Advances in hemiplegia rehabilitation: modern therapeutic interventions to enhance activities of daily living

Frontiers in Neurology, Journal Year: 2025, Volume and Issue: 16

Published: March 28, 2025

Hemiplegia severely impairs patients' abilities to perform activities of daily living (ADL), thus affecting their overall quality life and independence. Often caused by stroke or other forms brain injury, hemiparesis causes long-term impairment upper lower limb function, hindering the patient's ability manage self-care. With advances in modern rehabilitation medicine, emerging therapeutic interventions such as electrophysiological feedback, virtual reality, robot-assisted therapy are increasingly being applied hemiplegic patients. These interventions, combined with precise technical support through individualized training, have been shown be effective improving function well enhancing ADL This paper reviews recent assesses impact on performance, examines effectiveness functional outcomes for findings suggest that approaches significant clinical potential provide more personalized treatment strategies people hemiplegia.

Language: Английский

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A robotic rehabilitation intervention in a home setting during the Covid-19 outbreak: a feasibility pilot study in patients with stroke

Journal of NeuroEngineering and Rehabilitation, Journal Year: 2025, Volume and Issue: 22(1)

Published: April 24, 2025

Telerehabilitation allows patients to engage in therapy away from healthcare facilities, often the comfort of their homes. Studies have suggested that it can effectively improve motor and cognitive function. However, its applicability may be limited with severe impairments who require physical assistance. The proposed study aims evaluate feasibility effects a home-based rehabilitation program for post-stroke patients, based on use planar robot, able overcome limitations posed by COVID-19 pandemic. We enrolled 20 stroke (11 men, aged 66.1 ± 9.2 years). Patients underwent one-hour robotic upper limb sessions, consisting execution point-to-point reaching exercises, using device own home, remote supervision therapist. assessed this intervention examining adverse events, patient satisfaction (measured Likert scale), usability (using System Usability Scale, SUS), acceptability (evaluated through Technology Acceptance Model questionnaire, TAM+), pain onset Numeric Rating Scale). To gauge clinical treatment, we analyzed changes sensory components Fugl-Meyer Assessment Upper Extremity (FMA-UE) before after intervention. approach was safe, as did not observe any experience an increase levels. expressed appreciation providing average scale score 8 out 10. treatment received high marks, SUS 78 12. Similarly, favorable, all examined domains scoring above 4, indicating positive attitude towards solution. Moreover, observed statistically significant improvement part FMA-UE (p < 0.001). Our results demonstrate feasibility, safety, effectiveness employing robot within environment. These findings mark step advancing innovative easily accessible options survivors, ensuring uninterrupted care creating new opportunities enhance functional abilities. clinicaltrial.gov (NCT05250934).

Language: Английский

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Effectiveness of Robotic Devices for Medical Rehabilitation: An Umbrella Review

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 13(21), P. 6616 - 6616

Published: Nov. 4, 2024

Background/Objectives: Clinical trials have investigated the efficacy of rehabilitation robotics for various pathological conditions, but overall impact on practice remains unclear. We comprehensively examined and analyzed systematic reviews (SRs) randomized controlled (RCTs) investigating rehabilitative interventions with robotic devices. Methods: Four databases were searched using term combinations keywords related to devices, rehabilitation, SRs. The SR meta-analyses categorized into “convincing”, “highly suggestive”, “suggestive”, “weak”, or “non-significant” depending evidence strength validity. Results: Overall, 62 SRs 341 RCTs involving 14,522 participants identified. Stroke was most frequently reported (40 SRs), followed by spinal cord injury (eight multiple sclerosis (four cerebral palsy Parkinson’s disease (three neurological (any causing limited upper- lower-limb functioning; three SRs). Furthermore, 38, 21, 3 focused upper-limb both respectively. Quantitative synthesis intervention effects performed 51 Robot-assisted training effective outcome measures per disease. Meta-analyses offering suggestive studies stroke. Upper-limb devices motor control activities daily living, walking independence in Conclusions: Robotic are useful improving impairments disabilities several diseases. Further high-quality including large sample sizes these RCTs, particularly non-stroke-related diseases, required. research should also ascertain which type device is each specific impairment disability.

Language: Английский

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Post-stroke pain syndrome: clinical, pathophysiological characteristics and modern rehabilitation management

Medical alphabet, Journal Year: 2024, Volume and Issue: 12, P. 7 - 14

Published: Aug. 12, 2024

Background. Pain is a common complication after stroke and associated with the presence of depression, cognitive dysfunction, impaired quality life. It remains underdiagnosed undertreated, despite evidence that effective treatment pain may improve function The article highlights issues epidemiology, pathogenesis, methods clinical assessment risk factors for development post-stroke pain. A review literature on most syndromes including central pain, complex regional syndrome, musculoskeletal shoulder spasticity headache presented. Modern management analyzed. Conclusion. In best interests optimizing rehabilitation patient, improving his life stroke, clinicians should be aware as identify those patients at highest risk, detail characteristics also options correcting syndromes.

Language: Английский

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