We reviewed our work with the Mirror Image Movement Enabler (MIME) robotic device to identify the essential therapeutic features. We compared robot-assisted therapy with conventional therapy and present trial results for shoulder and elbow neurorehabilitation in subacute stroke patients. We randomly assigned poststroke subjects to robot-unilateral,-bilateral, or -combined unilateral and bilateral training or to conventional therapy for the same duration and dosage of treatment. Compared with conventional therapy, robot-combined unilateral and bilateral training had advantages that produced larger improvements on a motor impairment scale and a measure of abnormal synergies. Gains in all treatment groups were equivalent at the 6-month follow-up; however, robot group gains exceeded those expected from spontaneous recovery. Until a major breakthrough occurs in the treatment of stroke, robot-assisted therapy appears to have an appropriate role in rehabilitation. MIME robotic device for upper-limb neurorehabilitation in subacute stroke subjects: A follow-up study, pg. 631 (PDF) About the Journal of Rehabilitation Research and Development (JRRD JRRD has been a leading research journal in the field of rehabilitation medicine and technology for more than 40 years. JRRD, a peer-reviewed, scientifically indexed journal, publishes original research papers, review articles, as well as clinical and technical commentary from U.S. and international researchers on all rehabilitation research disciplines. JRRD's mission is to responsibly evaluate and disseminate scientific research findings impacting the rehabilitative healthcare community. Journal of Rehabilitation Research and Development (JRRD) Department of Veterans Affairs 103 South Gay Street, Baltimore, Maryland 21202 www.vard.org/jour/jourindx.html (责任编辑:泉水) |