Stroke Clinical Trial
Official title:
Integrated Cognitive, Sensory, and Motor Rehabilitation of Hand Functions
This study evaulates the addition to the standard theraphy of enriched sensorimotor training by means of robotic glove therapy, or functional electrical stimulation in the treatment of chronic stroke patients with upper limb motor impairments. All the patients receive the conventional physiotherapic treatment. Supplemental to the conventional treatment, patients are evenly split in four groups to provide different treatments for an equivalent amount of time. Patient in the first group receive supplemental conventional therapy; patients in the second group receive robotic glove therapy; patients in the third group receive functional electrical stimulation; patients in the fourth group receive robotic glove treatment and functional electrical stimulation in different sessions.
Stroke very frequently impacts on patients' motor function, and particularly on upper limb
movements. Limited hand functionality is a major negative outcome after stroke, negatively
affecting patients' recovery and independence, with major impact on rehabilitation.However,
standard motor rehabilitation outcome is often suboptimal, because insufficient or
non-specific treatment is provided. Robotic hand mobilization and functiona electrical
stimulation grasp rehabilitation each improve motor capabilities in grasp impaired patients,
but they do so by different mechanisms.
Robotic hand mobilization achieves grasp rehabilitation by providing passive mobilization of
the affected limb if the subject does not react to the designed task.
Functional electrical stimulation achieves grasp rehabilitation by inducing localized muscle
contraction, that is by providing an electrical field able to stimulate both sensory afferent
pathways and lower motor neurons in the targeted volume.
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