Rehabilitación robótica en espasticidad de mano y muñeca

Abstract

Introduction. The present case series study describes the results in the treatment of hand and wrist spasticity, carried out by the F-Ciber-Rehabilitacion research group in Manizales (Colombia). \nMaterials and methods. Five (5) patients with chronic hand and wrist spasticity secondary to upper motor neuronal syndrome of different etiology were selected, to whom underwent physical therapy and passive mobilization with the PRO-DWix™ robotic orthosis. \nResults. All patients presented improvement in spasticity according to the modified Ashworth scale, decrease in pain intensity according to VAS, and gradual recovery of the joint range of motion according to goniometry; furthermore, after 3 months of robotic rehabilitation, they showed benefits in their quality of life. \nDiscussion. Randomized clinical trials are required to determine the advantages of conventional physical therapy complemented with robotic therapy, compared to conventional therapy alone. \nConclusions. Passive mobilization with robotic orthosis in patients with hand and wrist spasticity due to upper motor neuronal syndrome favors spasticity modulation, pain reduction, recovery of the joint range of motion and quality of life. \nLevel of evidence. The purpose of the study is to generate clinical evidence (level III) to the advantages of passive mobilization with robotic orthosis in the rehabilitation of patients with hand and wrist spasticity.