PMID- 35332828
OWN - NLM
STAT- MEDLINE
DCOM- 20230314
LR  - 20230323
IS  - 1464-5165 (Electronic)
IS  - 0963-8288 (Linking)
VI  - 45
IP  - 7
DP  - 2023 Apr
TI  - Does frequent use of an exoskeletal upper limb robot improve motor function in 
      stroke patients?
PG  - 1185-1191
LID - 10.1080/09638288.2022.2055163 [doi]
AB  - PURPOSE: To determine how differences in frequency of the single-joint hybrid 
      assistive limb (HAL-SJ) use affect the improvement of upper limb motor function 
      and activities of daily living (ADL) in stroke patients. MATERIALS AND METHODS: 
      Subacute stroke patients were divided into the high or low frequency of HAL-SJ 
      use groups. The two groups were matched by propensity score, and the degree of 
      changes 30 days after initiating HAL-SJ use was compared. A logistic regression 
      analysis was performed to examine whether frequent use would increase the number 
      of subjects experiencing the efficacy of more than the minimal clinically 
      important difference (MCID) of Fugl-Meyer assessment (FMA). RESULTS: Twenty-five 
      stroke patients were matched by propensity score, and nine pairs were matched. 
      The high-frequency group showed a significantly superior increase to total FMA 
      shoulder, elbow, forearm, and Barthel index compared with the low-frequency 
      group. Logistic regression analysis revealed no significant associations between 
      frequent use and MCID. CONCLUSIONS: The frequency of HAL-SJ use may affect the 
      improvement of motor function and ADL ability of the upper limb with exception of 
      the fingers and wrist. However, the frequency of intervention was not effective 
      enough to further increase the number of subjects with clinically meaningful 
      changes in upper limb motor function.IMPLICATIONS FOR REHABILITATIONThe current 
      study aimed to clarify how differences in the frequency of single-joint hybrid 
      assistive limb (HAL-SJ) use can affect the improvement of upper-limb motor 
      functions and ADL in subacute stroke patients.Our results implied that the 
      frequency of HAL-SJ use may influence the recovery of upper limb 
      function.However, even if HAL-SJ is used frequently, it does not mean that more 
      patients will achieve clinically meaningful recovery.
FAU - Iwamoto, Yuji
AU  - Iwamoto Y
AD  - Department of Rehabilitation, Araki Neurosurgical Hospital, Hiroshima, Japan.
AD  - Graduate School of Humanities and Social Sciences, Hiroshima University, 
      Hiroshima, Japan.
FAU - Tanaka, Ryo
AU  - Tanaka R
AD  - Graduate School of Humanities and Social Sciences, Hiroshima University, 
      Hiroshima, Japan.
FAU - Imura, Takeshi
AU  - Imura T
AD  - Graduate School of Humanities and Social Sciences, Hiroshima University, 
      Hiroshima, Japan.
AD  - Department of Rehabilitation, Faculty of Health Sciences, Hiroshima Cosmopolitan 
      University, Hiroshima, Japan.
FAU - Mitsutake, Tsubasa
AU  - Mitsutake T
AD  - Graduate School of Humanities and Social Sciences, Hiroshima University, 
      Hiroshima, Japan.
AD  - Department of Physical Therapy, Fukuoka International University of Health and 
      Welfare, Fukuoka, Japan.
FAU - Jung, Hungu
AU  - Jung H
AD  - Graduate School of Humanities and Social Sciences, Hiroshima University, 
      Hiroshima, Japan.
FAU - Suzukawa, Takahiro
AU  - Suzukawa T
AD  - Department of Rehabilitation, Araki Neurosurgical Hospital, Hiroshima, Japan.
FAU - Taki, Shingo
AU  - Taki S
AD  - Department of Rehabilitation, Araki Neurosurgical Hospital, Hiroshima, Japan.
AD  - Graduate School of Humanities and Social Sciences, Hiroshima University, 
      Hiroshima, Japan.
FAU - Imada, Naoki
AU  - Imada N
AD  - Department of Rehabilitation, Araki Neurosurgical Hospital, Hiroshima, Japan.
FAU - Inagawa, Tetsuji
AU  - Inagawa T
AD  - Department of Neurosurgery, Araki Neurosurgical Hospital, Hiroshima, Japan.
FAU - Araki, Hayato
AU  - Araki H
AD  - Department of Neurosurgery, Araki Neurosurgical Hospital, Hiroshima, Japan.
FAU - Araki, Osamu
AU  - Araki O
AD  - Department of Neurosurgery, Araki Neurosurgical Hospital, Hiroshima, Japan.
LA  - eng
PT  - Journal Article
DEP - 20220325
PL  - England
TA  - Disabil Rehabil
JT  - Disability and rehabilitation
JID - 9207179
SB  - IM
MH  - Humans
MH  - Activities of Daily Living
MH  - *Robotics
MH  - *Stroke Rehabilitation/methods
MH  - *Stroke
MH  - Upper Extremity
MH  - Recovery of Function
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Intervention frequency
OT  - hybrid assistive limb
OT  - logistic regression analysis
OT  - propensity score-matched analysis
OT  - stroke
OT  - upper limb function
EDAT- 2022/03/26 06:00
MHDA- 2023/03/15 06:00
CRDT- 2022/03/25 08:37
PHST- 2022/03/26 06:00 [pubmed]
PHST- 2023/03/15 06:00 [medline]
PHST- 2022/03/25 08:37 [entrez]
AID - 10.1080/09638288.2022.2055163 [doi]
PST - ppublish
SO  - Disabil Rehabil. 2023 Apr;45(7):1185-1191. doi: 10.1080/09638288.2022.2055163. 
      Epub 2022 Mar 25.