Effects of Rehabilitation Robot Training on Physical Function, Functional Recovery, and Daily Living Activities in Patients with Sub-Acute Stroke

• Published in: Medicina (Kaunas, Lithuania) Vol. 60; no. 5; p. 811
• Main Authors: Kim, Se-Young, Lee, Mi-Young, Lee, Byoung-Hee
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 01.05.2024
• Subjects: Activities of Daily Living; Aged; Analysis; balance; Brain research; Chronic illnesses; Exercise Therapy - instrumentation; Exercise Therapy - methods; Experiments; Female; functional status; Gait; Humans; Male; Middle Aged; Mortality; muscle strength; Neuroplasticity; Orthostatic hypotension; Physical therapy; Recovery of Function; Rehabilitation; robot rehabilitation; Robotics; Robotics - methods; Robots; South Korea; Stroke; Stroke - physiopathology; Stroke Rehabilitation - instrumentation; Stroke Rehabilitation - methods; sub-acute stroke; Therapists; Training; Treatment Outcome; South Korea; Switzerland; Germany; muscle strength; balance; functional status; robot rehabilitation; sub-acute stroke; activities of daily living
• ISSN: 1648-9144; 1010-660X; 1648-9144
• DOI: 10.3390/medicina60050811

Stroke often results in sensory deficits, muscular weakness, and diminished postural control, thereby restricting mobility and functional capabilities. It is important to promote neuroplasticity by implementing task-oriented exercises that induce changes in patients. Therefore, this study aimed to investigate the effects of rehabilitation robot training on physical function, functional recovery, and activities of daily living (ADLs) in patients with subacute stroke. The study participants were patients with subacute stroke receiving treatment at Hospitals A and B. They were selected as research subjects based on selection and exclusion criteria. The experimental group received rehabilitation robot training in sessions of 30 min, five times weekly, for a total of 20 sessions over four weeks. Conversely, the control group underwent standard rehabilitation equipment training with an identical frequency, duration, and number of sessions. Measurements were taken before and after the training period to assess changes in physical function, functional recovery, and activities of daily living using tools such as the MMT, BBS, FBG, FAC, FIM, and MBI. The results were as follows: in the within-group comparison, the rehabilitation robot training group showed significant differences in MMT, BBS, FBG, FAC, FIM, and MBI (p < 0.05), while the control group showed significant differences in FIM (p < 0.05). Statistically significant differences were observed in the time, group, and time × group interaction effects among the MMT, static seated FBG, dynamic seated FBG, FIM, and MBI (p < 0.05). Based on these results, rehabilitation robotic training resulted in significant improvements in physical function, functional recovery, and activities of daily living in patients with subacute stroke. Based on these findings, providing a basic protocol for a rehabilitation program that applies rehabilitation robot training to patients with subacute stroke may offer more effective treatment and outcomes in the future.