BACKGROUND AND PURPOSE: To compare a computerized @entity68036 ( @entity68036 ), allowing repetitive practice of passive and active bilateral forearm and wrist movement cycle, and electromyography-initiated @entity8425 ( @entity8425 ) of the paretic wrist extensor in severely affected subacute @entity64 @entity1 . METHOD: A total of 44 @entity1 , 4 to 8 weeks after @entity64 causing severe arm paresis (Fugl-Meyer Motor Score [FM, 0 to 66] <18), were randomly assigned to either @entity68036 or @entity8425 . All @entity1 practiced 20 minutes every workday for 6 weeks. @entity68036 @entity1 performed 800 repetitions per session with the robot and @entity8425 @entity1 performed 60 to 80 wrist extensions per session. The primary outcome measure was the blindly assessed FM (0 to 66), and the secondary measures were the upper limb muscle power (Medical Research Council [MRC] sum, 0 to 45) and muscle tone (Ashworth score sum, 0 to 25), assessed at the beginning and end of treatment and at 3-month follow-up. RESULTS: The @entity68036 group had a higher Barthel Index score at baseline, but the groups were otherwise homogenous. As expected, FM and MRC sum scores improved overtime in both groups but significantly more in the robot @entity68036 group. The initial Barthel Index score had no influence. In the robot @entity68036 group, FM score was 15 points higher at study end and 13 points higher at 3-month follow-up than the control @entity8425 group. MRC sum score was 15 points higher at study end and at 3-month follow-up compared with the control @entity8425 group. Muscle tone remained unchanged, and no side effects occurred. CONCLUSIONS: The computerized active arm training produced a superior improvement in upper limb motor control and power compared with @entity8425 in severely affected @entity64 @entity1 . This is probably attributable to the greater number of repetitions and the bilateral approach.

Computerized arm training improves the motor control of the severely affected arm after XXXX : a single-blinded randomized trial in two centers.

@entity8425 :: ('MESH:D004556', 'Disease') :: ['electrical stimulation', 'ES'] @entity68036 :: ('MESH:C536179', 'Disease') :: ['arm trainer', 'AT'] @entity1 :: ('9606', 'Species') :: ['patients'] @entity64 :: ('MESH:D020521', 'Disease') :: ['stroke']
@entity64 :: (MESH:D020521,Disease) :: ['stroke']
