Efficiency Of Rehabilitation Robotic Gloves Combined with Mirror Therapy on Functional Recovery of Hemiplegic Upper Limbs

Abstract

Chong Liang, Tangzhu Yang, Run Liu, Jingyi Yu, Miao Hu, Lihua Nong, Lei Wang

Background: Mirror therapy (MT) is an effective method to promote functional recovery after stroke. Robot-assisted gloves (Yisheng SY-HR06), as a new treatment method, has been widely used in hospitals at all levels. The purpose of this study is to investigate the effect of the combination of robot gloves and MT as adjuvant therapy for stroke patients by using the "central-peripheral-central" closedloop rehabilitation theory, and to compare the results of the combination with the results of conventional treatment, and to clarify the neural mechanism of the effect of combination therapy on the brain network.

Methods: This will be a multicenter, double-blind, randomized controlled trial in which 60 patients will be randomly divided into three groups of 20 in each group:the control group will receive conventional mirror therapy, the glove group will receive the self-contained mirror mode, and the combination group will receive the robot glove combined with mirror therapy. Patients in each group will receive a 30 min intervention 5 days per week over 4 weeks. The primary outcome will be the Fugl-Meyer Upper Limb Motor Function Score (FMAUE), Functional independence Rating (FIM), Brunnstrom grade seven assessment scale of upper limb and hand, secondary outcomes include MMSE, hand grip strength, FTHUE -HK.

Discussion: The results of this experiment will prove the synergistic effect of Robot-assisted gloves combined with mirror therapy on the recovery of upper limb dysfunction after stroke. In addition, whether Robot-assisted gloves and MT (combined or alone) are more effective than conventional treatment will also be determined.

Ethics And Dissemination: Ethics approval was granted by the Ethics Review Committee of Wuhan Wuchang Hospital on March 2, 2022 (2022003). We plan to submit the results to various journals and present them at conferences, rehabilitation forums and the public.

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