Armeo Spring improves quality of movement and quality of life after stroke

Česká verzia

Authors: Š. A. Čechová ^1,2,3; D. Pastucha ^2,3; I. Chmelová ^2,3; Š. Baníková ^2,3
Authors place of work: Ostravská univerzita v Ostravě Lékařská fakulta a Fakultní nemocnice Ostrava ; Ústav epidemiologie a ochrany veřejného zdraví LF OU Vedoucí ústavu: doc. MUDr. Rastislav Maďar, PhD., MBA, FRCPS ¹; Klinika rehabilitace a tělovýchovného lékařství FN Ostrava Přednosta: doc. MUDr. Dalibor Pastucha, Ph. D., MBA Primářka: MUDr. Šárka Baníková, MBA ²; Klinika rehabilitace a tělovýchovného lékařství LFOU Vedoucí ústavu: doc. MUDr. Dalibor Pastucha, Ph. D., MBA ³
Published in the journal: Prakt. Lék. 2023; 103(4): 180-187
Category: Of different specialties

Summary

Background: Stroke patients are facing motor impairments which result in limited function, disability and decrease of the healthrelated quality of life (HRQoL). We introduce the use of Armeo Spring device as an assessment tool for movement quality. The aim of our pilot study was to assess the impact of Armeo Spring training on quality of upper limb (UL) movement and its linkage to HRQoL changes in stroke patients after rehabilitation.

Methodology: Prospective randomized trial took place at the Department of Rehabilitation and Sports Medicine at University Hospital in Ostrava from April to September 2022. Intervention group (IG) consisted of six people (2 females, 4 males, mean age 67,33 ± 13,25 years), control group (CG) consisted of six people (4 females, 2 males, mean age 65,33 ± 13,38 years). Assessments were comprised of EQ-5D-5L quality of life questionnaire, kinesiological assessment, AGOAL assessment on Armeo Spring device, modified Frenchay Arm Test, Barthel Index (activities of daily living). The average duration of therapy was 120 minutes daily (CG 120 min conventional treatment), (IG 30 min Armeo Spring + 90 min conventional treatment). The total sum of therapeutic sessions was 10 to 12 during 3 weeks.

Results: IG reached significantly higher scores in 3 of total 4 variables. Health-related quality of life was measured by EQ-5D-5L system. IG obtained significantly higher score in EQ-5D index. In the AGOAL assessment, participants from IG performed larger improvement, although the difference was not statistically significant due to small number of participants. In the Modified Frenchay Arm Test and in the Barthel Index participants in the IG showed significantly higher progress.

Conclusion: The functional task-oriented training with anti-gravitational support led to significant improvement in UL function and perceived HRQoL. Progress in movement accuracy was higher in the IG, although it was not statistically significant.

These outcomes of our pilot study form the base and implications for our future research which should work with larger sample and focus more profoundly on specific HRQoL domains in population of stroke survivors.

Keywords:

stroke – Quality of life – upper extremity paresis – Armeo Spring – hand path ratio

Zdroje

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