Page Stephen J, Levine Peter, Hill Valerie
Stephen J. Page, PhD, MS, OTR/L, FAHA, FACRM, is Director, Better Rehabilitation and Assessment for Improved Neuro-recovery (B.R.A.I.N.) Laboratory, and Associate Professor, Division of Occupational Therapy, School of Health and Rehabilitation Sciences, The Ohio State University, Columbus;
Peter Levine, PTA, is Director, Synaps Together, LLC, Cincinnati, OH.
Am J Occup Ther. 2015 Jan-Feb;69(1):6901290050p1-8. doi: 10.5014/ajot.2015.014902.
To determine the feasibility and impact of home-based, mental practice-triggered electrical stimulation among stroke survivors exhibiting moderate upper-extremity (UE) impairment.
Five participants with moderate, stable UE hemiparesis were administered the Fugl-Meyer Assessment, the Box and Block Test, and the Activities of Daily Living, Hand Function, and overall recovery domains of the Stroke Impact Scale (Version 3). They were then administered an 8-wk regimen consisting of 1 hr of mental practice-triggered electrical stimulation every weekday in their home. At the end of every 2 wk, participants attended supervised stimulation to progress therapeutic exercises and stimulation levels and monitor compliance.
Six instances of device noncompliance were reported. Participants exhibited reduced UE motor impairment and increased UE dexterity and participation in valued activities.
The regimen appears feasible and had a substantial impact on UE impairment, dexterity, and participation in valued activities as well as perceptions of recovery.
确定在患有中度上肢（UE）损伤的中风幸存者中，基于家庭的、由心理练习引发的电刺激的可行性和影响。
对五名患有中度、稳定的UE偏瘫患者进行Fugl-Meyer评估、箱块测试，以及中风影响量表（第3版）的日常生活活动、手部功能和整体恢复领域评估。然后，他们接受了为期8周的方案，包括每个工作日在自己家中进行1小时的由心理练习引发的电刺激。每2周结束时，参与者参加监督下的刺激，以推进治疗性锻炼和刺激水平，并监测依从性。
报告了6次设备不依从情况。参与者表现出UE运动损伤减轻，UE灵活性提高，参与有价值活动的能力增强。
该方案似乎可行，对UE损伤、灵活性、参与有价值活动的能力以及恢复感知有重大影响。
