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Neurology 1999;53:1874
© 1999 American Academy of Neurology


Brief Communications

Robot training enhanced motor outcome in patients with stroke maintained over 3 years

B. T. Volpe, MD, H. I. Krebs, PhD, N. Hogan, PhD, L. Edelsteinn, OTR/L, C. M. Diels, MA and M. L. Aisen, MD

From Cornell University Medical College, Department of Neurology and Neuroscience, Burke Medical Research Institute (Dr. Volpe), White Plains, NY; Mechanical Engineering Department, Newman Laboratory (Drs. Krebs and Hogan), Brain and Cognitive Sciences Department (Dr. Hogan), Massachusetts Institute of Technology, Boston, MA; Rehabilitation Research and Development (Dr. Aisen), Department of Veterans Administration, Washington, DC; and The Burke Rehabilitation Hospital (C.M. Diels and L. Edelsteinn), White Plains, NY.

Address correspondence and reprint requests to Dr. Bruce T. Volpe, Cornell University Medical College, Department Neurology and Neuroscience, Burke Medical Research Institute, 785 Mamaroneck Avenue, White Plains, NY 10605.

In an attempt to improve motor recovery of the upper limb after stroke, we added a robot (MIT-Manus) experience that provided additional goal-directed sensorimotor activity to standard rehabilitation treatments. The first trial produced a significant decrease in motor impairment in the upper limb for the treated group. In re-evaluating 12 of those 20 patients, nearly 3 years later, robot-trained patients showed further significant decreases in impairment measures of the affected limb. The groups were comparable at the start of the study.

Key words: Robotics—Stroke—Motor recovery.




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