An explorative study into changes in reach performance after gravity compensation training in chronic stroke patients

Grada Berendina Prange, T. Krabben, G.J. Renzenbrink, Jan de Boer, Hermanus J. Hermens, M.J.A. Jannink

    Research output: Chapter in Book/Report/Conference proceedingConference contributionAcademicpeer-review

    3 Citations (Scopus)

    Abstract

    After stroke, arm function can be limited by a reduction in the selectivity of movements, due to involuntary coupling of shoulder abduction and elbow flexion, limiting the ability to reach. Gravity compensation reduces the required active shoulder abduction torques, which results in a larger range of motion instantaneously. However, the effect of a longer-term application of gravity compensation on functional reach is largely unknown. Integration of a motivating rehabilitation game in the training program stimulates motor relearning processes during training. During 6 weeks, 8 chronic stroke patients received 3 sessions of 30 minutes gravity compensated reach training per week using a rehabilitation game, which was evaluated by assessing motor status and reach performance before and after training. After gravity compensation training, reach distance and direction had improved in a majority of chronic stroke patients. The present findings indicate that gravity compensation in combination with rehab games can be a valuable training modality for stroke rehabilitation.
    Original languageUndefined
    Title of host publication11th IEEE International Conference on Rehabilitation Robotics, ICORR 2009
    PublisherIEEE
    Pages867-872
    Number of pages6
    ISBN (Print)1945-7898
    DOIs
    Publication statusPublished - 23 Jun 2009
    EventIEEE 11th International Conference on Rehabilitation Robotics, ICORR 2009: Reaching Users & the Community - Kyoto International Conference Center, Kyoto, Japan
    Duration: 23 Jun 200926 Jun 2009
    Conference number: 11

    Publication series

    Name
    PublisherIEEE
    ISSN (Print)1945-7898

    Conference

    ConferenceIEEE 11th International Conference on Rehabilitation Robotics, ICORR 2009
    Abbreviated titleICORR
    CountryJapan
    CityKyoto
    Period23/06/0926/06/09

    Keywords

    • IR-76478
    • METIS-276775
    • chronic stroke patients
    • Stroke rehabilitation
    • elbow flexion
    • motor relearning processes
    • Arm function
    • BSS-Biomechatronics and rehabilitation technology
    • EWI-19874
    • reach performance
    • shoulder abduction
    • Gravity compensation training

    Cite this

    Prange, G. B., Krabben, T., Renzenbrink, G. J., de Boer, J., Hermens, H. J., & Jannink, M. J. A. (2009). An explorative study into changes in reach performance after gravity compensation training in chronic stroke patients. In 11th IEEE International Conference on Rehabilitation Robotics, ICORR 2009 (pp. 867-872). IEEE. https://doi.org/10.1109/ICORR.2009.5209537
    Prange, Grada Berendina ; Krabben, T. ; Renzenbrink, G.J. ; de Boer, Jan ; Hermens, Hermanus J. ; Jannink, M.J.A. / An explorative study into changes in reach performance after gravity compensation training in chronic stroke patients. 11th IEEE International Conference on Rehabilitation Robotics, ICORR 2009. IEEE, 2009. pp. 867-872
    @inproceedings{3d605a6d1e2443dbaa1d8efada7fa920,
    title = "An explorative study into changes in reach performance after gravity compensation training in chronic stroke patients",
    abstract = "After stroke, arm function can be limited by a reduction in the selectivity of movements, due to involuntary coupling of shoulder abduction and elbow flexion, limiting the ability to reach. Gravity compensation reduces the required active shoulder abduction torques, which results in a larger range of motion instantaneously. However, the effect of a longer-term application of gravity compensation on functional reach is largely unknown. Integration of a motivating rehabilitation game in the training program stimulates motor relearning processes during training. During 6 weeks, 8 chronic stroke patients received 3 sessions of 30 minutes gravity compensated reach training per week using a rehabilitation game, which was evaluated by assessing motor status and reach performance before and after training. After gravity compensation training, reach distance and direction had improved in a majority of chronic stroke patients. The present findings indicate that gravity compensation in combination with rehab games can be a valuable training modality for stroke rehabilitation.",
    keywords = "IR-76478, METIS-276775, chronic stroke patients, Stroke rehabilitation, elbow flexion, motor relearning processes, Arm function, BSS-Biomechatronics and rehabilitation technology, EWI-19874, reach performance, shoulder abduction, Gravity compensation training",
    author = "Prange, {Grada Berendina} and T. Krabben and G.J. Renzenbrink and {de Boer}, Jan and Hermens, {Hermanus J.} and M.J.A. Jannink",
    note = "10.1109/ICORR.2009.5209537",
    year = "2009",
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    doi = "10.1109/ICORR.2009.5209537",
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    Prange, GB, Krabben, T, Renzenbrink, GJ, de Boer, J, Hermens, HJ & Jannink, MJA 2009, An explorative study into changes in reach performance after gravity compensation training in chronic stroke patients. in 11th IEEE International Conference on Rehabilitation Robotics, ICORR 2009. IEEE, pp. 867-872, IEEE 11th International Conference on Rehabilitation Robotics, ICORR 2009, Kyoto, Japan, 23/06/09. https://doi.org/10.1109/ICORR.2009.5209537

    An explorative study into changes in reach performance after gravity compensation training in chronic stroke patients. / Prange, Grada Berendina; Krabben, T.; Renzenbrink, G.J.; de Boer, Jan; Hermens, Hermanus J.; Jannink, M.J.A.

    11th IEEE International Conference on Rehabilitation Robotics, ICORR 2009. IEEE, 2009. p. 867-872.

    Research output: Chapter in Book/Report/Conference proceedingConference contributionAcademicpeer-review

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    AB - After stroke, arm function can be limited by a reduction in the selectivity of movements, due to involuntary coupling of shoulder abduction and elbow flexion, limiting the ability to reach. Gravity compensation reduces the required active shoulder abduction torques, which results in a larger range of motion instantaneously. However, the effect of a longer-term application of gravity compensation on functional reach is largely unknown. Integration of a motivating rehabilitation game in the training program stimulates motor relearning processes during training. During 6 weeks, 8 chronic stroke patients received 3 sessions of 30 minutes gravity compensated reach training per week using a rehabilitation game, which was evaluated by assessing motor status and reach performance before and after training. After gravity compensation training, reach distance and direction had improved in a majority of chronic stroke patients. The present findings indicate that gravity compensation in combination with rehab games can be a valuable training modality for stroke rehabilitation.

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    PB - IEEE

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    Prange GB, Krabben T, Renzenbrink GJ, de Boer J, Hermens HJ, Jannink MJA. An explorative study into changes in reach performance after gravity compensation training in chronic stroke patients. In 11th IEEE International Conference on Rehabilitation Robotics, ICORR 2009. IEEE. 2009. p. 867-872 https://doi.org/10.1109/ICORR.2009.5209537