Division of Neuropediatrics, Development and Rehabilitation, Department of Pediatrics, Inselspital, Bern University Hospital, Bern, Switzerland.
Gerontechnology and Rehabilitation Group, ARTORG Center for Biomedical Engineering Research, University of Bern, Bern, Switzerland.
Dev Neurorehabil. 2023 May;26(4):234-243. doi: 10.1080/17518423.2023.2193630. Epub 2023 Mar 22.
In this study, the feasibility of Action Observation Training (AOT) in combination with sensor-based measurements in infants at high risk of Unilateral Spastic Cerebral Palsy (UCP) were evaluated. Over a four-week period, eight infants at high risk of UCP performed AOT at home while wearing sensors with assistance of caregivers. Sensor data were compared to clinical assessments of upper limb function, the Hand Assessment for Infants (HAI) and the Mini-Assisting Hand Assessment (Mini-AHA). AOT training time and acceptance by the caregivers were considered as indicators for feasibility. The excellent training adherence and positive feedback of the caregivers showed that the AOT was feasible in this patient group and setting. Sensor measurements were accepted and displayed significant correlations with hand function. These preliminary results indicate the potential of wearable sensors to record upper limb function over the course of AOT for infants at high risk of UCP. Thus, AOT in combination with sensor measurements are proposed as a feasible training tool to complement usual care.
在这项研究中，评估了结合动作观察训练（AOT）和基于传感器的测量在高风险单侧脑瘫（UCP）婴儿中的可行性。在四周的时间里，八名高风险 UCP 的婴儿在穿戴传感器并在照顾者的协助下在家中进行 AOT。传感器数据与上肢功能的临床评估、婴儿手评估（HAI）和微型辅助手评估（Mini-AHA）进行了比较。AOT 训练时间和照顾者的接受程度被认为是可行性的指标。优秀的训练依从性和照顾者的积极反馈表明，AOT 在该患者群体和环境中是可行的。传感器测量被接受，并与手部功能显示出显著的相关性。这些初步结果表明，可穿戴传感器有可能在高风险 UCP 婴儿的 AOT 过程中记录上肢功能。因此，AOT 结合传感器测量被提议作为一种可行的训练工具来补充常规护理。
