Suppr超能文献

改良的强制性诱导疗法扩展:利用远程技术改善功能。

Modified constraint-induced therapy extension: using remote technologies to improve function.

作者信息

Page Stephen J, Levine Peter

机构信息

Department of Physical Medicine and Rehabilitation, University of Cincinnati Academic Medical Center, Cincinnati, OH 45267, USA.

出版信息

Arch Phys Med Rehabil. 2007 Jul;88(7):922-7. doi: 10.1016/j.apmr.2007.03.038.

Abstract

OBJECTIVE

To determine efficacy of a modified constraint-induced therapy extension (mCITE) protocol, in which persons with stroke participated in therapy sessions via the Internet.

DESIGN

Pre-post, single-blinded case series.

SETTING

Outpatient clinic.

PARTICIPANTS

Four people with stroke who experienced stroke more than 1 year prior to study entry exhibiting upper-limb hemiparesis and nonuse.

INTERVENTION

Subjects participated in online, 30-minute therapy sessions, 3 times a week for 10 weeks using personal computer-based cameras and free network meeting software. During the same period, subjects' less affected hands and wrists were restrained every weekday for 5 hours. Patients completed online logs to document restraint use and activities practiced at home.

MAIN OUTCOME MEASURES

The Motor Activity Log (MAL) and Wolf Motor Function Test (WMFT). We also used a structured interview to ask patients about their satisfaction with the protocol.

RESULTS

After intervention, subjects exhibited marked improvements in more affected arm use (+2.7, +2.06, +1.7, +2,83, respectively), quality of movement (+2.1, +2.1, +2.03, +1.9, respectively), as measured by the MAL, and speed increases while performing WMFT tasks. Subjects' mCITE satisfaction and adherence were high, and motor changes translated to ability to perform valued activities.

CONCLUSIONS

A home-based, modified constraint-induced movement therapy program is feasible and appears to increase more affected arm use and function using commercially available, inexpensive technologies.

摘要

目的

确定改良的强制性诱导疗法扩展方案(mCITE)的疗效,该方案让中风患者通过互联网参与治疗课程。

设计

前后对照、单盲病例系列。

地点

门诊诊所。

参与者

4名中风患者,在研究入组前1年多发生中风,表现为上肢偏瘫和废用。

干预措施

受试者使用个人电脑摄像头和免费网络会议软件,每周进行3次、每次30分钟的在线治疗课程,持续10周。在此期间,受试者受影响较小的手和手腕在每个工作日被约束5小时。患者完成在线日志,记录约束使用情况和在家中练习的活动。

主要观察指标

运动活动日志(MAL)和沃尔夫运动功能测试(WMFT)。我们还通过结构化访谈询问患者对该方案的满意度。

结果

干预后,通过MAL测量,受试者受影响较大的手臂使用情况(分别提高2.7、2.06、1.7、2.83)、运动质量(分别提高2.1、2.1、2.03、1.9)有显著改善,并且在执行WMFT任务时速度增加。受试者对mCITE的满意度和依从性较高,运动变化转化为执行有价值活动的能力。

结论

基于家庭的改良强制性诱导运动疗法方案是可行的,并且似乎可以使用市售的廉价技术增加受影响较大手臂的使用和功能。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验