Rodríguez-Pérez Mª Pilar, Sánchez-Herrera-Baeza Patricia, Montes-Montes Rebeca, Cano-de-la-Cuerda Roberto, Martínez-Piédrola Rosa M, Serrada-Tejeda Sergio, Obeso-Benítez Paula, Pérez-de-Heredia-Torres Marta
Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, King Juan Carlos University, Avenida de Atenas s/n, 28922 Alcorcón, Spain.
Biomedicines. 2023 Mar 10;11(3):853. doi: 10.3390/biomedicines11030853.
New technologies have been developed to complement conventional interventions to better target the specific needs of people with stroke, and they have been shown to improve both function and performance. However, it is unknown whether the baseline levels of sensorimotor function and performance interrelate with the improvement in upper limb and daily performance. Thus, the aim of this study was to examine the relationship between baseline levels of sensorimotor function and daily performance and its impact on post-intervention improvement in people with stroke following a robotic intervention. A single-blind, non-randomized, controlled clinical trial was conducted. Participants in the experimental group (n = 9) received a robotic intervention in addition to conventional treatment. Sensorimotor function was measured with Semmes-Weinstein Monofilaments and the Fugl-Meyer Assessment Upper Extremity Scale. Upper limb and daily performance were measured with the MAL and SIS-16 scales. The multivariate regression models showed that baseline levels of upper limb performance and motor function predicted >95% of the variance in upper limb performance ( < 0.001), while pre-intervention levels of daily performance explained >75% of the post-intervention variance ( < 0.05). These findings indicate that basal upper limb motor function is associated with improved performance following a combined intervention of conventional treatment and robotic intervention.
已经开发出新技术来补充传统干预措施,以便更好地满足中风患者的特定需求,并且这些技术已被证明能改善功能和表现。然而,尚不清楚感觉运动功能和表现的基线水平是否与上肢及日常表现的改善相关。因此,本研究的目的是探讨中风患者在接受机器人干预后,感觉运动功能和日常表现的基线水平之间的关系及其对干预后改善情况的影响。开展了一项单盲、非随机、对照临床试验。实验组(n = 9)的参与者除接受常规治疗外,还接受了机器人干预。使用Semmes-Weinstein单丝和Fugl-Meyer上肢评估量表测量感觉运动功能。使用MAL和SIS-16量表测量上肢及日常表现。多元回归模型显示,上肢表现和运动功能的基线水平预测了上肢表现中>95%的方差(<0.001),而干预前的日常表现水平解释了干预后方差的>75%(<0.05)。这些发现表明,在常规治疗和机器人干预的联合干预后,基础上肢运动功能与表现改善相关。