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http://hdl.handle.net/1942/16781
Title: | Accelerometry measuring the outcome of robot-supported upper limb training in chronic stroke: a randomized controlled trial | Authors: | LEMMENS, Ryanne TIMMERMANS, Annick Janssen-Potten,Yvonne J.M. Pulles, Sanne A.N.T.D. Geers, Richard P.J. Bakx, Wilbert Smeets, Rob J.E.M. Seelen, Henk A.M. |
Issue Date: | 2014 | Source: | PloS one, 9(5), (Art.N° e96414) | Abstract: | Purpose This study aims to assess the extent to which accelerometers can be used to determine the effect of robot-supported task-oriented arm-hand training, relative to task-oriented arm-hand training alone, on the actual amount of arm-hand use of chronic stroke patients in their home situation. Methods This single-blind randomized controlled trial included 16 chronic stroke patients, randomly allocated using blocked randomization (n = 2) to receive task-oriented robot-supported arm-hand training or task-oriented (unsupported) arm-hand training. Training lasted 8 weeks, 4 times/week, 2×30 min/day using the (T-)TOAT ((Technology-supported)-Task-Oriented-Arm-Training)method. The actual amount of arm-hand use, was assessed at baseline, after 8 weeks training and 6 months after training cessation. Duration of use and intensity of use of the affected arm-hand during unimanual and bimanual activities were calculated. Results Duration and intensity of use of the affected arm-hand did not change significantly during and after training, with or without robot-support (i.e. duration of use of unimanual use of the affected arm-hand: median difference of −0.17% in the robot-group and −0.08% in the control group between baseline and after training cessation; intensity of the affected arm-hand: median difference of 3.95% in the robot-group and 3.32% in the control group between baseline and after training cessation). No significant between-group differences were found. Conclusions Accelerometer data did not show significant changes in actual amount of arm-hand use after task-oriented training, with or without robot-support. Next to the amount of use, discrimination between activities performed and information about quality of use of the affected arm-hand are essential to determine actual arm-hand performance. Trial Registration Controlled-trials.com ISRCTN82787126 | Notes: | Lemmens, RJM (reprint author). Maastricht Univ, Dept Rehabil Med, Res Sch CAPHRI, Maastricht, Netherlands. ryanne.lemmens@maastrichtuniversity.nl | Document URI: | http://hdl.handle.net/1942/16781 | ISSN: | 1932-6203 | e-ISSN: | 1932-6203 | DOI: | 10.1371/journal.pone.0096414 | ISI #: | 000336369200019 | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2015 |
Appears in Collections: | Research publications |
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File | Description | Size | Format | |
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Lemmens, Timmermans, et al 2014_Accelerometry Measuring the Outcome of Robot-Supported Upper Limb Training in Chronic Stroke_ RCT.pdf | 931.05 kB | Adobe PDF | View/Open |
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