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

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dc.citation.firstpageS171
dc.citation.issueNumber10
dc.citation.journalTitleAmerican Journal of Physical Medicine & Rehabilitation
dc.citation.lastpageS177
dc.citation.volumeNumber96
dc.contributor.authorFrancisco, Gerard E.
dc.contributor.authorYozbatiran, Nuray
dc.contributor.authorBerliner, Jeffrey
dc.contributor.authorO'Malley, Marcia K.
dc.contributor.authorPehlivan, Ali Utku
dc.contributor.authorKadivar, Zahra
dc.contributor.authorFitle, Kyle
dc.contributor.authorBoake, Corwin
dc.date.accessioned2018-01-23T18:10:46Z
dc.date.available2018-01-23T18:10:46Z
dc.date.issued2017
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.
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.
dc.identifier.digitalFrancisco-2017-AJPRM
dc.identifier.doihttps://doi.org/10.1097/PHM.0000000000000815
dc.identifier.urihttps://hdl.handle.net/1911/99240
dc.language.isoeng
dc.publisherWolters Kluwer
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.
dc.subject.keywordspinal cord injury
dc.subject.keywordrobotic-assisted training
dc.subject.keywordupper limb
dc.subject.keywordfunctional recovery
dc.titleRobot-Assisted Training of Arm and Hand Movement Shows Functional Improvements for Incomplete Cervical Spinal Cord Injury
dc.typeJournal article
dc.type.dcmiText
dc.type.publicationpublisher version
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