Combined Use of Repetitive Task Practice and an Assistive Robotic Device in a Patient With Subacute Stroke
Open Access
- 1 October 2006
- journal article
- case report
- Published by Oxford University Press (OUP) in PTJ: Physical Therapy & Rehabilitation Journal
- Vol. 86 (10), 1378-1386
- https://doi.org/10.2522/ptj.20050149
Abstract
Background and Purpose. This case report describes a training program comprising repetitive task practice (RTP) and robotic therapy for a patient with subacute stroke and resultant impaired upper-extremity function. Case Description. A 63-year-old man with right-sided hemiplegia resulting from a hemorrhagic stroke received a combined intervention of RTP and robotic therapy for 4 hours per day for 3 weeks. Clinical and kinetic evaluations were performed before and after intervention. Outcomes. Following the combined intervention, clinical improvements in hand function were observed, maximum grip force decreased slightly, and interlimb coupling decreased. Discussion. An intervention of RTP with robotic therapy may be an effective method to improve upper-extremity function following stroke. Furthermore, the case suggests that improvements in strength are not necessary for improved dexterous function, provided that a minimal level of strength is present.Keywords
This publication has 28 references indexed in Scilit:
- Robotic therapy for chronic motor impairments after stroke: follow-up resultsArchives of Physical Medicine and Rehabilitation, 2004
- Changes in Serial Optical Topography and TMS during Task Performance after Constraint-Induced Movement Therapy in Stroke: A Case StudyNeurorehabilitation and Neural Repair, 2004
- Motor-improvement following intensive training in low-functioning chronic hemiparesisNeurology, 2003
- Effectiveness of Sensory and Motor Rehabilitation of the Upper Limb Following the Principles of Neuroplasticity: Patients Stable PoststrokeNeurorehabilitation and Neural Repair, 2003
- Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after strokeArchives of Physical Medicine and Rehabilitation, 2002
- Modified constraint-induced therapy in subacute stroke: A case reportArchives of Physical Medicine and Rehabilitation, 2002
- Stroke patients' and therapists' opinions of constraint-induced movement therapyClinical Rehabilitation, 2002
- Motor cortex plasticity during forced-use therapy in stroke patients: a preliminary study.Zeitschrift für Neurologie, 2001
- Effects of Constraint-Induced Movement Therapy on Patients With Chronic Motor Deficits After StrokeStroke, 1999
- Forced use of hemiplegic upper extremities to reverse the effect of learned nonuse among chronic stroke and head-injured patientsExperimental Neurology, 1989