Hybrid Rehabilitation Therapies on Upper-Limb Function and Goal Attainment in Chronic Stroke.

Abstract

This study examined the treatment effects between unilateral hybrid therapy (UHT; unilateral robot-assisted therapy [RT] + modified constraint-induced movement therapy) and bilateral hybrid therapy (BHT; bilateral RT + bilateral arm training) compared with RT. Thirty patients with chronic stroke were randomized to UHT, BHT, or RT groups. Preliminary efficacy was assessed using the Fugl-Meyer Assessment (FMA), the Chedoke Arm and Hand Activity Inventory (CAHAI), and the goal attainment scaling (GAS). Possible adverse effects of abnormal muscle tone, pain, and fatigue were recorded. All groups showed large improvements in motor recovery and individual goals. Significant between-group differences were found on GAS favoring the hybrid groups but not on FMA and CAHAI. No adverse effects were reported. Hybrid therapies are safe and applicable interventions for chronic stroke and favorable for improving individual functional goals. Treatment effects on motor recovery and functional activity might be similar among the three groups.

• Authors: Chung-Shan Hung, Yu-Wei Hsieh, Ching-Yi Wu, Yu-Ju Chen, Keh-Chung Lin, Chia-Ling Chen, Kaiping Grace Yao, Chien-Ting Liu, Yi-Shiung Horng
• Journal: OTJR : occupation, participation and health (OTJR (Thorofare N J)) Vol. 39 Issue 2 Pg. 116-123 (04 2019) ISSN: 1938-2383 [Electronic] United States
• PMID: 30834812 (Publication Type: Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)

Topics

• Female
• Humans
• Male
• Middle Aged
• Occupational Therapy
• Paresis (rehabilitation)
• Physical Therapy Modalities
• Recovery of Function
• Robotics
• Single-Blind Method
• Stroke Rehabilitation
• Task Performance and Analysis
• Treatment Outcome