Overview

This study proposes a novel stroke rehabilitation approach for upper extremity training by firstly combining different types of distal robot-assisted and task-oriented therapy in a circuit training program. The program could enhance UE functions, improving daily function, decrease caregiver burden and lower medical expenses associated with long-term care. Professionals can use these findings to promote the application of clinically empirical research and better understand the effects and mechanisms of circuit training.

Eligibility

Inclusion Criteria:

        (1) unilateral stroke ≥ 3 months onset; (2) Fugl-Meyer Assessment for Upper Extremity
        (FMA-UE) score between 18 to 56, indicating different levels of motor impairments [1, 2];
        (3) without excessive spasticity in any of the UE joint (modified Ashworth scale ≤3 in
        proximal joints and modified Ashworth scale ≤2 in distal joints); (4) Mini Mental State
        Exam (MMSE) score > 24, indicating no serious cognitive impairment; and (5) between the
        ages of 20 and 75 years
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        Exclusion Criteria:
        (1) histories of other neurological diseases such as dementia, Parkinson's disease, and
        peripheral polyneuropathy; (2) difficulties in following and understanding instructions
        such as global aphasia; (3) enroll in other rehabilitation or drug studies simultaneously;
        (4) receiving Botulinum toxin injections within 3 months.
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