The Effects of Robot-Assisted Movement Training on Daily Life Activities and Hopelessness Levels in Neurorehabilitation Patients

Filiz Özdemir 1 * , Tuba Tulay Koca 2, Fatma oksuz 3
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1 Inonu University Faculty of Health Sciences, Malatya, Turkey
2 Ozgür Yasam Physical Therapy and Rehabilitation Center, Mersin, Turkey
3 Sutcu ImamUniversity Faculty of Medicine, Kahramanmaras, Turkey
* Corresponding Author
J CLIN MED KAZ, Volume 1, Issue 51, pp. 56-60. https://doi.org/10.23950/1812-2892-JCMK-00670
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ABSTRACT

Objective: To determine the effects of robot-assisted movement training on daily life activities and hopelessness levels in neurorehabilitation patients.
Material and methods: The study is a randomized controlled trial. The study was conducted on 48 patients. Of these 48 patients, 8 were excluded because they did not meet the inclusion criteria. Patients who had acute internal diseases, had received botulinum toxin within 6 months before the treatment, or were unable to cooperate enough to participate in the assessments were excluded. The patients were randomly assigned to two groups: Group I consisted of 21 patients who applied gait training with a robotic device in addition to the routine neurorehabilitation programme; Group II included 19 patients in the routine neurorehabilitation programme. Hopelessness levels and daily living activities were assesed before and after treatment .Assessments were made by Beck Hopelessness Scale (BHS),  and Barthel Index before and after the treatment. The IBM SPSS Statistics for Windows version 22.0 (IBM, Armonk, NY, USA) was used in the analysis of the data, and p < 0.05 was considered to be significant.
Results: There was a statistically significant difference between the pre-treatment and post-treatment hopelessness levels of the patients included in robotic rehabilitation program    (p=0.001), while no significant difference was found between the hopelessness levels of the cases included in routine neurorehabilitation program (p= 0.07). No statistical difference was found within and between the groups in terms of both pre- and post-treatment Barthel Index scores. An increase was found in the Barthel Index scores when compared with pre-treatment, although the increase was not found to be significant.
Conclusion: Robotic rehabilitation plays an active role in providing help to therapist, fulfilling motor learning principles and conducting high intensity and long-term movements. Robotic systems also have a positive effect on patients’ mood and coping strategies. According to the results of our study, robotic rehabilitation  in neurorehabilitation patients will provide additional advantages.
Keywords: hopelessness, daily life activities, robotic rehabilitation, neurorehabilitation patients

CITATION

Özdemir F, Koca TT, oksuz F. The Effects of Robot-Assisted Movement Training on Daily Life Activities and Hopelessness Levels in Neurorehabilitation Patients. Journal of Clinical Medicine of Kazakhstan. 2019;1(51):56-60. https://doi.org/10.23950/1812-2892-JCMK-00670

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