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多维智能视觉定量评估系统在评估脑卒中患者手功能康复中的应用

Application of Multi-Dimensional Intelligent Visual Quantitative Assessment System to Evaluate Hand Function Rehabilitation in Stroke Patients.

作者信息

Du Yuying, Shi Yu, Ma Hongmei, Li Dong, Su Ting, Meidege Ou Zhabayier, Wang Baolan, Lu Xiaofeng

机构信息

Department of Rehabilitation Medicine, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China.

School of Communication and Information Engineering, Shanghai University, Shanghai 200444, China.

出版信息

Brain Sci. 2022 Dec 10;12(12):1698. doi: 10.3390/brainsci12121698.

DOI:10.3390/brainsci12121698
PMID:36552157
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9775443/
Abstract

Background: Hand dysfunction is one of the main symptoms of stroke patients, but there is still a lack of accurate hand function assessment systems. This study focused on the application of the multi-dimensional intelligent visual quantitative assessment system (MDIVQAS) in the rehabilitation assessment of hand function in stroke patients and evaluate hand function rehabilitation in stroke patients. Methods: Eighty-two patients with stroke and unilateral hand dysfunction were evaluated by MDIVQAS. Cronbach’s Alpha coefficient was used to assess the internal consistency of MDIVQAS; the F-test is used to assess the differences in MDIVQAS for multiple repeated measures. Spearman’s analysis was used to identify correlations of MDIVQAS with other assessment systems. t-tests were used to identify differences in outcomes assessed with MDIVQAS in patients before and after treatment. p < 0.05 were considered significant. Results: (1) Cronbach’s Alpha coefficient of MDIVQAS in evaluating hand’s function > 0.9. (2) There was no significant difference between the other repeated measurements, except for thumb rotation in MDIVQAS. (3) MDIVQAS had a significant correlation with other assessment systems (r > 0.5, p < 0.01). (4) There were significant differences in the evaluation of hand function in patients before and after treatment using MDIVQAS. Conclusion: The MDIVQAS system has good reliability and validity in the evaluation of stroke hand function, and it can also better evaluate the treatment effect.

摘要

背景

手部功能障碍是中风患者的主要症状之一，但仍缺乏准确的手部功能评估系统。本研究聚焦于多维智能视觉定量评估系统（MDIVQAS）在中风患者手部功能康复评估中的应用，并评估中风患者的手部功能康复情况。方法：采用MDIVQAS对82例中风且伴有单侧手部功能障碍的患者进行评估。使用克朗巴哈α系数评估MDIVQAS的内部一致性；使用F检验评估MDIVQAS在多次重复测量中的差异。采用斯皮尔曼分析确定MDIVQAS与其他评估系统的相关性。使用t检验确定治疗前后患者经MDIVQAS评估的结果差异。p<0.05被认为具有统计学意义。结果：（1）MDIVQAS评估手部功能的克朗巴哈α系数>0.9。（2）除MDIVQAS中的拇指旋转外，其他重复测量之间无显著差异。（3）MDIVQAS与其他评估系统具有显著相关性（r>0.5，p<0.01）。（4）使用MDIVQAS评估治疗前后患者的手部功能存在显著差异。结论：MDIVQAS系统在评估中风手部功能方面具有良好的可靠性和有效性，并且还能更好地评估治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07e3/9775443/1533a1d31e78/brainsci-12-01698-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07e3/9775443/cb760be57bdf/brainsci-12-01698-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07e3/9775443/b74b2afdccaa/brainsci-12-01698-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07e3/9775443/0fa78de74502/brainsci-12-01698-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07e3/9775443/220cd0fa0bf8/brainsci-12-01698-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07e3/9775443/7ccf9c57a35a/brainsci-12-01698-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07e3/9775443/ada11eb4251d/brainsci-12-01698-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07e3/9775443/5563ff04f556/brainsci-12-01698-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07e3/9775443/7820872d9b00/brainsci-12-01698-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07e3/9775443/05114375616d/brainsci-12-01698-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07e3/9775443/1533a1d31e78/brainsci-12-01698-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07e3/9775443/cb760be57bdf/brainsci-12-01698-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07e3/9775443/b74b2afdccaa/brainsci-12-01698-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07e3/9775443/0fa78de74502/brainsci-12-01698-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07e3/9775443/220cd0fa0bf8/brainsci-12-01698-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07e3/9775443/7ccf9c57a35a/brainsci-12-01698-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07e3/9775443/ada11eb4251d/brainsci-12-01698-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07e3/9775443/5563ff04f556/brainsci-12-01698-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07e3/9775443/7820872d9b00/brainsci-12-01698-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07e3/9775443/05114375616d/brainsci-12-01698-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07e3/9775443/1533a1d31e78/brainsci-12-01698-g010.jpg

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