Abstract
Background
Impairments in upper limb motor function and cognitive ability are major health problems experienced by stroke patients, necessitating the development of novel and effective treatment options in stroke care. The aim of this study is to examine the effects of robot-assisted therapy on improving upper limb and cognitive functions in stroke patients.
Methods
This will be a single-blinded, 2-arm, parallel design, randomized controlled trial which will include a sample size of 86 acute and subacute stroke patients to be recruited from a single clinical hospital in Shanghai, China. Upon qualifying the study eligibility, participants will be randomly assigned to receive either robot-assisted therapy or conventional therapy with both interventions being conducted over a 6-week period in a clinical rehabilitation setting. In addition to comprehensive rehabilitation, the robot-assisted therapy group will receive a 30-min Armguider robot-assisted therapy intervention 5 days a week. Primary efficacy outcomes will include Fugl-Meyer Assessment for Upper Extremity (FMA-UE) and Mini-Mental Status Examination (MMSE). Other secondary outcomes will include Trail Making Test (TMT), Auditory Verbal Learning Test (AVLT), Digit Symbol Substitution Test (DSST), and Rey–Osterrieth Complex Figure Test (ROCFT). All trial outcomes will be assessed at baseline and at 6-week follow-up. Intention-to-treat analyses will be performed to examine changes from baseline in the outcomes. Adverse events will be monitored throughout the trial period.
Discussion
This will be the first randomized controlled trial aimed at examining the effects of robot-assisted therapy on upper limb and cognitive functions in acute and subacute stroke patients. Findings from the study will contribute to our understanding of using a novel robotic rehabilitation approach to stroke care and rehabilitation.
Trial registration
Chinese Clinical Trial Registry ChiCTR2100050856. Registered on 5 September 2021.
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Details
1 the First Rehabilitation Hospital of Shanghai, The Center of Rehabilitation Therapy, Shanghai, China; Shanghai University of Sport, Key Laboratory of Exercise and Health Science of Ministry of Education, Shanghai, China (GRID:grid.412543.5) (ISNI:0000 0001 0033 4148)
2 the First Rehabilitation Hospital of Shanghai, The Center of Rehabilitation Therapy, Shanghai, China (GRID:grid.412543.5)
3 the First Rehabilitation Hospital of Shanghai, The Neurorehabilitation Center, Shanghai, China (GRID:grid.412543.5)




