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了解肌萎缩侧索硬化症患者对颈托的偏好和使用体验:一项基于调查的研究。

Understanding neck collar preferences and user experiences in motor neuron disease: A survey-based study.

机构信息

Division of Surgery and Interventional Sciences, University College London, London, NW32PF, United Kingdom; National Hospital for Neurology and Neurosurgery, Queen Square, London, WC1N 3BG, United Kingdom.

Department for Clinical and Movement Neuroscience, Queen Square Institute of Neurology, University College London, London, WC1E 6BT, United Kingdom; National Hospital for Neurology and Neurosurgery, Queen Square, London, WC1N 3BG, United Kingdom.

出版信息

Disabil Health J. 2024 Jul;17(3):101585. doi: 10.1016/j.dhjo.2024.101585. Epub 2024 Jan 23.

Abstract

BACKGROUND

Motor Neurone Disease (MND), is a debilitating neurodegenerative condition, which significantly impacts the quality of life of those affected. Neck weakness is one challenge faced by those living with MND and as such may require a neck collar to assist. However, the user experience and requirements related to these neck collars have not been comprehensively explored. Understanding these priorities is crucial for enhancing the well-being of MND patients.

OBJECTIVE

To understand the priorities of people living with Motor Neurone Disease (MND) including user experience, requirements and the importance of neck collars used to aid neck weakness.

METHODS

An online survey was used to investigate the perspectives and experiences of off the shelf neck collars used by people living with MND. The MND Association was selected as a strategic partner by their affiliations and access to large data base of MND patients.

RESULTS

Survey highlighted a disparity between the actual duration MND patients wear their current neck collars and their desired duration, emphasising the need to integrate collars into daily activities. Key areas for improvement with existing neck collars centred on comfort and reduced restriction, with respondents expressing a preference for collars that offer support without impeding movement. Additionally, addressing pressure on the anterior neck region during collar use emerged as a critical requirement.

CONCLUSION

Current collars do not cause any clinical complications; however, they do fall short of meeting the expected needs of people living with MND, including discomfort, restricted movement, and pressure to the anterior region of the neck. This study highlights need to improve current collar designs to provide better quality of life for MND patients.

摘要

背景

运动神经元病(MND)是一种使人衰弱的神经退行性疾病,严重影响了受影响者的生活质量。颈部无力是 MND 患者面临的挑战之一,因此可能需要佩戴颈圈来辅助。然而,与这些颈圈相关的用户体验和需求尚未得到全面探索。了解这些重点对于提高 MND 患者的幸福感至关重要。

目的

了解运动神经元病(MND)患者的重点需求,包括用户体验、要求以及用于辅助颈部无力的颈圈的重要性。

方法

使用在线调查来调查 MND 患者使用的现成颈圈的观点和体验。MND 协会通过其附属机构和对大量 MND 患者数据库的访问被选为战略合作伙伴。

结果

调查强调了 MND 患者实际佩戴当前颈圈的时间与他们期望佩戴的时间之间存在差距,这强调了将颈圈融入日常生活的必要性。现有颈圈的关键改进领域集中在舒适度和减少限制方面,受访者表示更喜欢提供支撑而不阻碍运动的颈圈。此外,在佩戴颈圈时减轻颈部前侧的压力成为一个关键需求。

结论

目前的颈圈不会引起任何临床并发症;然而,它们未能满足 MND 患者的预期需求,包括不适、运动受限以及对颈部前侧的压力。这项研究强调了需要改进现有颈圈设计,以提高 MND 患者的生活质量。

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