| Summary: | 碩士 === 國立臺灣大學 === 職能治療研究所 === 102 === Background and purpose: Stroke is the second leading cause of death in Taiwan, usually accompanied by postured control disorder. According to past studies high intensity of training encourages stroke patient’s function recovery. Robot-assisted therapy provides high intensity, task specificity, and higher flexibility of manipulation, but specifically for joint training, and inconsistence with improvement of ADL. Hence, when combine with other approach, such as task-oriented training, impairment-oriented training, provides complete rehabilitation program. This study’s goal is to discuss the effect of robot-assisted therapy and task-oriented training combination, robot-assisted therapy and impairment-oriented training combination, regular rehabilitation training of chronic stroke patients.
Methods: patients randomly distributed to IMTT group, IMTI group, and CI group, received an intervention for 4 weeks, 5 days a week, 90~95minutes per day.
Results: results shows that IMTT has higher advantages in upper extremity impairment and motor function, decrease of muscle tone, impaired limb usage in daily life, and quality of life; in the other hand, CI has the higher advantage independence in daily life. Suggestion of future study is to enlarge the number of sample, higher duration of intervention, further discuss of the stroke rehabilitation outcome.
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