Efficacy of task-oriented upper limb rehabilitation robot-assisted training in upper limb functional recovery after stroke
Objective:To investigate the efficacy of task-oriented upper limb rehabilitation robot-assisted training in upper limb functional recovery after stroke.Methods:92 stroke patients in the First Affiliated Hospital of Xi'an Jiaotong University from January 2021 to December 2023 were selected and randomly divided into the control group(conventional rehabilitation training,n=46)and the research group(task-oriented upper limb rehabilitation robot training,n=46).The upper limb motor function,degree of upper limb spasticity,integrated electromyography(iEMG)of biceps and triceps brachii and their synergistic contraction rate were compared between the two groups.Results:Compared with that before training,the Fugl-Meyer assessment of upper extremity(FMA-UE)scores,Wolf motor function test(WMFT)scores,and function independent measure(FIM)scores were all increased in the two groups after 4 weeks of training(P<0.05),and the above ratings were higher in the study group than those in the control group(P<0.05).The grades of modified ashworth scale(MAS)were better after 4 weeks of training than that before training in both groups(P<0.05),and the MAS grades were better in the study group than those in the control group(P<0.05).Compared with that before training,the iEMG of biceps and triceps brachii increased,and the synergistic contraction rate decreased in both groups after 4 weeks of training(P<0.05),the iEMG was higher and the synergistic contraction rate was lower in the study group than those in the control group(P<0.05).Conclusion:Appication of task-oriented upper limb rehabilitation robot-assisted training in stroke patients can improve their upper limb motor function,alleviate upper limb muscle spasm,increase the iEMG of biceps and triceps,and decrease their synergistic contraction rate.
StrokeTask-oriented TrainingUpper Limb Rehabilitation RobotUpper Limb Function