{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T07:30:51Z","timestamp":1777534251616,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,10,5]],"date-time":"2020-10-05T00:00:00Z","timestamp":1601856000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100003417","name":"Deutsche Gesetzliche Unfallversicherung","doi-asserted-by":"publisher","award":["project FP-0233"],"award-info":[{"award-number":["project FP-0233"]}],"id":[{"id":"10.13039\/501100003417","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To examine whether robotic-assisted training as a supplement to usual therapy is safe, acceptable and improves function and patient reported outcome after proximal humeral fractures (PHF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Multicentre, assessor-blinded, randomised controlled prospective trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Three different rehabilitation hospitals in Germany.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects:<\/jats:title>\n                    <jats:p>In total 928 PHF patients between 35 and 70\u2009years were screened. Forty-eight participants were included in the study (intervention group n\u2009=\u200923; control group n\u2009=\u200925).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention:<\/jats:title>\n                    <jats:p>\n                      The control group received usual occupational and physiotherapy over three weeks, and the intervention group received additional 12 robot-assisted training sessions at the ARMEO\n                      <jats:sup>\u00ae<\/jats:sup>\n                      -Spring.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main measures:<\/jats:title>\n                    <jats:p>Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH), the Wolf Motor Function Test-Orthopaedic, active range of motion and grip strength were determined before and after intervention period. The DASH was additionally obtained postal 6 and 13\u2009months following surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean age of participants was 55\u2009\u00b1\u200910\u2009years and was similar in both groups ( p\u2009&gt;\u20090.05). The change in DASH as the primary endpoint in the intervention group after intervention was \u221215 (CI\u2009=\u20098\u201322), at follow-up six month \u22127 (CI\u2009=\u2009\u22122 to 16) at follow up 13\u2009month \u22129 (CI\u2009=\u20091\u201316); in control group \u221214 (CI\u2009=\u200911\u201318), at follow-up six month \u221213 (CI\u2009=\u20097\u201319) at follow up 13\u2009month \u22126 (CI\u2009=\u2009\u22123 to 14). No difference in the change was found between groups ( p\u2009&gt;\u20090.05). None of the follow-up time points demonstrated an additional benefit of the robotic therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The additional robot-assisted therapy was safe, acceptable but showed no improvement in functional shoulder outcome compared to usual therapy only.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0269215520961654","type":"journal-article","created":{"date-parts":[[2020,10,5]],"date-time":"2020-10-05T06:13:48Z","timestamp":1601878428000},"page":"242-252","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Robot-assisted training after proximal humeral fracture: A randomised controlled multicentre intervention trial"],"prefix":"10.1177","volume":"35","author":[{"given":"Inga","family":"Kr\u00f6ger","sequence":"first","affiliation":[{"name":"Institute 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