Effects of Combined Robotic Therapy and Repetitive-Task Practice on Upper-Extremity Function in a Patient With Chronic Stroke

Author:

Rosenstein Libby1,Ridgel Angela L.2,Thota Anil3,Samame Bridgette4,Alberts Jay L.5

Affiliation:

1. Libby Rosenstein, OTR/L, is Occupational Therapist, Clinical Specialist, Department of Occupational Therapy, Cleveland Clinic, Cleveland, OH 44195; rosensl@ccf.org

2. Angela L. Ridgel, PhD, is Postdoctoral Research Fellow, Department of Biomedical Engineering, Cleveland Clinic, Cleveland, OH

3. Anil Thota, MS, is Research Engineer, Department of Biomedical Engineering, Cleveland Clinic, Cleveland, OH

4. Bridgette Samame, OTR/L, is Occupational Therapist, Department of Occupational Therapy, Cleveland Clinic, Cleveland, OH

5. Jay L. Alberts, PhD, is Investigator, Department of Biomedical Engineering and Center for Neurological Restoration, Cleveland Clinic; and Investigator, Louis Stokes Veterans Affairs Medical Center, Cleveland, OH

Abstract

Abstract OBJECTIVE. This article describes the effect of a robotic device combined with repetitive-task practice (RTP) on upper-extremity function in a patient with chronic stroke. METHOD. The client was a 32-year-old woman, 11 months after stroke, with minimal wrist and finger movement. She received approximately 48 hr of intervention split evenly between a robotic device (Hand Mentor) and RTP during 3 weeks. RESULTS. Favorable scores in the Wolf Motor Function Test were observed from pre-to postevaluation. Active range of motion, from pre-to postintervention, increased by 35° in the shoulder, 65° in the wrist, and 70° in the thumb. Kinetic analysis of a bimanual dexterity task indicated improved specification of grasping forces for both limbs. CONCLUSION. Improvements in upper-extremity motor functioning and functional performance in daily tasks followed this client's engagement in distal initiation of movement during an RTP exercise regimen that was robotically reinforced.

Publisher

AOTA Press

Subject

Occupational Therapy

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