgul
dc.contributor.authorKrespi, Yakup
dc.date.accessioned2022-07-25T13:37:03Z
dc.date.available2022-07-25T13:37:03Z
dc.date.issued2022en_US
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractObjective: The aim of this study was to investigate the effects of EMG-driven robotic rehabilitation on hand motor functions and daily living activities of patients with acute ischemic stroke. Materials & method: A preliminary randomized-controlled, single-blind trial rectuited twenty-four patients with acute ischemic stroke (<1 month after cerebrovascular accident) and randomly allocated to experimental group (EG) and control group (CG). Neurophysiological rehabilitation program was performed to both EG and CG for 5 days a week and totally 15 sessions. The EG also received robotic rehabilitation with the EMG-driven exoskeleton hand robot (Hand of Hope®, Rehab-Robotics Company) 15 sessions over 3 weeks. Hand motor functions (Fugl-Meyer Assessment-Upper Extremity (FMA-UE) and Action Research Arm Test (ARAT)), activities of daily living (Motor Activity Log (MAL)), force and EMG activities of extensor and flexor muscles for the cup test were evaluated before treatment (pretreatment) and after the 15th session (posttreatment). Results: Eleven patients (59.91 ± 14.20 yr) in the EG and 9 patients (70 ± 14.06 yr) in the CG completed the study. EG did not provide a significant advantage compared with the CG in FMA-UE, ARAT and MAL scores and cup-force and EMG activities (p > .05 for all). Conclusion: In this preliminary study, improvement in motor functions, daily living activities and force were found in both groups. However, addition of the EMG-driven robotic treatment to the neurophysiological rehabilitation program did not provide an additional benefit to the clinical outcomes in 3 weeks in acute stroke patients.en_US
dc.identifier.citationCoskunsu DK, Akcay S, Ogul OE, Akyol DK, Ozturk N, Zileli F, Tuzun BB, Krespi Y. Effects of robotic rehabilitation on recovery of hand functions in acute stroke: A preliminary randomized controlled study. Acta Neurol Scand. 2022 Jul 20. doi: 10.1111/ane.13672. Epub ahead of print. PMID: 35855628.en_US
dc.identifier.doi10.1111/ane.13672en_US
dc.identifier.issn0001-6268en_US
dc.identifier.pmid35855628en_US
dc.identifier.scopus2-s2.0-85134375101en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttp://doi.org/10.1111/ane.13672
dc.identifier.urihttps://hdl.handle.net/20.500.12713/3040
dc.identifier.wosWOS:000827677400001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorKrespi, Yakup
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofActa Neurochirurgicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHanden_US
dc.subjectRehabilitationen_US
dc.subjectRoboticsen_US
dc.subjectStroke Acuteen_US
dc.titleEffects of robotic rehabilitation on recovery of hand functions in acute stroke: A preliminary randomized controlled studyen_US
dc.typeArticleen_US

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