<meta charset="utf8"></head><body>İnme Rehabilitasyonunda Çift Üst Ekstremite Robotik Eğitimi

<ol>
	<li>Feigin, V. L., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=World+Stroke+Organization+(WSO):+Global+stroke+fact+sheet+2022.">World Stroke Organization (WSO): Global stroke fact sheet 2022.</a> Int J Stroke. 17 (1), 18-29 (2022).</li><li>Kiper, P., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Effects+of+immersive+virtual+reality+on+upper-extremity+stroke+rehabilitation:+A+systematic+review+with+meta-analysis.">Effects of immersive virtual reality on upper-extremity stroke rehabilitation: A systematic review with meta-analysis.</a> J Clin Med. 13 (1), 146 (2023).</li><li>Yao, Z., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Cognitive+function+and+upper+limb+rehabilitation+training+post-stroke+using+a+digital+occupational+training+system.">Cognitive function and upper limb rehabilitation training post-stroke using a digital occupational training system.</a> J Vis Exp. (202), e65994 (2023).</li><li>Tang, C., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Bilateral+upper+limb+robot-assisted+rehabilitation+improves+upper+limb+motor+function+in+stroke+patients:+a+study+based+on+quantitative+EEG.">Bilateral upper limb robot-assisted rehabilitation improves upper limb motor function in stroke patients: a study based on quantitative EEG.</a> Eur J Med Res. 28 (1), 603 (2023).</li><li>Yang, S. -. W., Ma, S. -. R., Choi, J. -. B. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Effect+of+3-dimensional+robotic+therapy+combined+with+electromyography-triggered+neuromuscular+electrical+stimulation+on+upper+limb+function+and+cerebral+cortex+activation+in+stroke+patients:+A+randomized+controlled+trial.">Effect of 3-dimensional robotic therapy combined with electromyography-triggered neuromuscular electrical stimulation on upper limb function and cerebral cortex activation in stroke patients: A randomized controlled trial.</a> Bioengineering. 11 (1), 12 (2023).</li><li>Chen, P. M., Kwong, P. W. H., Lai, C. K. Y., Ng, S. S. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Comparison+of+bilateral+and+unilateral+upper+limb+training+in+people+with+stroke:+A+systematic+review+and+meta-analysis.">Comparison of bilateral and unilateral upper limb training in people with stroke: A systematic review and meta-analysis.</a> PLoS One. 14 (5), e0216357 (2019).</li><li>Dhakate, D., Bhattad, R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Study+the+effectiveness+of+bilateral+arm+training+on+upper+extremity+motor+function+and+activity+level+in+patients+with+sub-acute+stroke.">Study the effectiveness of bilateral arm training on upper extremity motor function and activity level in patients with sub-acute stroke.</a> Int J Cur Res Rev. 12 (20), 2987 (2020).</li><li>Ahn, S. Y., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Benefits+of+robot-assisted+upper-limb+rehabilitation+from+the+subacute+stage+after+a+stroke+of+varying+severity:+A+multicenter+randomized+controlled+trial.">Benefits of robot-assisted upper-limb rehabilitation from the subacute stage after a stroke of varying severity: A multicenter randomized controlled trial.</a> J Clin Med. 13 (3), 808 (2024).</li><li>Li, C., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Dual-tDCS+combined+with+sensorimotor+training+promotes+upper+limb+function+in+subacute+stroke+patients:+A+randomized,+double-blinded,+sham-controlled+study.">Dual-tDCS combined with sensorimotor training promotes upper limb function in subacute stroke patients: A randomized, double-blinded, sham-controlled study.</a> CNS Neurosci Ther. 30 (4), e14530 (2023).</li><li>Yuan, R., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Effects+of+uni-+vs.+bilateral+upper+limb+robot-assisted+rehabilitation+on+motor+function,+activities+of+daily+living,+and+electromyography+in+hemiplegic+stroke:+A+single-blinded+three-arm+randomized+controlled+trial.">Effects of uni- vs. bilateral upper limb robot-assisted rehabilitation on motor function, activities of daily living, and electromyography in hemiplegic stroke: A single-blinded three-arm randomized controlled trial.</a> J Clin Med. 12 (8), 2950 (2023).</li><li>Song, Y. -. H., Lee, H. -. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Effect+of+immersive+virtual+reality-based+bilateral+arm+training+in+patients+with+chronic+stroke.">Effect of immersive virtual reality-based bilateral arm training in patients with chronic stroke.</a> Brain Sci. 11 (8), 1032 (2021).</li><li>Dembele, J., Triccas, L. T., Amanzonw&#233;, L. E. R., Kossi, O., Spooren, A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Bilateral+versus+unilateral+upper+limb+training+in+(sub)acute+stroke:+A+systematic+and+meta-analysis.">Bilateral versus unilateral upper limb training in (sub)acute stroke: A systematic and meta-analysis.</a> S Afr J Physiother. 80 (1), 1985 (2024).</li><li>Wu, J. Y., Cheng, H., Zhang, J. Q., Bai, Z. F., Cai, S. F. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+modulatory+effects+of+bilateral+arm+training+(BAT)+on+the+brain+in+stroke+patients:+a+systematic+review.">The modulatory effects of bilateral arm training (BAT) on the brain in stroke patients: a systematic review.</a> Neurol Sci. 42 (2), 501-511 (2021).</li><li>Yang, X. W., Shi, X. B., Xue, X. L., Deng, Z. Y. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Efficacy+of+robot-assisted+training+on+rehabilitation+of+upper+limb+function+in+patients+with+stroke:+A+systematic+review+and+meta-analysis.">Efficacy of robot-assisted training on rehabilitation of upper limb function in patients with stroke: A systematic review and meta-analysis.</a> Arch Phys Med Rehabil. 104 (9), 1498-1513 (2023).</li><li>Wu, J. Y., Cheng, H., Zhang, J. Q., Yang, S. L., Cai, S. F. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Robot-assisted+therapy+for+upper+extremity+motor+impairment+after+stroke:+A+systematic+review+and+meta-analysis.">Robot-assisted therapy for upper extremity motor impairment after stroke: A systematic review and meta-analysis.</a> Phys Ther. 101 (4), pzab010 (2021).</li><li>Meseguer-Henarejos, A. B., S&#225;nchez-Meca, J., L&#243;pez-Pina, J. A., Carles-Hern&#225;ndez, R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Inter-+and+intra-rater+reliability+of+the+Modified+Ashworth+Scale:+a+systematic+review+and+meta-analysis.">Inter- and intra-rater reliability of the Modified Ashworth Scale: a systematic review and meta-analysis.</a> Eur J Phys Rehabil Med. 54 (4), 576-590 (2018).</li><li>Groppa, S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+practical+guide+to+diagnostic+transcranial+magnetic+stimulation:+report+of+an+IFCN+committee.">A practical guide to diagnostic transcranial magnetic stimulation: report of an IFCN committee.</a> Clin Neurophysiol. 123 (5), 858-882 (2012).</li><li>Fong, K., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Development+of+the+Hong+Kong+version+of+the+functional+test+for+the+hemiplegic+upper+extremity+(FTHUE-HK).">Development of the Hong Kong version of the functional test for the hemiplegic upper extremity (FTHUE-HK).</a> Hong Kong J Occup Th. 14 (1), 21-29 (2004).</li><li>Hern&#225;ndez, E. D., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Intra-+and+inter-rater+reliability+of+Fugl-Meyer+Assessment+of+Upper+Extremity+in+stroke.">Intra- and inter-rater reliability of Fugl-Meyer Assessment of Upper Extremity in stroke.</a> J Rehabil Med. 51 (9), 652-659 (2019).</li><li>Ohura, T., Hase, K., Nakajima, Y., Nakayama, T. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Validity+and+reliability+of+a+performance+evaluation+tool+based+on+the+modified+Barthel+Index+for+stroke+patients.">Validity and reliability of a performance evaluation tool based on the modified Barthel Index for stroke patients.</a> BMC Med Res Methodol. 17 (1), 131 (2017).</li><li>Wu, J., Cheng, H., Zhang, J., Bai, Z., Cai, S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+modulatory+effects+of+bilateral+arm+training+(BAT)+on+the+brain+in+stroke+patients:+a+systematic+review.">The modulatory effects of bilateral arm training (BAT) on the brain in stroke patients: a systematic review.</a> Neurol Sci. 42 (2), 501-511 (2021).</li><li>Hsu, H. Y., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Robotic-assisted+therapy+with+bilateral+practice+improves+task+and+motor+performance+in+the+upper+extremities+of+chronic+stroke+patients:+A+randomised+controlled+trial.">Robotic-assisted therapy with bilateral practice improves task and motor performance in the upper extremities of chronic stroke patients: A randomised controlled trial.</a> Aust Occup Ther J. 66 (5), 637-647 (2019).</li><li>Kitsos, G. H., Hubbard, I. J., Kitsos, A. R., Parsons, M. W. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+ipsilesional+upper+limb+can+be+affected+following+stroke.">The ipsilesional upper limb can be affected following stroke.</a> ScientificWorldJournal. 2013, 684860 (2013).</li><li>Bustr&#233;n, E. L., Sunnerhagen, K. S., Alt Murphy, M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Movement+kinematics+of+the+ipsilesional+upper+extremity+in+persons+with+moderate+or+mild+stroke.">Movement kinematics of the ipsilesional upper extremity in persons with moderate or mild stroke.</a> Neurorehabil Neural Repair. 31 (4), 376-386 (2017).</li><li>da Silva, E. S. M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+effect+of+priming+on+outcomes+of+task-oriented+training+for+the+upper+extremity+in+chronic+stroke:+A+systematic+review+and+meta-analysis.">The effect of priming on outcomes of task-oriented training for the upper extremity in chronic stroke: A systematic review and meta-analysis.</a> Neurorehabil Neural Repair. 34 (6), 479-504 (2020).</li><li>Lee, C. Y., Howe, T. H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Effectiveness+of+activity-based+task-oriented+training+on+upper+extremity+recovery+for+adults+with+stroke:+A+systematic+review.">Effectiveness of activity-based task-oriented training on upper extremity recovery for adults with stroke: A systematic review.</a> Am J Occup Ther. 78 (2), 7802180070 (2024).</li></ol>

<table border="1" fo:keep-together.within-page="1" fo:keep-with-next.within-page="always">
	<tbody>
		<tr>
			<td>Dual upper limb task-oriented robotic system</td>
			<td>Auckland Tongji Rehabilitation Medical Equipment Research Center, Tongji Zhejiang College</td>
			<td>N/A</td>
			<td>The dual upper limb task-oriented robotic system can aid stroke patients in bilateral upper limb virtual game training by regulating force transmission between the healthy and affected upper limbs.</td>
		</tr>
		<tr>
			<td>Magnetic stimulation therapy system</td>
			<td>Sichuan Junjian Wanfeng Medical Equipment Co.,Ltd.</td>
			<td>http://www.jjwf-med.com</td>
			<td> 
			This system can be used to measure the Motor evoked potential (MEP)</td>
		</tr>
		<tr>
			<td>SPSS 25.0</td>
			<td>IBM</td>
			<td>Version 25.0</td>
			<td>https://www.ibm.com/support/pages/downloading-ibm-spss-statistics-25</td>
		</tr>
	</tbody>
</table>

application of a dual upper limb task-oriented robotic system for the functional recovery of the upper limb in stroke patients

Stroke is one of the major causes of disability and the second leading cause of death globally1,2. Stroke patients often face various challenges, such as motor, sensory, and cognitive deficits3. Upper limb dysfunction is a common problem after stroke, characterized by muscle weakness, spasticity, and reduced motor ability of the upper limb on the hemiplegic side4. It is reported to be present in more than 70% of stroke patients, and only around 5% recover to normal, while 20% regain some upper limb capabilities5. More than half of human life requires the participation of the upper limbs6, and upper limb dysfunction after a stroke severely affects patients' activities of daily living7, significantly decreasing their quality of life8 and increasing their financial burden9. Therefore, it is particularly important to explore effective methods of upper limb functional rehabilitation.
Various clinical upper limb rehabilitation treatments, such as mirror therapy, constraint-induced movement therapy, functional electrical stimulation, and other active or passive training, are commonly utilized for stroke patients3,10. In recent years, bilateral arm training has garnered increased attention6,11,12. It has been demonstrated to enhance neural connectivity between the sensorimotor areas of both ipsilateral and contralateral hemispheres12. This type of training helps correct abnormalities in interhemispheric inhibition, facilitates reorganization of brain functional networks, and ultimately leads to improvements in upper limb function12,13. Furthermore, robot-assisted training has also been shown to assist patients in consistently executing accurate limb movements and engaging in task-specific training14. This process provides the brain with substantial feedback stimulation, ultimately boosting neuroplasticity and aiding in the restoration of upper limb function in individuals with hemiplegia14,15. There is currently limited research on strategies utilizing robot-assisted dual upper limb training for stroke patients. This study employed a dual upper limb task-oriented robotic system to combine robot-assisted training with bilateral upper limb training. The robotic device was utilized to aid stroke patients in conducting dual upper limb task-oriented training with high repetitions in a proper movement pattern. The objective of the research was to evaluate the effects of this method on the corticospinal pathway, upper-limb function, and activities of daily living in stroke survivors, with the aim of discovering innovative strategies for upper limb functional rehabilitation.

<meta charset="utf8"></head><body>Yazar Spotlight: İleri Robotik ve Nöromodülasyon Teknolojileri ile İnme Hastalarında Üst Ekstremite Rehabilitasyonunun Geliştirilmesi

İnme Hastalarında Üst Ekstremitenin Fonksiyonel İyileşmesi için Dual Üst Ekstremite Görev Odaklı Robotik Sistemin Uygulanması

Highly repetitive and task-oriented training has been shown to promote the recovery of limb function in stroke patients. Additionally, bilateral arm ...

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Research

Application of a Dual Upper Limb Task-Oriented Robotic System for the Functional Recovery of the Upper Limb in Stroke Patients

JoVE Journal

Medicine

287 Görüntüleme.  Graduate School of Zhejiang Chinese Medical University. Araştırmamız, inme veya travmatik beyin hasarı geçirmiş hastaların rehabilitasyonuna odaklanmıştır ve robot yardımlı üst ekstremite eğitim stratejimizin inme hastalarında üst ekstremite fonksiyonunun iyileşmesi üzerindeki etkisini araştırmaya çalışıyoruz. Protokolümüz, inme hastalarında üst ekstremite fonksiyonunun rehabilitasyonunu geliştirmek için ikili üst ekstremite eğitimini, görev odaklı aktiviteleri ve robot destekli e...

Video: Yazar Spotlight: İleri Robotik ve Nöromodülasyon Teknolojileri ile İnme Hastalarında Üst Ekstremite Rehabilitasyonunun Geliştirilmesi

Highly repetitive and task-oriented training has been shown to promote the recovery of limb function in stroke patients. Additionally, bilateral arm training can help stroke survivors regain their upper limb function and improve their daily activities. The dual upper limb task-oriented robotic system is designed to assist the healthy side of the stroke patient in driving the affected side to perform bilateral arm training through the use of a robotic device. It can also guide the patient in carrying out dual upper limb coordinated movements and engage them in a task-oriented virtual game using force feedback and human-computer interaction technology. This study aimed to assess the efficacy of the system in enhancing upper limb function and activities of daily living in stroke patients. The assessment methods used included motor evoked potential (MEP), functional test for the hemiplegic upper extremity-Hong Kong (FTHUE-HK), Fugl-Meyer Assessment Upper Extremity Scale (FMA-UE), and modified Barthel index (MBI). The results of the study indicate that the dual upper limb task-oriented robotic system can significantly improve the corticospinal pathway, upper limb function, and activities of daily living in stroke patients after 6 weeks of treatment. This system can serve as an effective adjunct to upper limb functional rehabilitation in stroke survivors, reducing the dependence on rehabilitation therapists. In conclusion, the dual upper limb task-oriented robotic system provides a new strategy for post-stroke limb functional rehabilitation and holds great potential for application, as it offers certain social and financial benefits.

This experimental protocol outlines the use of a dual upper limb task-oriented robotic system for stroke patients with upper limb dysfunction. The findings indicate that this system can significantly improve stroke patients' upper limb function and daily living activities.