Summary rehab technology: robot assisted therapy

Rehab tech: tedesco: robot assisted therapy in neuro rehab

1. My PhD research
 UL robotics bij CVA P
 RCT
 Armeospring
 Hoe dosis UL therapy verhogen
- Quality of movement

Behavioural Measurement to test effect
1. ICF
 Meeste trails kijken enkel naar activity & impairment
- Niet naar participatie of ADL

2. Vraag: benefits of UL-robot therapy
 Motivation
 Repetition
 Intensity
 Compensation? Quality of movement
 Neuroplasticity
 Fun + bewegingservaring

Effect of robot therapy on upper limb impairments and activities
1. Effect of RT on the upper limb compared to dose-matched control group in stroke (2020)
 Short and long-term effects of robot assisted therapy on UL motor function and activity of dialy living in
patients post stroke: a meta-analysis of randomized controlled trail (Zhang)
- A subgroup analysis of the effect of RAT with different total training time versus non-robotic therapy
on outcome of FM-UE at the end-of treatment
 Robotic: + effect op FM bij langer programma




- Superiority of RAT in improving:
 1) motor control and activity function was observed when it was supplied in passive-active mode
or patient-active mode,
 2) amount of training more than 15 h and to patients with mild to moderate impairment.




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, Rehab tech: tedesco: robot assisted therapy in neuro rehab

- A subgroup analysis of the effect of RAT with different total training time versus non-robotic therapy
on outcome of ADL at the end-of-treatment.
 The subgroup analysis indicated that RAT better improved the outcomes of ADL at the end-of-
treatment than controls with the total training time more than 15 h (SMD = 0.32, 95% CI 0.12 to
0.53, P = 0.002),
 and had no additional benefit with the total training time ≤ 15 h (SMD = 0.25, 95% CI − 0.00 to
0.51, P = 0.05)




 robot assisted training for UL after stroke (RATULS): a multicentre randomized controlled trail ( Rodgers)
- Robot-assisted training and EULT programmes were delivered at the same frequency and duration:
 45 min of face-to-face therapy, 3 / week for 12 weeks.
- Moderate-severe impairment
- Usual care- enhanced BL training- robot training
- Low dosage
- (C) ARAT total score.
- (D) Pair-wise comparison of ARAT total score
- (E) Fugl–Meyer motor score.
- (F) Pair-wise comparison of Fugl–Meyer motor score.
- In (C) & (E), horizontal black line = median, box = IQR, whiskers extend to
closest value within upper / lower quartile ± 1·5 multiplied by IQR; black
dots = any values outside of this range.
- *ARAT=Action Research Arm Test. EULT=enhanced upper limb therapy.
RT=robot-assisted training. UC=usual care.
- Stijgen bij enhanced & robotic
 Ook usual verbeteren
o ≠ grote verschillen tussen groepen
 Mogelijk door lage dosis
- Ook kijken naar QOLstroke impact scale
 ≠ verschil tussen de 3 groepen




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