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  4. Reactive Exercises with Interactive Objects: Interim Analysis of a Randomized Trial on Task-Driven NMES Grasp Rehabilitation for Subacute and Early Chronic Stroke Patients
 
research article

Reactive Exercises with Interactive Objects: Interim Analysis of a Randomized Trial on Task-Driven NMES Grasp Rehabilitation for Subacute and Early Chronic Stroke Patients

Crema, Andrea  
•
Furfaro, Ivan  
•
Raschella, Flavio  
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October 1, 2021
Sensors

Enriched environments and tools are believed to promote grasp rehabilitation after stroke. We designed S2, an interactive grasp rehabilitation system consisting of smart objects, custom orthoses for selective grasp constraining, and an electrode array system for forearm NMES. Motor improvements and perceived usability of a new enriched upper limb training system for sub-acute stroke patients was assessed in this interim analysis. Inclusion criteria: sub-acute stroke patients with MMSE > 20, ipsilesional MI > 80%, and contralesional MI < 80%. Effects of 30-min therapy supplements, conventional vs. S2 prototype, are compared through a parallel two-arms dose-matched open-label trial, lasting 27 sessions. Clinical centres: Asklepios Neurologische Klinik Falkenstein, Konigstein im Taunus, Germany, and Clinica Villa Beretta, Costa Masnaga, Italy. Assessment scales: ARAT, System Usability, and Technology Acceptance. Methodology: 26 participants were block randomized, allocated to the study (control N=12, experimental N=14) and underwent the training protocol. Among them, 11 participants with ARAT score at inclusion below 35, n = 6 in the experimental group, and n = 5 in the control group were analysed. Results: participants in the enriched treatment group displayed a larger improvement in the ARAT scale (+14.9 pts, p(val)=0.0494). Perceived usability differed between clinics. No adverse effect was observed in relation to the treatments. Trial status: closed. Conclusions: The S2 system, developed according to shared clinical directives, was tested in a clinical proof of concept. Variations of ARAT scores confirm the feasibility of clinical investigation for hand rehabilitation after stroke.

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Type
research article
DOI
10.3390/s21206739
Web of Science ID

WOS:000715695900001

Author(s)
Crema, Andrea  
Furfaro, Ivan  
Raschella, Flavio  
Rossini, Mauro
Zajc, Johannes
Wiesener, Constantin
Baccinelli, Walter
Proserpio, Davide
Augsten, Andreas
Immick, Nancy
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Date Issued

2021-10-01

Publisher

MDPI

Published in
Sensors
Volume

21

Issue

20

Article Number

6739

Subjects

Chemistry, Analytical

•

Engineering, Electrical & Electronic

•

Instruments & Instrumentation

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Chemistry

•

Engineering

•

sub-acute

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stroke

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interactive

•

grasp

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rehabilitation

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neuromuscular electrical-stimulation

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covid-19

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
TNE  
LSBI  
UPCOURTINE  
Available on Infoscience
November 20, 2021
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/183143
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