矫形器助力和康复作用的 Playskin Lift 外骨骼服对脑瘫患儿伸手和物体探索的影响。
Assistive and Rehabilitative Effects of the Playskin Lift Exoskeletal Garment on Reaching and Object Exploration in Children With Arthrogryposis.
机构信息
Iryna Babik, PhD, is Assistant Professor, Department of Psychological Science, Boise State University, Boise, Idaho.
Andrea Baraldi Cunha, PT, PhD, is Research Associate, Department of Physical Therapy and Biomechanics and Movement Science Program, University of Delaware, Newark.
出版信息
Am J Occup Ther. 2021 Jan-Feb;75(1):7501205110p1-7501205110p10. doi: 10.5014/ajot.2020.040972.
IMPORTANCE
Children with arthrogryposis multiplex congenita are often delayed in their development of reaching and object exploration, which can place them at risk for associated delays in motor and cognitive development.
OBJECTIVE
To evaluate the longitudinal assistive and rehabilitative effects of the Playskin Lift™ (hereinafter Playskin), a novel exoskeletal garment, on reaching and object exploration abilities in children with arthrogryposis.
DESIGN
Single-case ABA design with a 1-mo baseline, 4-mo intervention, and 1-mo postintervention.
SETTING
Home environment.
PARTICIPANTS
Seventeen children with arthrogryposis (ages 6-35 mo at first visit; 5 boys).
INTERVENTION
Participants used the Playskin daily for 30 to 45 min while participating in structured intervention activities to encourage reaching for objects across play spaces larger than they were typically able to.
OUTCOMES AND MEASURES
Participants were tested biweekly throughout the study with and without the Playskin using a systematic reaching assessment. Coding of reaching and object exploration behavior was performed using OpenSHAPA software; statistical analyses were conducted using Hierarchical Linear and Nonlinear Modeling software. Feasibility of the Playskin for daily home intervention was evaluated with a parent perception questionnaire.
RESULTS
Positive assistive effects (improved performance when wearing the Playskin within sessions) and rehabilitative effects (improved independent performance after the Playskin intervention) were observed with increased active range of motion, expanded reaching space, improved grasping with the ventral side of the open hand, and greater complexity and multimodality and intensity of object exploration.
CONCLUSIONS AND RELEVANCE
The Playskin may be a feasible, effective assistive and rehabilitative device to advance object interaction and learning in young children with arthrogryposis.
WHAT THIS ARTICLE ADDS
The novel exoskeletal Playskin garment improves reaching and object exploration in young children with arthrogryposis.
重要性
患有先天性多发性关节挛缩症的儿童在伸手和探索物体方面的发育往往会延迟，这可能使他们面临运动和认知发育相关延迟的风险。
目的
评估新型外骨骼服装 Playskin Lift™（以下简称 Playskin）对患有先天性多发性关节挛缩症儿童伸手和探索物体能力的长期辅助和康复效果。
设计
单病例 ABA 设计，包括 1 个月的基线期、4 个月的干预期和 1 个月的干预后随访期。
设置
家庭环境。
参与者
17 名患有先天性多发性关节挛缩症的儿童（首次就诊时年龄为 6-35 个月；5 名男孩）。
干预
参与者在进行结构化干预活动时每天使用 Playskin 30-45 分钟，以鼓励他们在比平时更大的游戏空间中伸手去够物体。
结果和测量
在整个研究过程中，参与者每周接受两次测试，分别在使用和不使用 Playskin 的情况下进行系统伸手评估。使用 OpenSHAPA 软件对伸手和物体探索行为进行编码；使用分层线性和非线性建模软件进行统计分析。通过家长感知问卷评估 Playskin 用于日常家庭干预的可行性。
结果
在增加主动运动范围、扩大伸手空间、改善用张开的手掌的腹侧抓握、增加物体探索的复杂性、多模态和强度的同时，观察到了积极的辅助效果（在治疗期间佩戴 Playskin 时表现得到改善）和康复效果（在 Playskin 干预后独立表现得到改善）。
结论和相关性
Playskin 可能是一种可行、有效的辅助和康复设备，可促进患有先天性多发性关节挛缩症的幼儿进行物体互动和学习。
这篇文章的添加内容
新型外骨骼 Playskin 服装可改善患有先天性多发性关节挛缩症的幼儿伸手和探索物体的能力。
Zotero 插件