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  4. The Impact of Robotic Therapy on the Self-Perception of Upper Limb Function in Cervical Spinal Cord Injury: A Pilot Randomized Controlled Trial

The Impact of Robotic Therapy on the Self-Perception of Upper Limb Function in Cervical Spinal Cord Injury: A Pilot Randomized Controlled Trial

Int. J. Environ. Res. Public Health, 2022 · DOI: 10.3390/ijerph19106321 · Published: May 23, 2022

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study explores how robotic therapy affects the self-perception of upper limb function in individuals with cervical spinal cord injury. It examines whether using a robotic device during rehabilitation improves how patients view their ability to perform daily activities. Participants were divided into two groups: one received conventional therapy plus robotic therapy, and the other received conventional therapy alone. The study measured changes in their self-perceived upper limb capabilities and independence in daily living activities. The findings suggest that while both groups improved, the robotic therapy group showed slightly better improvements in certain aspects, particularly in their self-reported ability to perform feeding tasks. This indicates robotic therapy may offer added benefits in specific areas of upper limb rehabilitation.

Study Duration
8 weeks
Participants
26 patients with cervical SCI
Evidence Level
Level 1, Randomized Controlled Trial

Key Findings

  • 1
    The improvement in the feeding item of SCIM was significantly higher in the intervention group than in the control group after the treatment.
  • 2
    Although both groups improved, the clinical relevance related to the changes observed for both assessments was slightly higher in the intervention group than in the control group.
  • 3
    At the end of treatment, the correlation between the self-care items was high for both experimental groups (0.837 in the control group and 0.821 in the intervention group, p < 0.01).

Research Summary

This study evaluated the impact of robotic therapy on the self-perception of upper limb function in patients with cervical spinal cord injury, focusing on their perceived limitations and independence in daily activities. Twenty-six patients were randomly assigned to either an intervention group (robotic therapy + conventional therapy) or a control group (conventional therapy only), with treatment consisting of 40 sessions over 8 weeks. The intervention group showed significantly higher improvement in the feeding item of the Spinal Cord Independence Measure (SCIM) compared to the control group, suggesting a potential benefit of robotic therapy in this specific area.

Practical Implications

Enhanced Feeding Ability

Robotic therapy may offer targeted benefits in improving feeding abilities among cervical SCI patients.

Positive Correlation

The study highlights the positive correlation between self-perception of upper limb function and independence in daily living activities, suggesting that improvements in one area may positively influence the other.

Methodological Considerations

The study design, with matched therapy doses and an independent control group, provides a robust framework for future research in robotic therapy for SCI patients.

Study Limitations

  • 1
    The study was performed in a single center
  • 2
    Not having an additional follow-up evaluation of the participants approximately two months after the end of the study.
  • 3
    Relatively small sample size (n=26)

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