Combined use of repetitive task practice and an assistive robotic device in a patient with subacute stroke.
OBJECTIVE
This case report describes a training program comprising repetitive task practice (RTP) and robotic therapy for a patient with subacute stroke and resultant impaired upper-extremity function.


METHODS
A 63-year-old man with right-sided hemiplegia resulting from a hemorrhagic stroke received a combined intervention of RTP and robotic therapy for 4 hours per day for 3 weeks. Clinical and kinetic evaluations were performed before and after intervention.


RESULTS
Following the combined intervention, clinical improvements in hand function were observed, maximum grip force decreased slightly, and interlimb coupling decreased.


CONCLUSIONS
An intervention of RTP with robotic therapy may be an effective method to improve upper-extremity function following stroke. Furthermore, the case suggests that improvements in strength are not necessary for improved dexterous function, provided that a minimal level of strength is present.
Frick
Ellen M
EM
Department of Orthopedic Surgery & Rehabilitation, University of Oklahoma Health Sciences Center, Oklahoma City, Okla., USA.
Alberts
Jay L
JL
D004576:Electromyography; D026241:Exercise Movement Techniques / Q000295:instrumentation*; D018737:Hand Strength; D006429:Hemiplegia / Q000209:etiology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008328:Man-Machine Systems; D008875:Middle Aged; D011597:Psychomotor Performance; D012371:Robotics; D012656:Self-Help Devices; D020521:Stroke / Q000150:complications; D000071939:Stroke Rehabilitation; D034941:Upper Extremity