ABSTRACT NUMBER: ESOC2026A648 THE DOSE-EFFECTIVENESS OF REHABILITATION TRAINING FOR ACUTE-PHASE STROKE PATIENTS USING A FINGER TRAINING SUPPORT ROBOT

Abstract Background and aims One of the hand training support robots that handles the fingers is one that wears a glove and performs pneumatic hand flexion/extension movements by other motions of the fingers. In recent years, hand robot devices have been developed that can perform passive and assisted finger grasping, separation, and pinching movements. We will examine the dose-effectiveness of finger training for acute hemiplegic stroke patients using this robot. Methods Fifty-four patients with first-episode hemiplegia within 1 week of stroke were selected for the study. Selection criteria were hand BRS 4 or less, and patients who could understand and agree with the training content. Results Subjects were randomly divided into a high-dose group and a low-dose group, and hand training (20 min/treatment, according to the protocol) using a hand-shaped training support robot (EsoGLOVE) was performed 15 times in the high-dose group and 3 times in the low-dose group during 3 weeks. In both groups, usual training is performed as needed. The primary endpoint was upper limb FMA, and secondary endpoints were ARAT, FIM, EsoGLOVE volume and mode, presence or absence of adverse events, and presence or absence of operability problems. Conclusions Once the dose-effectiveness of rehabilitation training for finger paralysis from the acute phase becomes clear, it will be possible to propose better rehabilitation training. Conflict of interest Mitsuhiro Ochi. nothing to disclose