This study proposes a novel stroke rehabilitation approach for upper extremity training by firstly combining different types of distal robot-assisted and task-oriented therapy in a circuit training program. The program could enhance UE functions, improving daily function, decrease caregiver burden and lower medical expenses associated with long-term care. Professionals can use these findings to promote the application of clinically empirical research and better understand the effects and mechanisms of circuit training.
unilateral stroke ≥ 3 months onset
Fugl-Meyer Assessment for Upper Extremity (FMA-UE) score between 18 to 56, indicating different levels of motor impairments ;
without excessive spasticity in any of the UE joint (modified Ashworth scale ≤3 in proximal joints and modified Ashworth scale ≤2 in distal joints);
Mini Mental State Exam (MMSE) score > 24, indicating no serious cognitive impairment;
histories of other neurological diseases such as dementia, Parkinson's disease, and peripheral polyneuropathy;
difficulties in following and understanding instructions such as global aphasia;
enroll in other rehabilitation or drug studies simultaneously;
receiving Botulinum toxin injections within 3 months. -