Combined use of repetitive task practice and an assistive robotic device in a patient with subacute stroke

Phys Ther. 2006 Oct;86(10):1378-86. doi: 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.

Publication types

  • Case Reports
  • Clinical Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Electromyography
  • Exercise Movement Techniques / instrumentation*
  • Hand Strength
  • Hemiplegia / etiology
  • Hemiplegia / rehabilitation*
  • Humans
  • Male
  • Man-Machine Systems
  • Middle Aged
  • Psychomotor Performance
  • Robotics*
  • Self-Help Devices*
  • Stroke / complications
  • Stroke Rehabilitation*
  • Upper Extremity