The ArmeoSpring device is an exoskeleton (3 joints and 6 degrees of freedom) with integrated springs. The investigators hypothesize that 3 days of training for 6 weeks with the Hocoma Armeo Spring device will be efficient and more effective than one on one ArmeoSpring therapy.
In the proposed study, 20 stable subacute and chronic stroke patients will be placed in two groups: 2:1 treatment for 3 weeks (2 patients on 2 robots with one therapist; 60 minutes on robot) then 1 on 1 intervention with the therapist (60 minutes of Hocoma Armeo Spring robotic training) or visa versa. Patients will be assessed using robotic kinematics and standardized occupational therapy motor assessments. The extreme precision afforded by robotic physical rehabilitation therapies makes them an appealing and growing field in rehabilitation. Determining efficiency of new technologies, while maintaining the highest quality of care, is of priority in the medical field at this time. Devices such as the ArmeoSpring could lead to reduced disability, thereby increasing function and improving quality of life in patients experiencing neurological illness or injury. The ArmeoSpring has potential to decrease cost for both the provider and patient over time while providing more engaging, evidence-based therapy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
47
A spring-loaded upper extremity exoskeleton with 3 joints and 6 degrees of freedom. Participants use the more affected upper extremity to control and engage in therapeutic games.
Burke Medical Research Institute
White Plains, New York, United States
Change in Upper Extremity Fugl Meyer Assessment
Impairment measure of gross and fine motor upper extremity movements
Time frame: Baseline, immediately after intervention, 3 month follow up
Patient Satisfaction Survey/Enjoyment Scale
Self-report of experience with device and supervision; 20 question scale with 0= no satisfaction/enjoyment, 100= extremely satisfied
Time frame: Baseline, immediately after intervention, 3 month follow up
Box and Blocks Test
Timed measure of gross manual dexterity
Time frame: Baseline, immediately after intervention, 3 month follow up
Grip Strength
Measure of force generated by exerting maximal grip
Time frame: Baseline, immediately after intervention, 3 month follow up
Short Form Health Survey- 36
Self-report questionnaire of health status; minimum score of 0= severe disability and 100 = no disability.
Time frame: Baseline, immediately after intervention, 3 month follow up
Stroke Impact Scale
Quality of life measure; Consists of 59 items and assesses 8 domains; Minimum score 0= no recovery, Maximum score 100= full recovery
Time frame: Baseline, immediately after intervention, 3 month follow up
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.