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: RoboticsStrokeMotor recovery.
This article has been cited by other articles:

|
 |

|
 |
 
C. Bosecker, L. Dipietro, B. Volpe, and H. Igo Krebs
Kinematic Robot-Based Evaluation Scales and Clinical Counterparts to Measure Upper Limb Motor Performance in Patients With Chronic Stroke
Neurorehabil Neural Repair,
January 1, 2010;
24(1):
62 - 69.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
A. C. Lo, P. Guarino, H. I. Krebs, B. T. Volpe, C. T. Bever, P. W. Duncan, R. J. Ringer, T. H. Wagner, L. G. Richards, D. M. Bravata, et al.
Multicenter Randomized Trial of Robot-Assisted Rehabilitation for Chronic Stroke: Methods and Entry Characteristics for VA ROBOTICS
Neurorehabil Neural Repair,
October 1, 2009;
23(8):
775 - 783.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
P. Cordo, H. Lutsep, L. Cordo, W. G. Wright, T. Cacciatore, and R. Skoss
Assisted Movement With Enhanced Sensation (AMES): Coupling Motor and Sensory to Remediate Motor Deficits in Chronic Stroke Patients
Neurorehabil Neural Repair,
January 1, 2009;
23(1):
67 - 77.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Rabadi, M. Galgano, D. Lynch, M Akerman, M. Lesser, and B. Volpe
A pilot study of activity-based therapy in the arm motor recovery post stroke: a randomized controlled trial
Clinical Rehabilitation,
December 1, 2008;
22(12):
1071 - 1082.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
S. Coote, B. Murphy, W. Harwin, and E. Stokes
The effect of the GENTLE/s robot-mediated therapy system on arm function after stroke
Clinical Rehabilitation,
May 1, 2008;
22(5):
395 - 405.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
G. Kwakkel, B. J. Kollen, and H. I. Krebs
Effects of Robot-Assisted Therapy on Upper Limb Recovery After Stroke: A Systematic Review
Neurorehabil Neural Repair,
April 1, 2008;
22(2):
111 - 121.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
C. D. Takahashi, L. Der-Yeghiaian, V. Le, R. R. Motiwala, and S. C. Cramer
Robot-based hand motor therapy after stroke
Brain,
February 1, 2008;
131(2):
425 - 437.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Casadio, V. Sanguineti, C. Solaro, and P. G. Morasso
A Haptic Robot Reveals the Adaptation Capability of Individuals with Multiple Sclerosis
The International Journal of Robotics Research,
November 1, 2007;
26(11-12):
1225 - 1233.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Hatakenaka, I. Miyai, S. Sakoda, and T. Yanagihara
Proximal paresis of the upper extremity in patients with stroke
Neurology,
July 24, 2007;
69(4):
348 - 355.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. E. Fasoli, H. I. Krebs, M. Ferraro, N. Hogan, and B. T. Volpe
Does Shorter Rehabilitation Limit Potential Recovery Poststroke?
Neurorehabil Neural Repair,
June 1, 2004;
18(2):
88 - 94.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
S. Barreca, S. L. Wolf, S. Fasoli, and R. Bohannon
Treatment Interventions for the Paretic Upper Limb of Stroke Survivors: A Critical Review
Neurorehabil Neural Repair,
December 1, 2003;
17(4):
220 - 226.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Ferraro, J. H. Demaio, J. Krol, C. Trudell, K. Rannekleiv, L. Edelstein, P. Christos, M. Aisen, J. England, S. Fasoli, et al.
Assessing the Motor Status Score: A Scale for the Evaluation of Upper Limb Motor Outcomes in Patients after Stroke
Neurorehabil Neural Repair,
September 1, 2002;
16(3):
283 - 289.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
F. d. N. A. P. Shelton and M. J. Reding
Effect of Lesion Location on Upper Limb Motor Recovery After Stroke
Stroke,
January 1, 2001;
32(1):
107 - 112.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
I. Miyai, T. Suzuki, J. Kang, and B. T. Volpe
Improved Functional Outcome in Patients With Hemorrhagic Stroke in Putamen and Thalamus Compared With Those With Stroke Restricted to the Putamen or Thalamus
Stroke,
June 1, 2000;
31(6):
1365 - 1369.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
B. T. Volpe, H. I. Krebs, N. Hogan, L. Edelstein, C. Diels, and M. Aisen
A novel approach to stroke rehabilitation: Robot-aided sensorimotor stimulation
Neurology,
May 23, 2000;
54(10):
1938 - 1944.
[Abstract]
[Full Text]
[PDF]
|
 |
|
|