Robot-Assisted Rehabilitation in Individuals With Stroke
Condition: Stroke
MeSH terms: Stroke
Study type: Interventional

Summary: 
      Stroke has a high rate of morbidity and mortality worldwide. This disease is the third
      leading cause of death after ischemic heart disease and cancer. Stroke is also the leading
      cause of disability in adults. It is known that stroke individuals have not only limb
      restriction, but also respiratory capacity and exercise capacity. It has been shown in the
      literature that upper extremity functions are directly related to respiratory capacity.
      Although it is known that upper extremity training has positive effects on respiratory
      capacity in stroke individuals, more studies are needed to examine the effects of upper
      extremity robot-assisted rehabilitation on respiratory capacity. The aim of this study is to
      examine the effects of upper extremity robot-assisted rehabilitation applied in addition to
      conventional treatment on respiratory parameters, dyspnea, and functional capacity.
    

Detailed description: 
      One of the most common complications in stroke patients is pulmonary aspiration and
      pneumonia, which are associated with respiratory functions being affected. Fluoroscopic
      examinations of stroke patients showed decreased movement in the diaphragm as well as in
      other muscles on the affected side. The combination of a decrease in respiratory parameters,
      weakness in respiratory muscles, and a decrease in diaphragmatic activity can cause dyspnea
      in individuals even that require minimal effort. The low level of physical activity is
      accompanied by a decrease in respiratory functions, and the participation of individuals in
      society decreases. The purpose of stroke rehabilitation is to reduce the complications caused
      by stroke and to increase the individual's psychological, social, physical, and professional
      level of independence and functionality to the highest level. Nowadays, stroke rehabilitation
      can be shaped by a variety of methods. In clinics, robotic rehabilitation is commonly used
      for stroke patients with the development of the technology. In the literature, studies show
      the effect of robotic rehabilitation on respiratory parameters, also robot-assisted walking
      training provides significant improvement in some respiratory parameters and increases
      aerobic capacity. The aim of this study is to evaluate the effects of upper extremity
      robot-assisted rehabilitation applied in addition to conventional treatment on respiratory
      parameters, dyspnea, and functional capacity in individuals with stroke.
    

Intervention name(s): Robot-assisted rehabilitation; Conventional rehabilitation
Intervention type(s): Other; Other
Intervention description(s): In addition to conventional treatment, an upper extremity robot-assisted rehabilitation program. Range of motion exercises will display on the monitor as a game form. There are 4 games available on the computer (airplane game, rabbit shooting game, ball game, and shopping game) and these games can provide exercises for three joints (shoulder, elbow wrist). There are also 3 different levels of resistance apparatus for each joint. People with a full range of motion can do these exercises with resistance. Before starting the rehabilitation, which joint and which movement to do is determined. To the person; After explaining the desired movement and how to play the game shown on the monitor, the exercises are started. The exercises last 45 minutes, during which exercises are performed for the shoulder, elbow, and wrist.; The conventional Rehabilitation Program consists of; range of motion exercises, strengthening exercises, stretching exercises, balance, and walking exercises and Bobath based neurophysiological approaches.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Randomized controlled study
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: robot-assisted training; respiratory parameters