Robot-Assisted Training of Arm and Hand Movement Shows Functional Improvements for Incomplete Cervical Spinal Cord Injury

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dc.citation.firstpageS171en_US
dc.citation.issueNumber10en_US
dc.citation.journalTitleAmerican Journal of Physical Medicine & Rehabilitationen_US
dc.citation.lastpageS177en_US
dc.citation.volumeNumber96en_US
dc.contributor.authorFrancisco, Gerard E.en_US
dc.contributor.authorYozbatiran, Nurayen_US
dc.contributor.authorBerliner, Jeffreyen_US
dc.contributor.authorO'Malley, Marcia K.en_US
dc.contributor.authorPehlivan, Ali Utkuen_US
dc.contributor.authorKadivar, Zahraen_US
dc.contributor.authorFitle, Kyleen_US
dc.contributor.authorBoake, Corwinen_US
dc.date.accessioned2018-01-23T18:10:46Zen_US
dc.date.available2018-01-23T18:10:46Zen_US
dc.date.issued2017en_US
dc.description.abstractObjective The aim of the study was to demonstrate the feasibility, tolerability, and effectiveness of robotic-assisted arm training in incomplete chronic tetraplegia. Design Pretest/posttest/follow-up was conducted. Ten individuals with chronic cervical spinal cord injury were enrolled. Participants performed single degree-of-freedom exercise of upper limbs at an intensity of 3-hr per session for 3 times a week for 4 wks with MAHI Exo-II. Arm and hand function tests (Jebsen-Taylor Hand Function Test, Action Research Arm Test), strength of upper limb (upper limb motor score, grip, and pinch strength), and independence in daily living activities (Spinal Cord Independence Measure II) were performed at baseline, end of training, and 6 mos later. Results After 12 sessions of training, improvements in arm and hand functions were observed. Jebsen-Taylor Hand Function Test (0.14[0.04]–0.21[0.07] items/sec, P = 0.04), Action Research Arm Test (30.7[3.8]–34.3[4], P = 0.02), American Spinal Injury Association upper limb motor score (31.5[2.3]–34[2.3], P = 0.04) grip (9.7[3.8]–12[4.3] lb, P = 0.02), and pinch strength (4.5[1.1]–5.7[1.2] lb, P = 0.01) resulted in significant increases. Some gains were maintained at 6 mos. No change in Spinal Cord Independence Measure II scores and no adverse events were observed. Conclusions Results from this pilot study suggest that repetitive training of arm movements with MAHI Exo-II exoskeleton is safe and has potential to be an adjunct treatment modality in rehabilitation of persons with spinal cord injury with mild to moderate impaired arm functions.en_US
dc.identifier.citationFrancisco, Gerard E., Yozbatiran, Nuray, Berliner, Jeffrey, et al.. "Robot-Assisted Training of Arm and Hand Movement Shows Functional Improvements for Incomplete Cervical Spinal Cord Injury." <i>American Journal of Physical Medicine & Rehabilitation,</i> 96, no. 10 (2017) Wolters Kluwer: S171-S177. https://doi.org/10.1097/PHM.0000000000000815.en_US
dc.identifier.digitalFrancisco-2017-AJPRMen_US
dc.identifier.doihttps://doi.org/10.1097/PHM.0000000000000815en_US
dc.identifier.urihttps://hdl.handle.net/1911/99240en_US
dc.language.isoengen_US
dc.publisherWolters Kluweren_US
dc.rightsArticle is made available in accordance with the publisher's policy and may be subject to US copyright law. Please refer to the publisher's site for terms of use.en_US
dc.subject.keywordspinal cord injuryen_US
dc.subject.keywordrobotic-assisted trainingen_US
dc.subject.keywordupper limben_US
dc.subject.keywordfunctional recoveryen_US
dc.titleRobot-Assisted Training of Arm and Hand Movement Shows Functional Improvements for Incomplete Cervical Spinal Cord Injuryen_US
dc.typeJournal articleen_US
dc.type.dcmiTexten_US
dc.type.publicationpublisher versionen_US
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