Changes in skeletal muscle perfusion and spasticity in patients with poststroke hemiparesis treated by robotic assistance (Gloreha) of the hand
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- Bissolotti Luciano
- Laboratory of Neuromuscular Rehabilitation and Adapted Physical Activity, Italy
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- Villafañe Jorge Hugo
- IRCCS Don Gnocchi Foundation: Milan, Italy
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- Gaffurini Paolo
- Laboratory of Neuromuscular Rehabilitation and Adapted Physical Activity, Italy
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- Orizio Claudio
- Laboratory of Neuromuscular Rehabilitation and Adapted Physical Activity, Italy
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- Valdes Kristin
- Gannon University, USA
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- Negrini Stefano
- IRCCS Don Gnocchi Foundation: Milan, Italy Department of Clinical and Experimental Sciences, University of Brescia, Italy
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[Purpose] The purpose of this case series was to determine the effects of robot-assisted hand rehabilitation with a Gloreha device on skeletal muscle perfusion, spasticity, and motor function in subjects with poststroke hemiparesis. [Subjects and Methods] Seven patients, 2 women and 5 men (mean ± SD age: 60.5 ±6.3 years), with hemiparesis (>6 months poststroke), received passive mobilization of the hand with a Gloreha (Idrogenet, Italy), device (30 min per day; 3 sessions a week for 3 weeks). The outcome measures were the total hemoglobin profiles and tissue oxygenation index (TOI) in the muscle tissue evaluated through near-infrared spectroscopy. The Motricity Index and modified Ashworth Scale for upper limb muscles were used to assess mobility of the upper extremity. [Results] Robotic assistance reduced spasticity after the intervention by 68.6% in the upper limb. The Motricity Index was unchanged in these patients after treatment. Regarding changes in muscle perfusion, significant improvements were found in total hemoglobin. There were significant differences between the pre- and posttreatment modified Ashworth scale. [Conclusion] The present work provides novel evidence that robotic assistance of the hand induced changes in local muscle blood flow and oxygen supply, diminished spasticity, and decreased subject-reported symptoms of heaviness and stiffness in subjects with post-stroke hemiparesis.
収録刊行物
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- J Phys Ther Sci
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J Phys Ther Sci 28 (3), 769-773, 2016
理学療法科学学会
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詳細情報 詳細情報について
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- CRID
- 1390282679306449920
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- NII論文ID
- 130005141140
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- ISSN
- 21875626
- 09155287
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可