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Letter to the Editor Re: “The Effects of a Robot-Assisted Arm Training Plus Hand Functional Electrical Stimulation on Recovery After Stroke: A Randomized Clinical Trial”

Published:February 07, 2020DOI:https://doi.org/10.1016/j.apmr.2019.12.011
      I read with interest the article by Straudi et al
      • Straudi S.
      • Baroni A.
      • Mele S.
      • et al.
      The effects of a robot-assisted arm training plus hand functional electrical stimulation on recovery after stroke: a randomized clinical trial.
      comparing the effects of unilateral, proximal arm robot-assisted therapy (RAT) combined with hand functional electrical stimulation (FES) with those from intensive conventional therapy (ICT) for restoring arm function in survivors of subacute stroke. I think this article is valuable because robotics and FES are important rehabilitative modalities that will be further developed in the future although they are already being used widely in the rehabilitation field.
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      References

        • Straudi S.
        • Baroni A.
        • Mele S.
        • et al.
        The effects of a robot-assisted arm training plus hand functional electrical stimulation on recovery after stroke: a randomized clinical trial.
        Arch Phys Med Rehabil. 2019 Nov 1; ([Epub ahead of print])
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      Linked Article

      • Response to Letter to the Editor
        Archives of Physical Medicine and RehabilitationVol. 101Issue 5
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          We thank Dr Jang for his interest in our recent article titled “The Effects of a Robot-Assisted Arm Training Plus Hand Functional Electrical Stimulation on Recovery After Stroke: A Randomized Clinical Trial.”1 He suggests considering stroke site lesion, arm severity, and corticospinal tract (CST) integrity as potential sources of bias in our results, given that all these variables can affect spontaneous recovery in a subacute phase after stroke. His useful comments point toward some methodologic issues that are shared by most upper limb stroke rehabilitation research.
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