Abstract
Objective
To compare the effects of using an Internet of things (IoT)-assisted tenodesis-induced-grip
exoskeleton robot (TIGER) and task-specific motor training (TSMT) as home programs
for the upper-limb (UL) functions of patients with chronic stroke to overturn conventional
treatment modes for stroke rehabilitation.
Design
A randomized 2-period crossover study.
Setting
A university hospital.
Participants
Eighteen chronic stroke patients were recruited and randomized to receive either the
IoT-assisted TIGER first or TSMT first at the beginning of the experiment (N=18).
Intervention
In addition to the standard hospital-based therapy, participants were allocated to
receive a 30-minute home-based, self-administered program of either IoT-assisted TIGER
first or TSMT first twice daily for 4 weeks, with the order of both treatments reversed
after a 12-week washout period. The exercise mode of the TIGER training included continuous
passive motion and the functional mode of gripping pegs. The TSMT involved various
movement components of the wrist and hand.
Main Outcome Measures
The outcome measures included the box and block test (BBT), the Fugl-Meyer assessment
for upper extremity (FMA-UE), the motor activity log, the Semmes-Weinstein Monofilament
test, the range of motion (ROM) of the wrist joint, and the modified Ashworth scale.
Results
Significant treatment-by-time interaction effects emerged in the results for the BBT
(F(1.31)=5.212 and P=.022), the FMA-UE (F(1.31)=6.807 and P=.042), and the ROM of the wrist extension (F(1.31)=8.618 and P=.009). The participants who trained at home with the IoT-assisted TIGER showed more
improvement of their UL functions.
Conclusions
The IoT-assisted TIGER training has the potential for restoring the UL functions of
stroke patients.
KEYWORDS
List of abbreviations:
AROM (active range of motion), BBT (box and block test), FMA-UE (Fugl-Meyer assessment for upper extremity), IoT (Internet of things), MAL (motor activity log), MAS (modified Ashworth scale), PCGI-I (Patient Clinical Global Impressions-Improvements), ROM (range of motion), SWM (Semmes-Weinstein monofilament), TIGER (tenodesis-induced-grip exoskeleton robot), TSMT (task-specific motor training), UL (upper-limb)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: September 16, 2022
Accepted:
August 31,
2022
Received in revised form:
August 18,
2022
Received:
May 16,
2022
Footnotes
The work was supported by grants from the Ministry of Science and Technology (MOST) of Taiwan (Grant number: 108-2745-8-006-009) and from the National Cheng Kung University Hospital (Grant number: NCKUH-11008003). This work was also financially supported by the Medical Device Innovation Center, National Cheng Kung University, from the Featured Areas Research Center Program within the framework of the Higher Education Sprout Project by the Ministry of Education (MOE) in Taiwan.
Clinical Trail Registration: ClinicalTrials.gov, identifier NCT04463888.
Disclosures: none
Identification
Copyright
© 2022 by the American Congress of Rehabilitation Medicine.
