Sabari Joyce, Stefanov Dimitre G, Chan Judy, Goed Lorraine, Starr Joyce
Joyce Sabari, PhD, OTR, FAOTA, is Professor Emeritus, Occupational Therapy Program, State University of New York (SUNY) Downstate, Brooklyn;
Dimitre G. Stefanov, PhD, is Biostatistician, Scientific Computing Center, State University of New York (SUNY) Downstate, Brooklyn.
Am J Occup Ther. 2019 Mar/Apr;73(2):7302205120p1-7302205120p9. doi: 10.5014/ajot.2019.030759.
Our objective was to evaluate the effectiveness of four adapted feeding utensils with participants with essential tremor (ET) or tremor related to Parkinson's disease (PD).
Participants performed a simulated feeding task under five conditions: (1) standard spoon (control condition), (2) weighted spoon with standard handle, (3) weighted spoon with built-up handle, (4) swivel spoon, and (5) Liftware Steady™ spoon, a product using active tremor cancellation technology. Participants rated each adapted utensil in comparison with the standard spoon regarding performance, ease of use, speed, neatness, and aesthetics.
Participants preferred the Liftware Steady spoon and weighted spoon with standard handle. Friedman's test did not reveal statistically significant differences in ratings between the two preferred utensils.
Participants had varied reactions to the different adaptive utensils and gave different reasons for preferences. These findings support the need for people with tremor related to ET or PD to have access to trial use of all four devices assessed in this study.
我们的目的是评估四种改良喂食器具对患有特发性震颤（ET）或与帕金森病（PD）相关震颤的参与者的有效性。
参与者在五种条件下执行模拟喂食任务：（1）标准勺子（对照条件），（2）带有标准手柄的加重勺子，（3）带有加厚手柄的加重勺子，（4）旋转勺子，以及（5）Liftware Steady™勺子，一种使用主动震颤消除技术的产品。参与者将每种改良器具与标准勺子在性能、易用性、速度、整洁度和美观度方面进行比较并打分。
参与者更喜欢Liftware Steady勺子和带有标准手柄的加重勺子。弗里德曼检验未显示这两种受青睐器具在评分上有统计学显著差异。
参与者对不同的适应性器具反应各异，并给出了不同的偏好原因。这些发现支持患有与ET或PD相关震颤的人需要能够试用本研究中评估的所有四种器具。
