Can additional robotic therapy after stroke improve upper extremity function, pain, anxiety, and quality of life?

Öz

Purpose: The aim of the study is to investigate the effects of upper limb robotic rehabilitation combined with conventional treatment on upper limb functions, pain, anxiety, and quality of life in individuals with stroke. Methods: Twenty-eight individuals with stroke who were voluntary to participate were included in the study. The Individuals were randomized into 14 intervention groups (45 min/1 session/week robotic, 45 min/4 sessions/week conventional rehabilitation) and 14 control groups (45 min/4 sessions/week conventional rehabilitation) and received therapy for six weeks. The participants’ upper limb functions were assessed by Fugl-Meyer Upper Extremity Scale, their pain level were assessed by Visual Analog Scale, their anxiety levels were assessed by Beck Anxiety Inventory, and their quality of life was assessed by Stroke-Specific Quality of Life Scale. Results: When the pre-treatment and six-week post-treatment data were compared, no significant difference was found between the groups in terms of upper limb function, pain, anxiety and quality of life (p>0.05). However, when both groups were evaluated within themselves, a significant improvement was observed in upper limb functions and pain levels (p<0.05). Conclusion: In individuals with stroke, it has been observed that one weekly session of robotic rehabilitation added to conventional treatment has similar effects to conventional rehabilitation alone. Applying one session per week to reduce the cost burden of paid robotic rehabilitation did not provide any additional benefit. We recommend that future studies determine the number of sessions accordingly.

Anahtar Kelimeler

• Stroke Rehabilitation
• Robotic
• Pain
• Anxiety
• Quality of Life

İnme sonrası ilave bir robotik terapi üst ekstremite fonksiyonları, ağrı, anksiyete ve yaşam kalitesini iyileştirebilir mi?

Öz

Amaç: Çalışmanın amacı, inmeli bireylerde konvansiyonel tedaviye ek olarak verilen üst ekstremite robotik rehabilitasyonun üst ekstremite fonksiyonları, ağrı, anksiyete ve yaşam kalitesi üzerine etkisini araştırmaktır. Yöntem: 28 inmeli birey gönüllü olarak dahil edildi. Bireyler; 14 kişi müdahale grubu (45 dk/1seans/hafta robotik, 45 dk/4 seans/hafta konvansiyonel rehabilitasyon) ve 14 kişi kontrol grubu (45 dk/4 seans/hafta konvansiyonel rehabilitasyon) olarak randomize edilerek altı hafta boyunca terapiye alındı. Çalışmamıza dahil edilen bireylerin üst ekstremite fonksiyonları Fugl-Meyer Ölçeği ile, ağrı düzeyleri Visual Analog Skala ile, anksiyete düzeyleri Beck Anksiyete Ölçeği ile, yaşam kaliteleri İnmeye Özgü Yaşam Kalitesi Ölçeği ile değerlendirildi. Bulgular: Tedavi öncesi ve altı hafta sonrası veriler karşılaştırıldığında gruplar arasında; üst ekstremite fonksiyonları, ağrı, anksiyete ve yaşam kalitesi arasında anlamlı bir fark bulunmadı (p>0,05). Fakat her iki grup da kendi içerisinde değerlendirildiğinde; üst ekstremite fonksiyonları ve ağrı düzeylerinde anlamlı bir iyileşme görüldü (p<0,05). Sonuç: İnmeli bireylerde, konvansiyonel tedaviye eklenen haftalık bir seanslık robotik rehabilitasyonun, tek başına konvansiyonel rehabilitasyonla benzer etkiler gösterdiği görülmüştür. Ücretli olan robotik rehabilitasyonun maliyet yükünü azaltmak amacıyla haftada bir seans uygulanması ek bir fayda sağlamamıştır. İleriki çalışmaların seans sayılarını bu doğrultuda belirlemelerini önermekteyiz.

Anahtar Kelimeler

• İnme Rehabilitasyonu
• Robotik
• Ağrı
• Anksiyete
• Yaşam Kalitesi

Kaynakça

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