Background:Sensor-based technological therapy devices may be good candidates for neuromotor rehabilitation of people with Multiple Sclerosis (MS), especially for treating upper extremities function limitations. The sensor-based device rehabilitation is characterized by interactive therapy games with audio-visual feedback that allows training the movement of shoulders, elbows, and wrist, measuring the strength and the active range of motion of upper limb, registering data in an electronic database to quantitatively monitoring measures and therapy progress. Objective:This study aimed to investigate the effects of sensor-based motor rehabilitation in add-on to the conventional neurorehabilitation, on increasing the upper limb functions of patients with MS. Methods:Thirty patients were enrolled in the study and randomly assigned to the experimental group and the control group. The training consisting of twelve sessions of upper limb training was compared with twelve sessions of upper limb sensory-motor training, without robotic support. Both rehabilitation programs were performed for 40 minutes three times a week, for 4 weeks, in addition to conventional therapy. All patients were evaluated at the baseline (T0) and after 4 weeks of training (T1). Results:The within-subject analysis showed a statistically significant improvement in both groups, in the Modified Barthel Index and in the Rivermead Mobility Index scores and a significant improvement in Multiple Sclerosis Quality of Life-54 in the experimental. The analysis of effectiveness revealed that, compared with baseline (T0), the improvement percentage in all clinical scale scores was greater in the experimental group than the control group. Conclusions:Proposed training provides an intensive and functional-oriented rehabilitation that objectively evaluates achieved progress through exercises. Therefore, it can represent a good complementary strategy for hand rehabilitation in MS patients.

中文翻译：

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基于传感器的多发性硬化症患者上肢康复技术：一项随机对照试验。


背景：基于传感器的技术治疗设备可能是多发性硬化症（MS）患者神经运动康复的良好候选者，特别是治疗上肢功能限制。基于传感器的设备康复的特点是具有视听反馈的互动治疗游戏，可以训练肩部、肘部和腕部的运动，测量上肢的力量和活动范围，将数据记录在电子数据库中定量监测措施和治疗进展。目的：本研究旨在探讨基于传感器的运动康复在传统神经康复的基础上对增强多发性硬化症患者上肢功能的影响。方法:将30例患者纳入研究并随机分为实验组和对照组。将由十二个上肢训练组成的训练与没有机器人支持的十二个上肢感觉运动训练进行比较。除常规治疗外，这两种康复计划均每周进行 3 次，每次 40 分钟，持续 4 周。所有患者均在基线 (T0) 和 4 周训练后 (T1) 进行评估。结果：受试者内分析显示，在实验中，两组的改良 Barthel 指数和 Rivermead 活动指数评分均有统计学显着改善，多发性硬化症生活质量显着改善 54。有效性分析显示，与基线（T0）相比，实验组所有临床量表评分的改善百分比均大于对照组。 结论：所提出的训练提供了强化的、以功能为导向的康复，可以客观地评估通过练习所取得的进展。因此，它可以代表多发性硬化症患者手部康复的良好补充策略。