The Effects of Robot-Assisted Movement Training on Daily Life Activities and Hopelessness Levels in Neurorehabilitation Patients

• Main Authors: Filiz Özdemir, Tuba Tulay Koca, Fatma oksuz
• Format: Article
• Language: English
• Published: National Scientific Medical Research Center 2019-03-01
• Series: Ķazaķstannyṇ Klinikalyķ Medicinasy
• Subjects: hopelessness; daily life activities; robotic rehabilitation; neurorehabilitation patients
• Online Access: https://www.clinmedkaz.org/download/the-effects-of-robot-assisted-movement-training-on-daily-life-activities-and-hopelessness-levels-in-9048.pdf

<b>Objective:&nbsp;</b>To determine the effects of robot-assisted movement training on daily life activities and hopelessness levels in neurorehabilitation patients.<br> <b>Material and methods</b>: The study is a randomized controlled trial. The study was conducted on 48 patients. Of these 48 patients, 8 were excluded because they did not meet the inclusion criteria. Patients who had acute internal diseases, had received botulinum toxin within 6 months before the treatment, or were unable to cooperate enough to participate in the assessments were excluded. The patients were randomly assigned to two groups: Group I consisted of 21 patients who applied gait training with a robotic device in addition to the routine neurorehabilitation programme; Group II included 19 patients in the routine neurorehabilitation programme. Hopelessness levels and daily living activities were assesed before and after treatment .Assessments were made by Beck Hopelessness Scale (BHS),&nbsp; and Barthel Index before and after the treatment. The IBM SPSS Statistics for Windows version 22.0 (IBM, Armonk, NY, USA) was used in the analysis of the data, and&nbsp;<i>p</i>&nbsp;&lt; 0.05 was considered to be significant.<br> <b>Results:</b>&nbsp;There was a statistically significant difference between the pre-treatment and post-treatment hopelessness levels of the patients included in robotic rehabilitation program&nbsp;&nbsp;&nbsp; (p=0.001), while no significant difference was found between the hopelessness levels of the cases included in routine neurorehabilitation program (p= 0.07). No statistical difference was found within and between the groups in terms of both pre- and post-treatment Barthel Index scores. An increase was found in the Barthel Index scores when compared with pre-treatment, although the increase was not found to be significant.<br> <b>Conclusion:&nbsp;</b>Robotic rehabilitation plays an active role in providing help to therapist, fulfilling motor learning principles and conducting high intensity and long-term movements. Robotic systems also have a positive effect on patients’ mood and coping strategies. According to the results of our study, robotic rehabilitation&nbsp; in neurorehabilitation patients will provide additional advantages.