Stroke is common in the general population, with annually 1.1 million people in Europe suffering from stroke. Trial registration This study is registered at the Netherlands Trial Register (NL7535). Patients in the chronic phase of stroke significantly improved their upper limb function with the MERLIN training at home. Comfort and the robustness of the system need further improvements. Patients were overall satisfied with the usability of the device. No significant changes in quality of life were observed. From start of the intervention to six weeks follow up, WMFT improved significantly with 3.8 points (pā=ā.006), which is also clinically relevant. Twelve patients were included, ten completed the training. Secondary outcomes were other arm function tests, quality of life, user satisfaction and motivation. Primary outcome was the Wolf Motor Function Test (WMFT). Measurements were performed six weeks pre-intervention (T0), at the start (T1), end (T2) and six weeks post-intervention (T3). Progress was monitored and game settings were tailored through telerehabilitation. Patients trained task specific serious games for three hours per week during six weeks using an unactuated version of a robotic device. The aim of this study is to investigate the effect of MERLIN training on the upper limb function of patients with unilateral upper limb paresis in the chronic phase of stroke (>ā6 months post stroke). Stroke patients are able to train the upper limb function using serious games at home. ![]() HoMEcare aRm rehabiLItatioN (MERLIN) is an unactuated version of the robotic device ArmAssist combined with a telecare platform.
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