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Neurorehabilitacija i robotika kod osoba s hemiparezom gornjeg ekstremiteta nakon moždanog udara
Medicina Fluminensis, 58 (2022), 4; 407-415. https://doi.org/10.21860/medflum2022_284698
Avancini-Dobrović, Viviana; Baniček-Šoša, Ivanka; Mršić, Dunja; Schnurrer-Luke-Vrbanić, Tea

Institutional repository: Repository of the University of Rijeka, Faculty of Medicine

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Avancini Dobrović, V., Baniček Šoša, I., Mršić, D. & Schnurrer Luke Vrbanić, T. (2022). Neurorehabilitacija i robotika kod osoba s hemiparezom gornjeg ekstremiteta nakon moždanog udara. Medicina Fluminensis, 58. (4), 407-415. doi: 10.21860/medflum2022_284698

Avancini Dobrović, Viviana, et al. "Neurorehabilitacija i robotika kod osoba s hemiparezom gornjeg ekstremiteta nakon moždanog udara." Medicina Fluminensis, vol. 58, no. 4, 2022, pp. 407-415. https://doi.org/10.21860/medflum2022_284698

Avancini Dobrović, Viviana, Ivanka Baniček Šoša, Dunja Mršić and Tea Schnurrer Luke Vrbanić. "Neurorehabilitacija i robotika kod osoba s hemiparezom gornjeg ekstremiteta nakon moždanog udara." Medicina Fluminensis 58, no. 4 (2022): 407-415. https://doi.org/10.21860/medflum2022_284698

Avancini Dobrović, V., et al. (2022) 'Neurorehabilitacija i robotika kod osoba s hemiparezom gornjeg ekstremiteta nakon moždanog udara', Medicina Fluminensis, 58(4), pp. 407-415. doi: 10.21860/medflum2022_284698

Avancini Dobrović V, Baniček Šoša I, Mršić D, Schnurrer Luke Vrbanić T. Neurorehabilitacija i robotika kod osoba s hemiparezom gornjeg ekstremiteta nakon moždanog udara. Medicina Fluminensis [Internet]. 2022 [cited 2024 May 08];58(4):407-415. doi: 10.21860/medflum2022_284698

V. Avancini Dobrović, I. Baniček Šoša, D. Mršić and T. Schnurrer Luke Vrbanić, "Neurorehabilitacija i robotika kod osoba s hemiparezom gornjeg ekstremiteta nakon moždanog udara", Medicina Fluminensis, vol. 58, no. 4, pp. 407-415, 2022. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:952592. [Accessed: 08 May 2024]

Metadata
Title (croatian)Neurorehabilitacija i robotika kod osoba s hemiparezom gornjeg ekstremiteta nakon moždanog udara
Title (english)Neurorehabilitation and robotics in individuals with upper extremity hemiparesis after stroke
AuthorViviana Avancini-Dobrović
AuthorIvanka Baniček-Šoša
AuthorDunja Mršić
AuthorTea Schnurrer-Luke-Vrbanić
Author's institution(Clinical Hospital Center Rijeka)
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Rehabilitatiom Medicine)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Physical Medicine and Rehabilitation
Abstract (croatian)
Cilj: Neurorehabilitacija bolesnika nakon moždanog udara predstavlja velik izazov, a robotski sustavi kao nadogradnja konvencionalne rehabilitacije predmet su brojnih istraživanja. Tako je pri Zavodu za fizikalnu i rehabilitacijsku medicinu KBC-a Rijeka provedeno istraživanje u kojem je korišten robotski uređaj Armeo Spring® (Hocoma, Švicarska) s ciljem procjene učinkovitosti njegove primjene. Ispitanici i metode: U istraživanje je uključeno 40 bolesnika koji su zadobili moždani udar s posljedičnom hemiparezom, a uključeni su u neurorehabilitaciju u subakutnoj fazi, prosječno 47,31 (± SD = 24,74) dana nakon moždanog udara. Bolesnici su podijeljeni u dvije skupine, od po 20 bolesnika i obje skupine provodile su vježbe dva puta dnevno. Ispitivana skupina bolesnika provela je konvencionalne postupke fizioterapije po Bobath konceptu uz dodatnu robotsku terapiju na uređaju Armeo Spring® (Hocoma, Švicarska), a dvadeset bolesnika kontrolne skupine provodilo je konvencionalnu fizioterapiju po Bobath konceptu dva puta dnevno. Procjena učinkovitosti mjerena je funkcijskim indeksom onesposobljenosti (engl. Functional Independent Measurement; FIM) i ocjenskom ljestvicom motoričke procjene (engl. Motor Assessment Scale; MAS), a procjena je vršena prije i poslije provedene neurorehabilitacije. Rezultati: Praćenjem triju varijabli, cjelokupni FIM test, cjelokupni MAS test (MAS U) te MAS test za funkciju ruke (engl. Motor Assessment Scale za funkciju ruke; MAS FR), uočena je statistički značajna razlika (P < 0,05) između ispitivane i kontrolne skupine. Zaključak: Istraživanje je pokazalo da pokreti potpomognuti uređajem Armeo Spring® poboljšavaju ishod rehabilitacije i nadopunjuju konvencionalnu terapiju. Posebno je ohrabrujući podatak da smo svoje rezultate postigli kod bolesnika u subakutnoj fazi rehabilitacije nakon moždanog udara.
Abstract (english)
Aim: Neurorehabilitation of patients after stroke is a major challenge, and robotic systems as an upgrade to conventional rehabilitation have been the subject of numerous studies. Thus, a research was conducted at the Department of Physical and Rehabilitation Medicine of the University Hospital Center Rijeka in which an Armeo Spring® (Hocoma, Switzerland) robotic device was used in order to evaluate the effectiveness of its application. Subjects and methods: The study included 40 patients after stroke with consequent hemiparesis and were involved in subacute phase neurorehabilitation, averaging 47.31 (± SD = 24.74) days after stroke. Patients were divided into two groups of 20 patients and both groups performed exercises twice a day. The examined group of patients performed conventional physiotherapy procedures according to the Bobath concept with additional robotic therapy on the Armeo Spring® device (Hocoma, Switzerland) and twenty patients of the control group performed conventional physiotherapy according to the Bobath concept twice a day. Performance assessment was measured by the Functional Independent Measurement (FIM) and the Motor Assessment Scale (MAS) and the assessment was performed before and after neurorehabilitation. Results: Monitoring three variables, the overall FIM test, the overall MAS test (MAS U) and the MAS test for upper extremity function (Motor Assessment Scale for upper extremity function; MAS UE) showed a statistically significant difference (p <0.05) between the examined and control groups. Conclusion: The research has shown that Armeo Spring®-assisted movements improve the outcome of rehabilitation and complement conventional therapy. It is especially encouraging that we achieved our results in patients in the subacute phase of rehabilitation after stroke.
Keywords (croatian)
Keywords (english)
Languagecroatian
Languageenglish
Publication typeProfessional paper - Professional paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleMedicina Fluminensis
Numberingvol. 58, no. 4, pp. 407-415
p-ISSN1847-6864
e-ISSN1848-820X
DOIhttps://doi.org/10.21860/medflum2022_284698
URN:NBNurn:nbn:hr:184:952592
Publication2022
Document URLhttps://hrcak.srce.hr/284698
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution 4.0 International (CC BY 4.0) icon
Created on2022-12-01 11:58:27