Arm weight support training improves functional motor outcome and movement smoothness after stroke

Bartolo, Michelangelo and De Nunzio, Alessandro Marco and Sebastiano, Fabio and Spicciato, Francesca and Tortola, Paolo and Nilsson, Jan and Pierelli, Francesco (2014) Arm weight support training improves functional motor outcome and movement smoothness after stroke. Functional Neurology, 29 (1). pp. 15-21. ISSN 1971-3274

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The aim of this study was to compare the effectiveness in acute stroke patients of a rehabilitation program performed with or without an arm weight support device. Twenty-eight acute, first-ever unilateral stroke patients were enrolled in a single-blind, randomized controlled trial. Clinical evaluation included Fugl-Mayer Assessment, Functional Independence Measure and kinematic analysis [maximum and mean hand velocity, maximum range of motion (Max RoM), normalized jerk (NJ)]. Patients received 12 daily 30-minute sessions (6/week) of additional upper limb therapy performed using an arm weight support device (study group) or additional traditional physiotherapy (control group). The patients were evaluated on admission and at the end of the rehabilitation intervention. The two groups were clinically comparable on admission (p>0.05). Both groups showed significant improvements in clinical scale scores and in Max RoM in flexion-extension, while only the study group showed improvements in NJ and in Max RoM in adduction-abduction. Rehabilitation training using an arm weight support device appears to be a useful method to supplement conventional therapy in acute stroke patients, increasing smoothness of movement and motor function.

Item Type: Article
Uncontrolled Keywords: arm weight support, kinematics, neurorehabilitation, stroke, upper limb
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici)
Depositing User: Marina Spanti
Date Deposited: 16 Dec 2015 16:58
Last Modified: 16 Dec 2015 16:58

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