This study aims to investigate the effects of the Robotic Hand Exoskeleton system on spasticity, motor control skills, activities of daily living, quality of life, and functional independence in stroke patients. A randomized controlled trial was conducted with 36 stroke patients aged 35-85, divided into two groups: conventional physiotherapy (n = 18) and robotic rehabilitation (n = 18). Evaluations included the Modified Ashworth Scale (MAS) for spasticity, Motor Activity Log 28 (MAL28) for daily activities, Frenchay Arm Test for motor control, and Stroke Impact Scale 3.0 (SIS 3.0) for quality of life and functional independence. Both groups received 15 treatment sessions over five weeks, with the robotic rehabilitation group additionally using a Robotic Hand Exoskeleton for 10 minutes per session. A significant improvement was observed in MAS (ES=0.092), MAL28, Frenchay Arm Test (ES=0.093), and SIS 3.0 (ES=0.01) scores after treatment (p < 0.05). However, no statistically significant differences were found between the groups (p > 0.05). Robotic hand rehabilitation improved motor function, daily activities, quality of life, and reduced spasticity, but showed no superiority over conventional physiotherapy. Both treatments demonstrated similar effectiveness, with robotic rehabilitation offering potential financial and time-saving benefits for healthcare providers.

Parkinson ’s disease, a progressive multisystem neurodegenerative disease that primarily affects the central nervous system while also influencing various body systems, causes various motor symptom...

Introduction: This systematic review aimed to evaluate the effectiveness of preoperative home-based exercise training on clinical outcomes in patients undergoing pulmonary surgery. Methods: A comprehensive literature search was conducted on 25 October 2024, in PubMed, Scopus, PEDro, and Cochrane databases for English-language studies published between 2014 and 2024. Randomized controlled trials, non-randomized trials, feasibility studies, and cohort studies involving adults scheduled for pulmonary surgery and receiving home-based prehabilitation were included. Methodological quality was assessed using the PEDro Quality Assessment scale and i-CONTENT tool. Results: Six studies involving patients undergoing pulmonary surgery were included, of which three were randomized controlled trials. Two studies were rated as excellent quality, one as good, two as moderate, and one as poor. Interventions ranged from 2 to 12 weeks and generally included aerobic or functional training. Compared to usual care, participants in home-based exercise groups showed improvements in physical capacity (e.g., 6-min walk test, sit-to-stand), enhanced quality of life, and reduced hospital length of stay. Conclusions: Preoperative home-based exercise training appears to be a feasible and effective approach to improve functional outcomes and reduce hospitalization after pulmonary surgery. However, heterogeneity in study design and quality limits generalizability, highlighting the need for further high-quality trials.