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Robotic Technology Improves Stroke Rehabilitation

December 2, 2008

CHICAGO, Dec. 3 /PRNewswire-USNewswire/ — Research scientists using a
novel, hand-operated robotic device and functional MRI (fMRI) have found that
chronic stroke patients can be rehabilitated, according to a study presented
today at the annual meeting of the Radiological Society of North America
(RSNA). This is the first study using fMRI to map the brain in order to track
stroke rehabilitation.

“We have shown that the brain has the ability to regain function through
rehabilitative exercises following a stroke,” said A. Aria Tzika, Ph.D.,
director of the NMR Surgical Laboratory at Massachusetts General Hospital
(MGH) and Shriners Burn Institute and assistant professor in the Department of
Surgery at Harvard Medical School in Boston. “We have learned that the brain
is malleable, even six months or more after a stroke, which is a longer period
of time than previously thought.”

According to the Centers for Disease Control and Prevention, stroke is the
third leading cause of death in the U.S. and a principal cause of severe long-
term disability. Approximately 700,000 strokes occur annually in the U.S., and
80 percent to 90 percent of stroke survivors have motor weakness.
Previously, it was believed that there was only a short window of three to six
months following a stroke when rehabilitation could make an improvement.
“Our research is important because 65 percent of people who have a stroke
affecting hand use are still unable to incorporate the affected hand into
their daily activities after six months,” Dr. Tzika said.

Dr. Tzika is an affiliated member of the Athinoula A. Martinos Center for
Biomedical Imaging in the Department of Radiology at MGH, where the research
is ongoing.

To determine if stroke rehabilitation after six months was possible, the
researchers studied five right-hand dominant patients who had strokes at least
six months prior that affected the left side of the brain and, consequently,
use of the right hand.

For the study, the patients squeezed a special MR-compatible robotic
device for an hour a day, three days per week for four weeks. fMRI exams were
performed before, during, upon completion of training and after a non-training
period to assess permanence of rehabilitation. fMRI measures the tiny changes
in blood oxygenation level that occur when a part of the brain is active.

The results showed that rehabilitation using hand training significantly
increased activation in the cortex, which is the area in the brain that
corresponds with hand use. Furthermore, the increased cortical activation
persisted in the stroke patients who had exercised during the training period
but then stopped for several months.

“These findings should give hope to people who have had strokes, their
families and the rehabilitative specialists who treat them,” Dr. Tzika said.

Co-authors are Dionyssios Mintzopoulos, Ph.D., Azadeh Khanicheh, Ph.D.,

Bruce Rosen, M.D., Ph.D., Loukas Astrakas, Ph.D., and Michael Moskowitz, M.D.

    AT A GLANCE
    -- Researchers are using a new robotic grip device to rehabilitate chronic
       stroke patients.
    -- This is the first study using fMRI to map the brain in order to track
       stroke rehabilitation.
    -- The study found that the brain is malleable for a longer period of time
       after stroke than previously thought, making permanent rehabilitation
       possible even after six months.

Note: Copies of RSNA 2008 news releases and electronic images will be
available online at RSNA.org/press08 beginning Monday, Dec. 1.

RSNA is an association of more than 42,000 radiologists, radiation
oncologists, medical physicists and related scientists committed to excellence
in patient care through education and research. The Society is based in Oak
Brook, Ill.
(RSNA.org)

Editor’s note: The data in these releases may differ from those in the
printed abstract and those actually presented at the meeting, as researchers
continue to update their data right up until the meeting. To ensure you are
using the most up-to-date information, please call the RSNA Newsroom at
1-312-949-3233.

For patient-friendly information on fMRI, visit RadiologyInfo.org.

SOURCE Radiological Society of North America (RSNA)


Source: newswire



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