title: Cortical activation during robotic therapy for a severely affected arm in a chronic stroke patient: a case report.
abstract: The use of robotic-aided therapy in a patient with residual damage from a previous stroke was an attempt to improve function in a moderate to severe hemiparetic arm. Cortical activities associated with motor recovery are not well documented and require investigation. A chronic stroke patient with a severely affected arm underwent a robotic-training program for 12 weeks. The robotic-aided therapy improved motor control and spasticity in the proximal upper-limb. An increased oxygenated hemoglobin level was observed at the motor-related area in the affected hemisphere. A 12-week robotic-aided training program used in a chronic stroke patient demonstrated elements of motor recovery, and was also associated with direct activation of the affected hemisphere.
authors.affiliation: Department of Rehabilitation Medicine, School of Medicine, University of Occupational and Environmental Health, Yahatanishi-ku, Kitakyushu 807-8555, Japan.
authors.forename: Satoru
authors.initials: S
authors.lastname: Saeki
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Matsushima
authors.forename: Kenji
authors.initials: K
authors.lastname: Hachisuka
mesh_terms: D001132:Arm / Q000503:physiopathology*; D002540:Cerebral Cortex / Q000378:metabolism*; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008875:Middle Aged; D009043:Motor Activity; D010108:Oxyhemoglobins / Q000378:metabolism; D010291:Paresis / Q000209:etiology* / Q000503:physiopathology / Q000534:rehabilitation* / Q000628:therapy; D012371:Robotics / Q000379:methods*; D020521:Stroke / Q000150:complications*
chemical_list: D010108:Oxyhemoglobins