Trial reportJournal of neuroengineering and rehabilitation2020
Reliability, validity and discriminant ability of a robotic device for finger training in patients with subacute stroke.
Trial report in Journal of neuroengineering and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- [Validity and reliability of the Tardieu scale for assessing upper limb spasticity in adults with cerebrovascular disease. Systematic review].Revista de neurologia · 2024Pooled it
- Technology-assisted assessment of spasticity: a systematic review.Journal of neuroengineering and rehabilitation · 2022Pooled it
- A robotic rehabilitation intervention in a home setting during the Covid-19 outbreak: a feasibility pilot study in patients with stroke.Journal of neuroengineering and rehabilitation · 2025Trial
- Trial
- Validity, reliability, and sensitivity to motor impairment severity of a multi-touch app designed to assess hand mobility, coordination, and function after stroke.Journal of neuroengineering and rehabilitation · 2021Trial
- Do predictors of motor recovery differ between robotic and conventional post-stroke rehabilitation?Journal of neuroengineering and rehabilitation · 2026Article
- Reliability of biometric devices for measuring hand grip and finger pinch strength in stroke patients over 50: a prospective observational study.Scientific reports · 2025Observational
- Rehabilitation with and Without Robot and Allied Digital Technologies (RADTs) in Stroke Patients: A Study Protocol for a Multicentre Randomised Controlled Trial on the Effectiveness, Acceptability, Usability, and Economic-Organisational Sustainability of RADTs from Subacute to Chronic Phase (STROKEFIT4).Journal of clinical medicine · 2025Article
- Effectiveness of Two Models of Telerehabilitation in Improving Recovery from Subacute Upper Limb Disability after Stroke: Robotic vs. Non-Robotic.Brain sciences · 2024Article
- Changes in Corticospinal Excitability and Motor Control During Cerebellar Transcranial Direct Current Stimulation in Healthy Individuals.Cerebellum (London, England) · 2023Article
- Feasibility of force myography for the direct control of an assistive robotic hand orthosis in non-impaired individuals.Journal of neuroengineering and rehabilitation · 2023Article
- Reliability and agreement of the timed up and go test in children and teenagers with autism spectrum disorder.European journal of pediatrics · 2023Article
- Learning Hand Kinematics for Parkinson's Disease Assessment Using a Multimodal Sensor Glove.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2023Article
- Reliability and Validity of the 10-Meter Walk Test (10MWT) in Adolescents and Young Adults with Down Syndrome.Children (Basel, Switzerland) · 2023Article
- Effects of Upper Limb Robot-Assisted Rehabilitation Compared with Conventional Therapy in Patients with Stroke: Preliminary Results on a Daily Task Assessed Using Motion Analysis.Sensors (Basel, Switzerland) · 2023Article
- Perspectives of Motor Functional Upper Extremity Recovery with the Use of Immersive Virtual Reality in Stroke Patients.Sensors (Basel, Switzerland) · 2023Article
- An online method to monitor hand muscle tone during robot-assisted rehabilitation.Frontiers in robotics and AI · 2023Article
- Spasticity evaluation with the Amadeo Tyromotion device in patients with hemispheric stroke.Frontiers in neurorobotics · 2023Article
- Work productivity in real-life employed patients with plaque psoriasis: Results from the ProLOGUE study.The Journal of dermatology · 2022Article
- Reliability and agreement of the Nine Hole Peg Test in patients with unilateral spastic cerebral palsy.European journal of pediatrics · 2022Article
Corrections and comments
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe majority of stroke survivors experiences significant hand impairments, as weakness and spasticity, with a severe impact on the activity of daily living. To objectively evaluate hand deficits, quantitative measures are needed. The aim of this study is to assess the reliability, the validity and the discriminant ability of the instrumental measures provided by a robotic device for hand rehabilitation, in a sample of patients with subacute stroke. MATERIAL AND
methodsIn this study, 120 patients with stroke and 40 controls were enrolled. Clinical evaluation included finger flexion and extension strength (using the Medical Research Council, MRC), finger spasticity (using the Modified Ashworth Scale, MAS) and motor control and dexterity during ADL performance (by means of the Frenchay Arm Test, FAT). Robotic evaluations included finger flexion and extension strength, muscle tone at rest, and instrumented MAS and Modified Tardieu Scale. Subjects were evaluated twice, one day apart, to assess the test-retest reliability of the robotic measures, using the Intraclass Correlation Coefficient (ICC). To estimate the response stability, the standard errors of measurement and the minimum detectable change (MDC) were also calculated. Validity was assessed by analyzing the correlations between the robotic metrics and the clinical scales, using the Spearman's Correlation Coefficient (r). Finally, we investigated the ability of the robotic measures to distinguish between patients with stroke and healthy subjects, by means of Mann-Whitney U tests.
resultsAll the investigated measures were able to discriminate patients with stroke from healthy subjects (p < 0.001). Test-retest reliability was found to be excellent for finger strength (in both flexion and extension) and muscle tone, with ICCs higher than 0.9. MDCs were equal to 10.6 N for finger flexion, 3.4 N for finger extension, and 14.3 N for muscle tone. Conversely, test-retest reliability of the spasticity measures was poor. Finally, finger strength (in both flexion and extension) was correlated with the clinical scales (r of about 0.7 with MRC, and about 0.5 with FAT). DISCUSSION: Finger strength (in both flexion and extension) and muscle tone, as provided by a robotic device for hand rehabilitation, are reliable and sensitive measures. Moreover, finger strength is strongly correlated with clinical scales. Changes higher than the obtained MDC in these robotic measures could be considered as clinically relevant and used to assess the effect of a rehabilitation treatment in patients with subacute stroke.
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