Highlights
- •Clinically meaningful and statistically significant improvements in motor function and behavior observed following a novel robotic rehabilitation two-week program in 18 patients with prior hemispherectomy.
- •Training camps enhance patient and parent confidence in task performance.
- •Rehabilitation related improvement in motor function and behavior years after hemispherectomy procedure suggest continued long-term neuroplasticity.
Abstract
Background
Partial preservation of sensory and motor functions in the contralateral extremities
after hemispherectomy is likely secondary to cortical reorganization of the remaining
hemisphere and can be improved by rehabilitation. This study aims to investigate behavioral
changes that may occur after a 2-week novel robotic rehabilitation program in 18 children
with prior anatomic hemispherectomy. Other conventional rehabilitation methods were
also reviewed and compared.
Methods
This study examined the impact of a novel robotic rehabilitation 2-week program on
18 hemispherectomy patients (average age 14.3 ± 3.9 years; age at hemispherectomy
5.6 ± 4.5 years).
Results
Statistically significant improvements were seen in the six-minute walk test (29 m,
p < 0.001), Canadian Occupational Performance Measure performance (1.64 points, p = 0.002)
and satisfaction (2.49 points, p = 0.001), and individual perceived performance on
survey (1.72 points, p = 0.042). Fifteen patients showed improvement in the upper
extremity Fugl-Meyer scores with an average increase of 3 points (p = 0.006).
Conclusion
This study demonstrates clinically meaningful and statistically significant improvements
in motor function and behavior following a novel robotic rehabilitation two-week program.
Keywords
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Article info
Publication history
Accepted:
December 12,
2022
Received:
September 20,
2022
Identification
Copyright
Published by Elsevier Ltd.
