Karagözoğlu Coşkunsu, DilberOgul, Ozden ErkanCoskunsu, Dilber KaragozogluAkcay, SumeyyeAkyol, KubraHanoglu, LutfuOzturk, NeclaFizyoterapi Ve Rehabilitasyon Bölümü2025-01-112025-01-11202350894-11301545-004X10.1016/j.jht.2021.04.0222-s2.0-85110512948https://doi.org/10.1016/j.jht.2021.04.022https://hdl.handle.net/20.500.14627/312OZTURK, Necla/0000-0002-6546-2914Objective: To investigate the effect of electromyography (EMG)-driven robotic therapy on the recovery of the hand in a stroke case lasting 9 years.Case: An 18-year-old patient with hemiparesis due to the ischemic lesion was admitted to our clinic with hand impairment. Fifteen sessions (5 weeks x 3 times) of robotic rehabilitation were applied with the Hand of Hope. Average EMG (mV) of flexor digitorum superficialis (FDS) muscle, average force (N) and the rate of force development (RFD)(N/s) were also assessed before and after the treatment following the 5th and 10th sessions and at the end of treatment. Also, Fugl-Meyer Assessment of Upper Extremity Scale (FMU-UE), Motor Activity Log (MAL), Canadian Occupational Performance Score (COPM) and Visual Analog Scale (VAS) were used for assessment before and after the treatment.Results: The average EMG measured from FDS increased from 0.093-0.133 mV. The average force and average RFD increased from 45.6-97.7 and from 135.6-172.6 respectively. While affected and/or unaffected side force ratio increased dramatically from 54%-82%, the FMA-UE score increased from 56-59. The MAL quality of use score increased from 3.93-4.13. Performance and satisfaction scores of COPM changed from 5.25-7.25 and 4.5-8.25 respectively. VAS score for fatigue changed from 6 to 4.Discussion: The improvement achieved 9 years later with 15 sessions of rehabilitation suggests that im-provement may be possible for chronic stroke patients.(c) 2021 Elsevier Inc. All rights reserved.eninfo:eu-repo/semantics/closedAccessRobotic RehabilitationStrokeHandForceCase ReportArticleQ2Q2361234240WOS:00099863730000134253408