Gloreha symfonia - statistics.xlsx

Aims: The main aim of the thesis was to evaluate and compare the effectiveness of two therapeutic approaches using robot-assisted glove Gloreha Sinfonia to perform Activity of daily living in patients after acquired brain injury. Methods: The study is an empirical quantitative research, a monocentric randomized controlled, simply blinded study. The study compares two groups, group A (n = 20) used a robot-assisted Gloreha glove with a bimanual approach, group B (n = 20) had therapy with a robot-assisted Gloreha glove with an unimanual approach. All patients were evaluated for eligibility and underwent initial testing (T1). Patients in both groups had therapy (unimanual / bimanual) for three weeks (15x), retest (T2) was performed after completion of the intervention, and a follow-up evaluation was performed after 1 month (T3). Patients were always evaluated by the Upper Extremity Motor Activity Log (UE MAL), Motor Assessment Scale (MAS), Action Research Arm Test (ARAT), Box and Block test (BBT) and Motricity Index (MI). Results: According to the results of the MAS test in group A, there was a statistically significant improvement in upper limb function in category 8 at the time T2 (p = 0.038) and at the time T3 (p = 0.044) and in category 7 at the time T3 (p = 0.015). UE MAL in group A showed a marginal statistically significant improvement in UE function at the time T2 (p = 0.07) and at the time T3 (p = 0.1). There was a statistically significant increase in muscle strength according to MI at the time T2 for the shoulder (p = 0.053) and at the time T3 for the elbow (p = 0.027), a marginal significant increase in muscle strength occurred at both times (p = 0.080 and p = 0.075). Conclusion: The inclusion of bimanual robot-assisted therapy appears to be effective in restoring functional utilization of the upper limb during activities of daily living in patients after acquired brain injury with moderate to severe hemiparesis. Bimanual robot-assisted therapy also has a positive effect on the muscle strength of a whole limb