| Robotic assisted hand rehabilitation in patients with stroke : A Narrative Review |
| Paper ID : 1101-ISCSR3 (R1) |
| Authors |
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Shahd Amin Mohamed *1, Mariam Hassan Ali1, Youstina Hany Aziz1, Mina Barsoum Dawoud1, Hassan Ahmed Hassan1, Maryam Ahmed ElHagrasy1, Demyana Sameh Baseet1, Roaa Mohamed Salah1, Rasha Ahmed Nazeer2 1Faculty of Physical Therapy at Helwan National University 2Lecturer of physical therapy for neurology, faculty of physical therapy, Hartfordshire university. |
| Abstract |
| Abstract: Background: In the past decade, Robotic-assisted approaches have gained attention as a potential therapeutic intervention for neurological disorders. Recently, there has been growing interest in its use to improve hand-functional recovery in patients with stroke. Up till now, there is limited evidence about the best approach for hand function rehabilitation protocol post-stroke. So we will gather the main findings about the benefits of using the robotic-assisted approach in hand rehabilitation post-stroke. Objectives: This review intended to emphasize and summarize the current evidence on the advantages of using robotic-assisted approaches for hand impairments in patients with stroke. Methods: A comprehensive search of Science Direct, PubMed, and Google Scholar using keywords such as stroke, hand impairment, hand grasp, fingers range of motion, robotics, and neurorehabilitation. Articles published from 2015 to March 2025 were included, full-text papers, RCT studies investigating the role of robotics and only English-language studies were reviewed. Unpublished manuscripts, conference abstracts, and studies not involving larger scientific investigations were excluded. Results: More than 30 studies were included after a screening process based on the defined eligibility criteria and showed significant motor improvements with robotic-assisted rehabilitation compared to traditional therapy in hand grasp power, hand opening, individual finger range of motion, and wrist movement. Traditional therapy is effective but limited by time-consuming and the loss of patients consistently. In contrast, robotic-assisted rehabilitation provides intensive, repetitive and task-specific training with consistent results. Conclusion: Both traditional and robotic-assisted rehabilitation methods have their own advantages in hand recovery in stroke patients. Current literature indicates that robotic-assisted hand rehabilitation holds promise as a supplementary intervention for achieving optimal functional recovery of the hand post-stroke. More researches are needed to detect the effect of a combined rehabilitation strategy. |
| Keywords |
| Stroke rehabilitation, Motor impairment, Hand exoskeleton, Assistive robotics, Traditional hand therapy. |
| Status: Abstract Accepted |