Laufer Yocheved, Hausdorff Jeffrey M, Ring Haim
Department of Physical Therapy, The Faculty of Social Welfare and Health Sciences, The University of Haifa, Haifa, Israel.
Am J Phys Med Rehabil. 2009 Jan;88(1):14-20. doi: 10.1097/PHM.0b013e3181911246.
Prospective, single group, repeated measures 1-yr follow-up of 16 patients (aged 55 +/- 14.6 yrs) with chronic hemiparesis who used a neuroprosthesis for 1 yr and were available for follow-up. Outcome measures included the Short Version of the Stroke Impact Scale, the Participation domain of the Stroke Impact Scale, and the gait velocity.
Significant increases of 18.0% in physical functioning and of 25.2% in participation in community life were attained 2 mos after the application of the neuroprosthesis. The gains were maintained at the 1-yr follow-up. Gait velocity increased significantly by 29.2% by 2 mos, with significant further increases of 22.6% observed at the 1-yr follow-up.
Use of the studied neuroprosthesis to correct foot drop significantly enhanced functional abilities, social reintegration, and gait velocity. These results support the prolonged use of the neuroprosthesis in patients with chronic hemiparesis.
对16例（年龄55±14.6岁）慢性偏瘫患者进行前瞻性单组重复测量，随访1年。这些患者使用神经假体1年且可进行随访。结局指标包括卒中影响量表简版、卒中影响量表参与领域以及步速。
应用神经假体2个月后，身体功能显著提高18.0%，社区生活参与度显著提高25.2%。这些改善在1年随访时得以维持。步速在2个月时显著提高29.2%，在1年随访时进一步显著提高22.6%。
使用所研究的神经假体纠正足下垂可显著提高功能能力、社会重新融入程度和步速。这些结果支持在慢性偏瘫患者中长期使用神经假体。
