Influence of Cognitive Impairment on the Recovery of Subjects with Subacute Stroke Undergoing Upper Limb Robotic Rehabilitation

Brain Sciences

Romina Garattini¹  Fulvia Noro¹  Alessandra Redolfi¹  Gianluigi Sacella¹  MariaChiara Carrozza¹  Silvia Galeri¹  Serena Monteleone¹  Irene Aprile²  Giulia Guardati²  Dionysia Papadopoulou²  Valeria Cipollini²  Marco Germanotta² 

[1] IRCCS Fondazione Don Carlo Gnocchi ONLUS, 20121 Milan, Italy;IRCCS Fondazione Don Carlo Gnocchi ONLUS, 50143 Florence, Italy;

关键词: rehabilitation;    robotics;    stroke;    executive function;    attention;    memory;   

DOI  :  10.3390/brainsci11050587

来源: DOAJ

【 摘 要 】

Cognitive decline is often present in stroke survivors, with a significant impact on motor recovery. However, how specific cognitive domains could impact motor recovery after robotic rehabilitation in patients with stroke is still not well understood. In this study, we analyzed the relationship between cognitive impairment and the outcome of a robot-mediated upper limb rehabilitation intervention in a sample of 51 subacute stroke patients. Participants were enrolled and treated with a set of robotic and sensor-based devices. Before the intervention, patients underwent a cognitive assessment by means of the Oxford Cognitive Screen. To assess the effect of the 30-session rehabilitation intervention, patients were assessed twice with the following outcome measures: the Fugl-Meyer Assessment for Upper Extremity (FMA-UE), to evaluate motor function; the Upper limb Motricity Index (MI), to evaluate upper limb muscle strength; the Modified Barthel Index (mBI), to evaluate activities of daily living and mobility. We found that deficits in spatial attention and executive functions impacted the mBI improvement, while language, number processing, and spatial attention deficits reduced the gains in the FMA-UE. These results suggest the importance to evaluate the cognitive functions using an adequate tool in patients with stroke undergoing a robotic rehabilitation intervention.

【 授权许可】

Unknown