Hendricks H T, IJzerman M J, de Kroon J R, in 't Groen F A, Zilvold G
St Maartenskliniek, Nijmegen, Universitair Medisch Centrum St. Radboud, The Netherlands.
Clin Rehabil. 2001 Apr;15(2):217-20. doi: 10.1191/026921501672937235.
To gain experience with 'Ness Handmaster Orthosis' treatment in chronic stroke patients, to identify suitable patients, and to study the effects of treatment.
Exploratory, uncontrolled trial with measurement of motor functions and muscle tone of the upper extremity prior to, during, upon completion, and six weeks after a treatment period.
A rehabilitation centre in the Netherlands.
Eighteen chronic stroke patients (more than six months post stroke), who exhibited upper extremity dysfunction due to spastic paresis.
A 10-week therapy programme of functional electrical stimulation by means of the 'Ness Handmaster Orthosis'.
The results of 15 patients were available for analysis. The differences in motor score and muscle tone before and at the end of treatment were statistically significant (p = 0.008 and 0.021, respectively). The follow-up measurements showed that the effects on motor functions and muscle tone decreased after therapy completion. Stratification of the patients in two subgroups indicated that patients with initial high motor scores benefited most during the intervention period.
The present study suggests that Handmaster treatment possesses therapeutic opportunities in chronic stroke patients with spastic paresis of the upper extremity.
获取在慢性卒中患者中使用“内斯手部矫形器”治疗的经验，确定合适的患者，并研究治疗效果。
探索性、非对照试验，在治疗期之前、期间、结束时以及结束后六周测量上肢的运动功能和肌张力。
荷兰的一家康复中心。
18例慢性卒中患者（卒中后超过6个月），因痉挛性轻瘫出现上肢功能障碍。
通过“内斯手部矫形器”进行为期10周的功能性电刺激治疗方案。
15例患者的结果可供分析。治疗前和治疗结束时运动评分和肌张力的差异具有统计学意义（分别为p = 0.008和0.021）。随访测量显示，治疗结束后对运动功能和肌张力的影响有所下降。将患者分为两个亚组表明，初始运动评分高的患者在干预期获益最大。
本研究表明，手部矫形器治疗对患有上肢痉挛性轻瘫的慢性卒中患者具有治疗机会。
