Poststroke Neurorehabilitation Using a Soft Robotic Glove Combined With a Virtual Environment: Preliminary Study on Feasibility, Safety, Effects, and User Satisfaction
Notice bibliographique
Résumé
Background: Optimizing rehabilitation intensity using a robotic-assisted hand rehabilitation exercise (RAHRE) program coupled with a virtual environment is a promising intervention as it aligns with key neuroplasticity principles. Objective: The aim of the study is to assess the feasibility, safety, preliminary effects, and satisfaction of the 2-week RAHRE program offered as an adjunct to conventional rehabilitation. Methods: In total, 11 adults with hand hemiparesis following a recent stroke and undergoing intensive functional rehabilitation were randomized into experimental and control groups. Both groups received conventional rehabilitation therapy over a 2-week period. The experimental group received 10 additional 30-minute sessions of the RAHRE program (5 times per week), incorporating 4 hand opening and closing exercises with personalized glove assistance or resistance levels with virtual reality over the same period. Measures of feasibility (ie, attendance rate, compliance rate, repetitions per session, active training time, therapist verbal cueing, and support required), safety (ie, discomfort and adverse effects), and satisfaction (ie, satisfaction questionnaire) were collected. Functional outcomes (ie, Action Research Arm Test [ARAT], Fugl-Meyer Assessment for the Upper Extremity [FMA-UE], Box and Block Test, ABILHAND) were also assessed before and after the intervention in both groups. Results: Attendance and compliance rates in the experimental group reached 96% (48 completed training sessions of 50 planned sessions) and 95% (1432 completed training minutes of 1500 planned minutes), respectively. Participants performed a median of 2543 (IQR 2368-2951) additional movement repetitions during the RAHRE program (median repetitions per session 260, IQR 173-365; median active training time 24 minutes 39 seconds, IQR 22 minutes 26 seconds-25 minutes 51 seconds). Minimal therapist verbal cueing and support were necessary for technology use (median glove donning time 46, IQR 27-60 seconds; median independence achieved in 6, IQR 4-7 sessions). No abnormal discomfort or adverse effects were reported. Both groups showed functional improvements in ARAT, FMA-UE, Box and Block Test, and ABILHAND. For the primary outcomes (ie, ARAT and FMA-UE), the median score changes were, respectively, 4.50 (IQR 0-9) and 4.00 (IQR 3-4) in the control group, and 4.00 (IQR 1-7.5) and 5.00 (IQR 5-6) in the experimental group. Excellent overall program satisfaction (median 5/5, IQR 5-5) was reported for the RAHRE program. Conclusions: The RAHRE program, as an adjunct to conventional rehabilitation therapy, emerges as being feasible, safe, beneficial, and satisfying for adults with hand hemiparesis following a recent stroke. However, careful interpretation of the results remains recommended given the strength of the evidence. Future studies providing higher-quality evidence are needed.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».