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Ρομποτική Τεχνολογία Αποκατάστασης-2

Improvement of hemiparetic hand using robotic assist with guidance of Virtual Reality technology, in patients with Cerebral lesion

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33rd Annual Congress of the Hellenic Neurosurgical Society -
4th Congress of the SΕENS - 28-29 June2019
Hotel Makedonia Palace, Thessaloniki

Objectives: One of the basic goals in rehabilitation of stroke patients is the performance of the affected upper limb and its integration into daily activities that enhance independent living. The clinical question focuses on how interventions such as robotic assistance (armeo) with the guidance of virtual reality can affect the final functional outcome.

Material and Methods: We refer to 312 patients with CVA, who were treated in our center from 1-1-2017 to 31-3-2019. Male was 139 (44,5%), mean age=71,22 years and mean LoS=44,52 days, and female was 173, mean age=69,72 years and LoS=38,30 days. Also, 121 (39%) suffered from right hemiplegia (age=72,12 years, LoS=42,25 days) and 191 left hemiplegia (age=70,35 years and LoS=40,42 days).  In 98 of these patients, the ‘armeo’ device was applied, as soon as the ability to participate was allowed in conjunction with cognitive status (with LoS = 49.12 days). The functional evaluation was done with FIM, 3 days after admission and 3 days before discharge.

Results: These are shown in the tablet

ParameterFIM at admissionFIM at dischargeFIM differenceLoSImprovement %
Basic Program43,8572,6928,8444,5666,0%
Total with ‘Armeo’44,9898,3253,3443,60118,5%
Armeo team43,18112,6569,4749,12160,0%

Conclusion: It seems that the implementation of armeo into the rehabilitation programs in conjunction with virtual reality guidance helps to the better and most efficient use of the upper limb for daily living activities, in patients with stroke. (FIM discharge=112).