Document Server@UHasselt >
Research >
Research publications >

Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/16781

Title: Accelerometry measuring the outcome of robot-supported upper limb training in chronic stroke: a randomized controlled trial
Authors: Lemmens, Ryanne J.M.
Janssen-Potten,Yvonne J.M.
Pulles, Sanne A.N.T.D.
Geers, Richard P.J.
Bakx, Wilbert
Smeets, Rob J.E.M.
Seelen, Henk A.M.
Issue Date: 2014
Citation: PloS one, 9(5), (Art.N° e96414)
Abstract: Purpose This study aims to assess the extent to which accelerometers can be used to determine the effect of robot-supported task-oriented arm-hand training, relative to task-oriented arm-hand training alone, on the actual amount of arm-hand use of chronic stroke patients in their home situation. Methods This single-blind randomized controlled trial included 16 chronic stroke patients, randomly allocated using blocked randomization (n = 2) to receive task-oriented robot-supported arm-hand training or task-oriented (unsupported) arm-hand training. Training lasted 8 weeks, 4 times/week, 2×30 min/day using the (T-)TOAT ((Technology-supported)-Task-Oriented-Ar​m-Training)method. The actual amount of arm-hand use, was assessed at baseline, after 8 weeks training and 6 months after training cessation. Duration of use and intensity of use of the affected arm-hand during unimanual and bimanual activities were calculated. Results Duration and intensity of use of the affected arm-hand did not change significantly during and after training, with or without robot-support (i.e. duration of use of unimanual use of the affected arm-hand: median difference of −0.17% in the robot-group and −0.08% in the control group between baseline and after training cessation; intensity of the affected arm-hand: median difference of 3.95% in the robot-group and 3.32% in the control group between baseline and after training cessation). No significant between-group differences were found. Conclusions Accelerometer data did not show significant changes in actual amount of arm-hand use after task-oriented training, with or without robot-support. Next to the amount of use, discrimination between activities performed and information about quality of use of the affected arm-hand are essential to determine actual arm-hand performance. Trial Registration Controlled-trials.com ISRCTN82787126
Notes: Lemmens, RJM (reprint author). Maastricht Univ, Dept Rehabil Med, Res Sch CAPHRI, Maastricht, Netherlands. ryanne.lemmens@maastrichtuniversity.nl
URI: http://hdl.handle.net/1942/16781
DOI: 10.1371/journal.pone.0096414
ISI #: 000336369200019
ISSN: 1932-6203
Category: A1
Type: Journal Contribution
Validation: ecoom, 2015
Appears in Collections: Research publications

Files in This Item:

Description SizeFormat
N/A931.05 kBAdobe PDF

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.