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Home-Based Therapy After Stroke Using the Hand Spring Operated Movement Enhancer (HandSOME II).
Casas, Rafael; Sandison, Melissa; Nichols, Diane; Martin, Kaelin; Phan, Khue; Chen, Tianyao; Lum, Peter S.
Afiliación
  • Casas R; Biomedical Engineering, The Catholic University of America, Washington, DC, United States.
  • Sandison M; MedStar National Rehabilitation Network, Washington, DC, United States.
  • Nichols D; Biomedical Engineering, The Catholic University of America, Washington, DC, United States.
  • Martin K; MedStar National Rehabilitation Network, Washington, DC, United States.
  • Phan K; MedStar National Rehabilitation Network, Washington, DC, United States.
  • Chen T; Biomedical Engineering, The Catholic University of America, Washington, DC, United States.
  • Lum PS; Biomedical Engineering, The Catholic University of America, Washington, DC, United States.
Front Neurorobot ; 15: 773477, 2021.
Article en En | MEDLINE | ID: mdl-34975447
We have developed a passive and lightweight wearable hand exoskeleton (HandSOME II) that improves range of motion and functional task practice in laboratory testing. For this longitudinal study, we recruited 15 individuals with chronic stroke and asked them to use the device at home for 1.5 h per weekday for 8 weeks. Subjects visited the clinic once per week to report progress and troubleshoot problems. Subjects were then given the HandSOME II for the next 3 months, and asked to continue to use it, but without any scheduled contact with the project team. Clinical evaluations and biomechanical testing was performed before and after the 8 week intervention and at the 3 month followup. EEG measures were taken before and after the 8 weeks of training to examine any recovery associated brain reorganization. Ten subjects completed the study. After 8 weeks of training, functional ability (Action Research Arm Test), flexor tone (Modified Ashworth Test), and real world use of the impaired limb (Motor Activity Log) improved significantly (p < 0.05). Gains in real world use were retained at the 3-month followup (p = 0.005). At both post-training and followup time points, biomechanical testing found significant gains in finger ROM and hand displacement in a reaching task (p < 0.05). Baseline functional connectivity correlated with gains in motor function, while changes in EEG functional connectivity paralleled changes in motor recovery. HandSOME II is a low-cost, home-based intervention that elicits brain plasticity and can improve functional motor outcomes in the chronic stroke population.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies Idioma: En Revista: Front Neurorobot Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies Idioma: En Revista: Front Neurorobot Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza