Health and Rehabilitation Research Institute, Auckland University of Technology, Auckland, New Zealand.
Department of Biostatistics and Epidemiology, Auckland University of Technology, Auckland, New Zealand.
Disabil Rehabil. 2020 Nov;42(22):3237-3242. doi: 10.1080/09638288.2019.1590471. Epub 2019 Apr 5.
To observe upper limb activity patterns of people with stroke during sub-acute rehabilitation to inform the development of treatment strategies for upper limb rehabilitation. Observational study of upper limb activity. Twenty participants admitted for sub-acute rehabilitation following stroke were observed during a week day for 1 minute every 10 min between 7 am and 7 pm. Upper limb activity was recorded and categorized into five types of movement. Participants used either one or both upper limbs for 45.8% of the observation time. The affected arm moved 26.4% of the time, with most movement occurring in conjunction with the unaffected arm (18.9% of the time) and only 7.5% of the time being movement of the affected arm by itself. The largest proportion of upper limb activity was observed during mealtimes. Recognition of the need to improve upper limb outcomes after stroke has not yet translated into changes in the amount of upper limb activity undertaken during sub-acute rehabilitation. Opportunities to rehabilitate the hemiplegic upper limb are not fully realized. The dominance of bilateral movement in the early stages after stroke may provide scope for interventions that maximize this aspect of motor control.IMPLICATIONS FOR REHABILITATIONDespite advances in rehabilitation, time spent in upper limb activity following stroke is very low, particularly in the affected arm.Most movement of the affected arm occurs in conjunction with the unaffected arm.There is an urgent need to redress this low level of movement, given the importance of upper limb recovery to quality of life for people following stroke.
观察脑卒中患者亚急性康复期间的上肢活动模式，为上肢康复治疗策略的制定提供信息。 上肢活动的观察性研究。 20 名脑卒中后接受亚急性康复治疗的患者在一周内的每个工作日从上午 7 点到晚上 7 点，每 10 分钟观察 1 分钟。记录上肢活动并分为五种运动类型。 45.8%的观察时间内参与者使用一只或两只上肢。患侧上肢活动时间占 26.4%，大部分活动与健侧上肢同时发生（占 18.9%），仅 7.5%的时间是患侧上肢单独活动。上肢活动最大比例发生在用餐时间。 尽管已经认识到需要改善脑卒中后的上肢预后，但亚急性康复期间上肢活动量仍未发生变化。偏瘫上肢康复的机会没有得到充分利用。脑卒中后早期双侧运动的主导地位为最大限度地发挥运动控制这一方面的干预措施提供了空间。 康复的意义尽管康复技术有所进步，但脑卒中后上肢活动时间非常低，特别是患侧上肢。患侧上肢的大部分运动与健侧上肢同时发生。鉴于上肢恢复对脑卒中患者生活质量的重要性，迫切需要纠正这种低运动水平。
