Hand Functional Recovery in Sub-acute Brain Injury Stage Patients using AMADEO® Robotic-assisted Therapy - A Pilot Clinical Study with Apraxic and Neglect Patients

Pedro A. Serrano López-Terradas, Diana Moya Rosendo, Marcos Ríos Lago

2013

Abstract

INTRODUCTION: Repeated and intensive exercise with AMADEO® Robot-Assisted Therapies (RAT) has been found useful in restoring functions of hand paresis in some brain-injured patients. OBJECTIVES: Evaluate the effects of RAT using AMADEO® device in combination with Conventional Neuro-rehabilitation Therapy (CNT) for the hand functional recovery in post-acute phase patients and to identify differences in the hand outcome trends among infants and adults with different recovery potential. METHODS: 12 adults and 3 infants with neglect or apraxia and hemi-paresis of the upper limb were enrolled in this prospective randomized pre-post pilot clinical study. They were assigned a priori to positive (PF+) or negative (PF-) prognostic factor groups. All subjects followed the same standardized protocol with AMADEO® and CNT. The outcome measures selected were: ARAT, MAS, COTNAB (subtest III), RASP, RPAB, and AMADEO® ROM and Strength Assessment Tools. RESULTS: Statistical analysis showed important differences between PF+ and PF- groups in hand function outcome measurements. Similar improved trends were found between PF+ and the group of infants. Both groups improved in extension variables, total score, level of difficulty, and speed in performing robot-graded tasks. They also showed more strength and motor control. Patients in the PF- group showed only hand recovery in flexion and ROM variables after using the robotic device. Positive intra- and intersession effects were found in all patients. DISCUSSION: The results suggest that finger motor activation and less somato-sensorial impairments in pre-test could be a better sign for the prognosis of hand recovery and for the decision to apply Amadeo® in opposite to the presence or absence of apraxic or neglect symptoms, which have been referred as contraindications. Amadeo® was a valuable tool, easy to use, safe and useful to monitor hand recovery and improve grip and finger motor function in spite of the presence of other cognitive impairments.

References

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Paper Citation


in Harvard Style

Serrano López-Terradas P., Moya Rosendo D. and Ríos Lago M. (2013). Hand Functional Recovery in Sub-acute Brain Injury Stage Patients using AMADEO® Robotic-assisted Therapy - A Pilot Clinical Study with Apraxic and Neglect Patients . In - VirtRehab, (NEUROTECHNIX 2013) ISBN , pages 0-0


in Bibtex Style

@conference{virtrehab13,
author={Pedro A. Serrano López-Terradas and Diana Moya Rosendo and Marcos Ríos Lago},
title={Hand Functional Recovery in Sub-acute Brain Injury Stage Patients using AMADEO® Robotic-assisted Therapy - A Pilot Clinical Study with Apraxic and Neglect Patients},
booktitle={ - VirtRehab, (NEUROTECHNIX 2013)},
year={2013},
pages={},
publisher={SciTePress},
organization={INSTICC},
doi={},
isbn={},
}


in EndNote Style

TY - CONF
JO - - VirtRehab, (NEUROTECHNIX 2013)
TI - Hand Functional Recovery in Sub-acute Brain Injury Stage Patients using AMADEO® Robotic-assisted Therapy - A Pilot Clinical Study with Apraxic and Neglect Patients
SN -
AU - Serrano López-Terradas P.
AU - Moya Rosendo D.
AU - Ríos Lago M.
PY - 2013
SP - 0
EP - 0
DO -