PMID- 23911077
OWN - NLM
STAT- MEDLINE
DCOM- 20140623
LR  - 20161125
IS  - 1545-004X (Electronic)
IS  - 0894-1130 (Linking)
VI  - 26
IP  - 4
DP  - 2013 Oct-Dec
TI  - Chronic stroke survivors achieve comparable outcomes following virtual task 
      specific repetitive training guided by a wearable robotic orthosis (UL-EXO7) and 
      actual task specific repetitive training guided by a physical therapist.
PG  - 343-52; quiz 352
LID - S0894-1130(13)00072-0 [pii]
LID - 10.1016/j.jht.2013.06.001 [doi]
AB  - Survivors post stroke commonly have upper limb impairments. Patients can drive 
      neural reorganization, brain recovery and return of function with task specific 
      repetitive training (TSRT). Fifteen community independent stroke survivors 
      (25-75 years, >6 months post stroke, Upper Limb Fugl Meyer [ULFM] scores 16-39) 
      participated in this randomized feasibility study to compare outcomes of upper 
      limb TSRT guided by a robotic orthosis (bilateral or unilateral) or a physical 
      therapist. After 6 weeks of training (18 h), across all subjects, there were 
      significant improvements in depression, flexibility, strength, tone, pain and 
      voluntary movement (ULFM) (p < 0.05; effect sizes 0.49-3.53). Each training group 
      significantly improved ULFM scores and range of motion without significant group 
      differences. Virtual or actual TSRT performed with a robotic orthosis or a 
      physical therapist significantly reduced arm impairments around the shoulder and 
      elbow without significant gains in fine motor hand control, activities of daily 
      living or independence.
CI  - Copyright (c) 2013 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.
FAU - Byl, Nancy N
AU  - Byl NN
AD  - Department of Physical Therapy and Rehabilitation Medicine, School of Medicine, 
      University of California, San Francisco, USA. Electronic address: 
      Byln@ptrehab.ucsf.edu.
FAU - Abrams, Gary M
AU  - Abrams GM
FAU - Pitsch, Erica
AU  - Pitsch E
FAU - Fedulow, Irina
AU  - Fedulow I
FAU - Kim, Hyunchul
AU  - Kim H
FAU - Simkins, Matt
AU  - Simkins M
FAU - Nagarajan, Srikantan
AU  - Nagarajan S
FAU - Rosen, Jacob
AU  - Rosen J
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20130801
PL  - United States
TA  - J Hand Ther
JT  - Journal of hand therapy : official journal of the American Society of Hand 
      Therapists
JID - 8806591
SB  - IM
MH  - Activities of Daily Living
MH  - Adult
MH  - Aged
MH  - Feasibility Studies
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Orthotic Devices
MH  - Physical Therapists
MH  - Range of Motion, Articular
MH  - *Robotics
MH  - *Stroke Rehabilitation
MH  - *Task Performance and Analysis
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Exoskeleton
OT  - Physical therapy
OT  - Robotic training
OT  - Stroke
OT  - Upper limb hemi-paresis
EDAT- 2013/08/06 06:00
MHDA- 2014/06/24 06:00
CRDT- 2013/08/06 06:00
PHST- 2012/11/28 00:00 [received]
PHST- 2013/05/23 00:00 [revised]
PHST- 2013/06/03 00:00 [accepted]
PHST- 2013/08/06 06:00 [entrez]
PHST- 2013/08/06 06:00 [pubmed]
PHST- 2014/06/24 06:00 [medline]
AID - S0894-1130(13)00072-0 [pii]
AID - 10.1016/j.jht.2013.06.001 [doi]
PST - ppublish
SO  - J Hand Ther. 2013 Oct-Dec;26(4):343-52; quiz 352. doi: 10.1016/j.jht.2013.06.001. 
      Epub 2013 Aug 1.