A look into the American Heart Association’s guidelines to improve FIM® scores
The American Heart Association released the following statement in 2010:
“Robot Assisted Upper Extremity Therapy can improve motor function during the
Inpatient period after stroke.”
Clinical trial used for reference: The effect of robot-assisted therapy and rehabilitative training on motor recovery following stroke. Arch Neurology Aisen ML, Krebs HI, Hogan N, McDowell F, Volpe BT.1997;54:443.
Key Outcomes from this randomized controlled clinical trial
- A 31 point change in FIM® scores from admission to discharge
- Improvement of 30% over the control group
- 2X Motor Power Improvement
- Improvement from robot therapy was maintained on a 3 year follow up evaluation.
RESULTS: Impairment and disability declined in both groups between hospital admission and discharge.
The robot-treated group showed a greater degree of improvement in all 3 measures of motor recovery, and the change in motor status measured in the proximal upper limb musculature was significant (P = .002).
No adverse events resulted from robot-assisted therapy.
Randomized controlled study: 56 Inpatients – Burke Rehabilitation Hospital
Intervention: MIT-Manus its clinical version – InMotion Arm to deliver intensive sensorimotor upper extremity arm therapy
Intensive sensorimotor robotic arm with the InMotion therapy protocol 1hr/day 5xper week for 25 sessions
in addition to conventional and occupational therapy delivered in the inpatient setting at
Burke Rehabilitation Hospital
Both control and active intervention groups received standard occupational and physical therapy offered at
Burke Rehabilitation Hospital.
|Post-pretreatment differences:||FIM Motor||FIM Cognition||MP|
|Robot-Trained||25.0+/- 3.5||6.0+/- 2.0||4.1+/-1.4|
3 year follow-up:
Patients continued to improve
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