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Hybrid rehabilitation therapies on upper-limb function and goal attainment in chronic stroke
Hung C-S, Hsieh Y-W, Wu C-Y, Chen Y-J, Lin K-C, Chen C-L, Yao KG, Liu C-T, Horng Y-S
OTJR 2019 Apr;39(2):116-123
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: No; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

This study examined the treatment effects between unilateral hybrid therapy (UHT; unilateral robot-assisted therapy (RT) plus modified constraint-induced movement therapy) and bilateral hybrid therapy (BHT; bilateral RT plus bilateral arm training) compared with RT. Thirty patients with chronic stroke were randomized to UHT, BHT, or RT groups. Preliminary efficacy was assessed using the Fugl-Meyer Assessment (FMA), the Chedoke Arm and Hand Activity Inventory (CAHAI), and the goal attainment scaling (GAS). Possible adverse effects of abnormal muscle tone, pain, and fatigue were recorded. All groups showed large improvements in motor recovery and individual goals. Significant between-group differences were found on GAS favoring the hybrid groups but not on FMA and CAHAI. No adverse effects were reported. Hybrid therapies are safe and applicable interventions for chronic stroke and favorable for improving individual functional goals. Treatment effects on motor recovery and functional activity might be similar among the three groups.
Reprinted with permission from SLACK Incorporated.

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