The Effect of an Arm Support Device on Recovery of Arm-Hand Function in Sub-acute Stroke: A Randomized Controlled Trial

  • Anke I. R. Kottink
  • Gerdienke B. Prange
  • Jaap H. Buurke
  • Johan S. Rietman
Part of the Biosystems & Biorobotics book series (BIOSYSROB, volume 1)


A multi-center randomized clinical trial was performed in 7 Dutch rehabilitation centers to compare the effect of an arm support (AS) training device in combination with interactive rehabilitation games to intensive conventional reach training (CON) on recovery of arm-hand function by the Fugl-Meyer assessment (FM). An improvement of 10 and 8 points on the FM was found for respectively the CON and AS group. These preliminary results indicate that a lowtech system for arm support in rehabilitation is equally effective as intensive conventional reach training.


Stroke Survivor Gravity Compensation Analysis Repeated Measure ANOVA Reach Training Statistical Analysis Repeated Measure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Kwakkel, G., Kollen, B.J., van der Grond, J., Prevo, A.J.H.: Probability of regaining dexterity in the flaccid upper limb: impact of severity of paresis and time since onset in acute stroke. Stroke 34, 2181–2186 (2003)CrossRefGoogle Scholar
  2. 2.
    Kwakkel, G.: Impact of intensity of practice after stroke: issues for consideration. Disabil. Rehabil. 28(13-14), 823–830 (2006)CrossRefGoogle Scholar
  3. 3.
    Schaechter, J.D.: Motor rehabilitation and brain plasticity after hemiparetic stroke. Prog. Neurobiol. 73, 61–72 (2004)CrossRefGoogle Scholar
  4. 4.
    Barreca, S., Wolf, S.L., Fasoli, S., Bohannon, R.: Treatment interventions for the paretic upper limb of stroke survivors: a critical review. Neurorehabil. Neural Repair 17, 220–226 (2003)CrossRefGoogle Scholar
  5. 5.
    Prange, G.B., Jannink, M.J.A., Stienen, A.H.A., Van der Kooij, H., IJzerman, M.J., Hermens, H.J.: Influence of gravity compensation on muscle activation patterns during different temporal phases of arm movements of stroke patients. Neurorehabil. Neural Repair 23, 478–485 (2009)CrossRefGoogle Scholar
  6. 6.
    Prange, G.B., Krabben, T., Renzenbrink, G.J., IJzerman, M.J., Hermens, H.J., Jannink, M.J.A.: Changes in muscle activation after reach training with gravity compensation in chronic stroke patients. International Journal of Rehabilitation Research (2012)Google Scholar
  7. 7.
    Stienen, A.H.A., Hekman, E.E.G., Prange, G.B., Jannink, M.J.A., Van der Helm, F.C.T., Van der Kooij, H.: Freebal: Design of a dedicated weight-support system for upper extremity rehabilitation. J. Med. Dev. 3, 1 (2009)Google Scholar
  8. 8.
    Schmidt, R.A., Lee, T.D.: Motor control and learning: a behavioral emphasis. Human Kinetics (1982)Google Scholar
  9. 9.
    Lo, A.C., et al.: Robot-assisted therapy for long-term upper-limb impairment after stroke. N. Engl. J. Med. 362, 1772–1783 (2010)CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Anke I. R. Kottink
    • 2
  • Gerdienke B. Prange
    • 2
  • Jaap H. Buurke
    • 2
  • Johan S. Rietman
    • 1
  1. 1.Roessingh Research and Development and at the University of TwenteEnschedeThe Netherlands
  2. 2.Roessingh Research and DevelopmentEnschedeThe Netherlands

Personalised recommendations