Effectivity of Exoskeleton Robot-Assisted Therapy on Improving Muscle Strength in Post-Stroke Patient

Authors

  • Aulia Salwa Alfaina Diponegoro University, Indonesia
  • Rahmi Isma Asmara Putri Department of Rehabilitation Medicine, Faculty of Medicine, Diponegoro University, Indonesia
  • Hari Peni Julianti Department of Rehabilitation Medicine, Faculty of Medicine, Diponegoro University, Indonesia
  • Trianggoro Budisulistyo Department of Neurology, Faculty of Medicine, Diponegoro University, Indonesia
  • Rifky Ismail Department of Mechanical Engineering, Faculty of Engineering, Diponegoro University, Indonesia

DOI:

https://doi.org/10.36408/mhjcm.v8i3.588

Keywords:

Exoskeleton robot, muscle strength, stroke

Abstract

Background: Upper limb weakness is the most disability caused by stroke. The availability of physiotherapists is still limited in Indonesia. The exoskeleton robot is a developing technology that involve in stroke rehabilitation therapy.

Objective: To evaluate the effectiveness of exoskeleton robot-assisted therapy on improving muscle strength of patients after stroke.

Methods: An experimental study with two groups pre-test and post-test design carried out using consecutive sampling among outpatient stroke patients in Diponegoro National Hospital (RSND) and William Booth Hospital (RSWB), Semarang. Patients in the robotic group (RG) (n=8) received 16 training sessions. Each session consists of 30 passive and ten active-weighted elbow flexion-extension with the exoskeleton robot. Meanwhile, the control group (CG) (n=8) received equivalent training of conventional therapy. The primary outcome of muscle strength was measured by Manual Muscle Testing (MMT) and handheld dynamometer. Pre and post-test MMT score data in each group were analyzed by Wilcoxon test, while handheld dynamometer score data were analyzed by paired t-test. Data between the two groups were analyzed by Mann-Whitney test and unpaired t-test.

Results: Significant improvements were shown for the MMT score (RG: p=0.014, CG: p=0.034). There were significant handheld dynamometer score improvements on muscle strength for elbow flexor and extensor in RG (p = 0.008 and p = 0.005 respectively) and in CG (p=0.036 and p=0.008 respectively). No significant differences for MMT and handheld dynamometer score between the two groups.

Conclusion: The exoskeleton robot-assisted therapy was as effective as conventional therapy for improving muscle strength in stroke patients.

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References

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Additional Files

Published

2021-11-05

How to Cite

1.
Alfaina AS, Putri RIA, Julianti HP, Budisulistyo T, Ismail R. Effectivity of Exoskeleton Robot-Assisted Therapy on Improving Muscle Strength in Post-Stroke Patient. Medica Hospitalia J. Clin. Med. [Internet]. 2021 Nov. 5 [cited 2024 Apr. 26];8(3):292-6. Available from: http://medicahospitalia.rskariadi.co.id/medicahospitalia/index.php/mh/article/view/588

Issue

Vol. 8 No. 3 (2021): Med Hosp; Nov 2021

Section

Original Article

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