Carmeli Eli, Peleg Sara, Bartur Gadi, Elbo Enbal, Vatine Jean-Jacques
Physical Therapy Department, Sackler Faculty of Medicine, Stanley Steyer School of Health Professions, Tel Aviv University, Ramat Aviv, Israel.
Physiother Res Int. 2011 Dec;16(4):191-200. doi: 10.1002/pri.485. Epub 2010 Aug 25.
This study assessed the potential therapeutic benefi t of using HandTutor™ in combination with traditional rehabilitation in a post-stroke sub-acute population. The study compares an experimental group receiving traditional therapy combined with HandTutorTM treatment, against a control group receiving only traditional therapy.
An assessor-blinded, randomized controlled pilot trial, was conducted in the Reuth rehabilitation unit in Israel. Thirty-one stroke patients in the sub-acute phase, were randomly assigned to one of the two groups (experimental or control) in sets of three. The experimental group (n = 16) underwent a hand rehabilitation programme using the HandTutorTM combined with traditional therapy. The control group (n = 15) received only traditional therapy. The treatment schedules for both groups were of similar duration and frequency. Improvements were evaluated using three indicators: 1) The Brunnström-Fugl-Meyer (FM) test, 2) the Box and Blocks (B&B) test and 3) improvement parameters as determined by the HandTutorTM software.
Following 15 consecutive treatment sessions, a signifi cant improvement was observed within the experimental group (95% confi dence intervals) compared with the control group: B&B p = 0.015; FM p = 0.041, HandTutor™ performance accuracy on x axis and performance accuracy on y axis p < 0.0003.
The results from this pilot study support further investigation of the use of the HandTutorTM in combination with traditional occupational therapy and physiotherapy during post stroke hand function rehabilitation.
本研究评估了在中风亚急性期人群中，将HandTutor™与传统康复方法联合使用的潜在治疗益处。该研究将接受传统治疗并结合HandTutor™治疗的实验组，与仅接受传统治疗的对照组进行了比较。
在以色列的Reuth康复单元进行了一项评估者盲法、随机对照试验。31名亚急性期中风患者被随机分成三人一组，分配到两组（实验组或对照组）中的一组。实验组（n = 16）采用HandTutor™结合传统疗法进行手部康复计划。对照组（n = 15）仅接受传统疗法。两组的治疗方案在持续时间和频率上相似。使用三个指标评估改善情况：1）Brunnström-Fugl-Meyer（FM）测试，2）方块搭积木（B&B）测试，3）由HandTutor™软件确定的改善参数。
连续进行15次治疗后，与对照组相比，实验组（95%置信区间）有显著改善：B&B p = 0.015；FM p = 0.041，HandTutor™在x轴上的性能准确性和在y轴上的性能准确性p < 0.0003。
这项初步研究的结果支持进一步研究在中风后手部功能康复过程中，将HandTutor™与传统职业疗法和物理疗法联合使用的情况。
