Hybrid Rehabilitation Therapies on Upper-Limb Function and Goal Attainment in Chronic Stroke.

Journal: OTJR : occupation, participation and health
Published Date: Apr 1, 2019

Abstract

This study examined the treatment effects between unilateral hybrid therapy (UHT; unilateral robot-assisted therapy [RT] + modified constraint-induced movement therapy) and bilateral hybrid therapy (BHT; bilateral RT + bilateral arm training) compared with RT. Thirty patients with chronic stroke were randomized to UHT, BHT, or RT groups. Preliminary efficacy was assessed using the Fugl-Meyer Assessment (FMA), the Chedoke Arm and Hand Activity Inventory (CAHAI), and the goal attainment scaling (GAS). Possible adverse effects of abnormal muscle tone, pain, and fatigue were recorded. All groups showed large improvements in motor recovery and individual goals. Significant between-group differences were found on GAS favoring the hybrid groups but not on FMA and CAHAI. No adverse effects were reported. Hybrid therapies are safe and applicable interventions for chronic stroke and favorable for improving individual functional goals. Treatment effects on motor recovery and functional activity might be similar among the three groups.

Authors

  • Chung-Shan Hung
    School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan, Republic of China(∗).
  • Yu-wei Hsieh
    Department of Occupational Therapy and Graduate Institute of Behavioral Sciences, College of Medicine, Chang Gung University, 259 Wenhua 1st Rd, Taoyuan, Taiwan.
  • Ching-yi Wu
    Department of Occupational Therapy and Graduate Institute of Behavioral Sciences, College of Medicine, Chang Gung University, 259 Wenhua 1st Rd, Taoyuan, Taiwan. cywu@mail.cgu.edu.tw.
  • Yu-Ju Chen
    4 Taipei Hospital, New Taipei City.
  • Keh-chung Lin
    School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.
  • Chia-Ling Chen
    Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan, Republic of China(#); Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Taoyuan, Taiwan, Republic of China(#).
  • Kaiping Grace Yao
    5 National Taiwan University, Taipei.
  • Chien-Ting Liu
    7 Taipei Tzu Chi Hospital, Taipei.
  • Yi-Shiung Horng
    7 Taipei Tzu Chi Hospital, Taipei.

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