Hashida Ryuki, Matsuse Hiroo, Bekki Masafumi, Omoto Masayuki, Morimoto Shimpei, Hino Tomoko, Harano Yuuji, Iwasa Chikahiro, Miyamoto Kazuki, Haraguchi Masakuni, Nago Takeshi, Shiba Naoto
Division of Rehabilitation, Kurume University Hospital.
Department of Orthopedics, Kurume University School of Medicine.
Kurume Med J. 2019 May 16;65(2):63-70. doi: 10.2739/kurumemedj.MS652007. Epub 2019 Mar 11.
The SEM Glove developed by Bioservo Technologies AB is a new device that increases grip and pinch force. The purpose of this study was to evaluate the effectiveness of the device on the grip and pinch strength of patients with functional disorders of the fingers.
30 hospitalized patients with upper limb functional disorder were enrolled. The assistance of the device for the grip and pinch strength of each subject were assessed by the difference between the measured values with and without the SEM Glove. The 95% confidence interval of the difference was calculated across the subjects, and statistical significance was defined as when the lower limit was a positive value (corresponding with a paired t-test at a significance level of 0.05). The odds ratio was calculated in the study of subject adaptation, with statistical significance set using Fisher's exact test at a significance level of 0.05.
Grip strength significantly decreased (worn-not worn difference (kg): mean = -3.7, CI95 (-5.4, -2.1)). Pinch strength (thumb - middle finger) significantly increased (worn-not worn difference (N): mean = -4.1, CI95 (1.6, 6.6)). Analysis of factors related to improvement in hand function when wearing the SEM Glove extracted manual muscle tests (MMTs) of the upper extremity 4 or higher. The odds ratio was 6.11.
Use of the SEM Glove improved the pinch strength of patients with functional disorders of the hands.
Bioservo Technologies AB公司研发的SEM手套是一种可增强抓握力和捏力的新设备。本研究旨在评估该设备对手指功能障碍患者抓握力和捏力的有效性。
招募30例上肢功能障碍的住院患者。通过佩戴和不佩戴SEM手套时的测量值差异，评估该设备对每个受试者抓握力和捏力的辅助作用。计算所有受试者差异的95%置信区间，当下限为正值时定义为具有统计学意义（相当于显著性水平为0.05的配对t检验）。在受试者适应性研究中计算优势比，使用Fisher精确检验设定显著性水平为0.05。
握力显著下降（佩戴-未佩戴差异（kg）：均值=-3.7，95%置信区间（-5.4，-2.1））。捏力（拇指-中指）显著增加（佩戴-未佩戴差异（N）：均值=-4.1，95%置信区间（1.6，6.6））。对佩戴SEM手套时手部功能改善相关因素的分析提取出上肢徒手肌力测试（MMT）为4级或更高。优势比为6.11。
使用SEM手套可改善手部功能障碍患者的捏力。
