Robot-Assisted Rehabilitation of Hand Paralysis After Stroke Reduces Wrist Edema and Pain: A Prospective Clinical Trial

Alberto Borboni, Jorge Hugo Villafane, Chiara Mullè, Kristin Valdes, Rodolfo Faglia, Giovanni Taveggia, Stefano Negrini

Research output: Contribution to journalArticlepeer-review

Abstract

Objective The purpose of this study was to determine whether passive robotic-assisted hand motion, in addition to standard rehabilitation, would reduce hand pain, edema, or spasticity in all patients following acute stroke, in patients with and without hand paralysis. Methods Thirty-five participants, aged 45 to 80 years, with functional impairments of their upper extremities after a stroke were recruited for the study from September 2013 to October 2013. One group consisted of 16 patients (mean age ± SD, 68 ± 9 years) with full paralysis and the other groups included 14 patients (mean age ± SD, 67 ± 8 years) with partial paralysis. Patients in the both groups used the Gloreha device for passive mobilization of the hand twice a day for 2 consecutive weeks. The primary outcome measure was hand edema. Secondary outcome measures included pain intensity and spasticity. All outcome measures were collected at baseline and immediately after the intervention (2 weeks). Results Analysis of variance revealed that the partial paralysis group experienced a significantly greater reduction of edema at the wrist (P =.005) and pain (P =.04) when compared with the full paralysis group. Other outcomes were similar for the groups. Conclusion The results of the current study suggest that the partial paralysis group experienced a significantly greater reduction of edema at the wrist and pain when compared with the full paralysis group. The reduction in pain did not meet the threshold of a minimal clinically important difference.

Original languageEnglish
Pages (from-to)21-30
Number of pages10
JournalJournal of Manipulative and Physiological Therapeutics
Volume40
Issue number1
Early online dateNov 12 2016
DOIs
Publication statusPublished - Jan 1 2017

Keywords

  • Hand
  • Rehabilitation
  • Robotics

ASJC Scopus subject areas

  • Chiropractics

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