Stockley Rachel C, O'Connor Deborah A, Smith Phil, Moss Sylvia, Allsop Lizzie, Edge Wendy
Department of Health Professions, Faculty of Health and Social Care, Manchester Metropolitan University, Manchester M15 6GX, UK.
The Brain and Spinal Injuries Centre, Eccles Old Road, Salford, UK.
Rehabil Res Pract. 2017;2017:9569178. doi: 10.1155/2017/9569178. Epub 2017 Jan 18.
. This small pilot study aimed to examine the feasibility of an upper limb rehabilitation system (the YouGrabber) in a community rehabilitation centre, qualitatively explore participant experiences, and describe changes after using it. . Chronic stroke participants attending a community rehabilitation centre in the UK were randomised to either a YouGrabber or a gym group and completed 18 training sessions over 12 weeks. The motor activity log, box and block, and fatigue severity score were administered by a blinded assessor before and after the intervention. Semistructured interviews were used to ascertain participants' views about using the YouGrabber. . Twelve participants (6 females) with chronic stroke were recruited. All adhered to the intervention. There were no adverse events, dropouts, or withdrawal. There were no significant differences between the YouGrabber and gym groups although there were significant within group improvements on the motor activity log (median change: 0.59, range: 0.2-1.25; < 0.05) within the YouGrabber group. Participants reported that the YouGrabber was motivational but they expressed frustration with technical challenges. . The YouGrabber appeared practical and may improve upper limb activities in people several months after stroke. Future work could examine cognition, cost effectiveness, and different training intensities.
这项小型试点研究旨在检验上肢康复系统（YouGrabber）在社区康复中心的可行性，定性探索参与者的体验，并描述使用该系统后的变化。英国一家社区康复中心的慢性中风参与者被随机分为使用YouGrabber组或健身房组，并在12周内完成18次训练课程。在干预前后，由一名盲法评估者进行运动活动记录、方块搭积木测试和疲劳严重程度评分。采用半结构化访谈来确定参与者对使用YouGrabber的看法。招募了12名慢性中风参与者（6名女性）。所有参与者都坚持了干预。没有不良事件、退出者或中途退出情况。YouGrabber组和健身房组之间没有显著差异，尽管YouGrabber组内运动活动记录有显著的组内改善（中位数变化：0.59，范围：0.2 - 1.25；<0.05）。参与者报告称YouGrabber具有激励作用，但他们对技术挑战表示沮丧。YouGrabber似乎很实用，可能会改善中风数月后的患者的上肢活动。未来的工作可以研究认知、成本效益和不同的训练强度。
