Effects of Proximal Priority and Distal Priority Robotic Priming Techniques With Impairment-Oriented Training of Upper Limb Functions in Patients With Chronic Stroke: Study Protocol For A Single-Blind, Randomized Controlled Trial.
Journal
Trials
Journal Issue
MEDICINE, RESEARCH & EXPRIMENTAL
Pages
1
Date Issued
2021
Author(s)
Lee, Y-C., Li, Y-C., LIN, K-C*., Chen C-L., Wu, Y-H., Kuo, C-C., Yeh, Y-P., Liu, T-X.
Abstract
Background
The sequence of establishing proximal stability or function before facilitation of the distal body part has
long been recognized in stroke rehabilitation practice but lacks scientic evidence. This study plans to
examine the effects of proximal priority robotic priming and impairment-oriented training (PRI) and distal
priority robotic priming and impairment-oriented training (DRI).
Methods
This single-blind, randomized, comparative ecacy study will involve 40 participants with chronic stroke.
Participants will be randomized into PRI or DRI groups and receive 18 intervention sessions (90 min/d, 3
d/wk for 6 weeks). The Fugl-Meyer Assessment Upper Extremity subscale, Medical Research Council
Scale, Revised Nottingham Sensory Assessment, and Wolf Motor Function Test will be administered at
baseline, after treatment, and at the 3-month follow-up. Two-way repeated-measures analysis of variance
and the chi-square automatic interaction detector method will be used to examine the comparative
ecacy and predictors of outcome, respectively, after PRI and DRI.
Discussion
Through manipulating the sequence of applying wrist and forearm robots in therapy, this study will
attempt to examine empirically the priming effect of proximal or distal priority robotic therapy in upper
extremity impairment-oriented training for people with stroke. The ndings will provide directions for
further studies and empirical implications for clinical practice in upper extremity rehabilitation after
stroke.
Subjects
Stroke, Upper extremity rehabilitation, Proximal priority, Distal priority, Robotic therapy, Bilateral motor priming, Impairment-oriented training, Randomized controlled trial
SDGs
Publisher
Trials
Type
journal article
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