Comparative Assessment of Two Robot-Assisted Therapies for the Upper Extremity in People With Chronic Stroke

Am J Occup Ther. 2019 Jan/Feb;73(1):7301205010p1-7301205010p9. doi: 10.5014/ajot.2019.022368.

Abstract

Objective: We investigated the effects on motor and daily function of robot-assisted therapies in people with chronic stroke using the Bi-Manu-Track (BMT) and InMotion 3.0 (IMT) compared with control treatment (CT).

Method: In this comparative efficacy trial, 30 participants were randomized to receive BMT, IMT, or CT. Outcome measures included the Fugl-Meyer Assessment (FMA), Modified Ashworth Scale (MAS), Motor Activity Log (MAL), and Medical Research Council (MRC) scale.

Results: The IMT group improved more in FMA and proximal MAS scores than the BMT group (both ps < .01) and the CT group (p < .01 and p = .03, respectively). The IMT and BMT groups showed clinically relevant improvements after treatment on the MRC rather than the MAL.

Conclusion: The results indicate that the IMT might improve motor function. The IMT and BMT groups showed similar benefits for muscle power but limited improvements in self-perceived use of the affected arm.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Exercise Therapy / instrumentation*
  • Female
  • Hemiplegia / physiopathology
  • Hemiplegia / rehabilitation
  • Humans
  • Male
  • Paresis / physiopathology
  • Paresis / rehabilitation
  • Patient Satisfaction
  • Recovery of Function / physiology
  • Robotics*
  • Stroke / physiopathology*
  • Stroke Rehabilitation / methods*
  • Treatment Outcome
  • Upper Extremity / physiopathology*