Effects of device-assisted practice of activities of daily living in a close-to-normal pattern on upper extremity motor recovery in individuals with moderate to severe stroke: study protocol of a randomized control trial.
Journal:
Trials
Published Date:
Jul 4, 2025
Abstract
BACKGROUND: The majority of individuals with chronic stroke have residual upper extremity (UE) disability which they cite as their greatest barrier to recovery. Using orthoses, robotic devices, and functional electrical stimulation (FES) represent rehabilitation techniques that have demonstrated the ability to improve arm and hand function in the chronic stroke population, but individuals with more severe impairments are typically not eligible for these studies. The very few studies incorporating these techniques with the severely impaired population do not utilize volitional FES control or modulated loading, which has been shown to promote greater motor recovery and functional improvement. An UE intervention utilizing an advanced orthosis incorporating volitionally controlled FES and robotically modulated shoulder abduction (SABD) loading may provide a pathway to improved coordinated use of the arm and hand for the more severely impaired chronic stroke population.
Authors
Keywords
Activities of Daily Living
Clinical Protocols
Disability Evaluation
Double-Blind Method
Electric Stimulation Therapy
Equipment Design
Humans
Motor Activity
Orthotic Devices
Paresis
Recovery of Function
Research Design
Robotics
Severity of Illness Index
Stroke
Stroke Rehabilitation
Time Factors
Treatment Outcome
Upper Extremity
