Sakamoto Daigo, Hamaguchi Toyohiro, Nakayama Yasuhide, Hada Takuya, Abo Masahiro
Department of Rehabilitation Medicine, The Jikei University School of Medicine Hospital, Tokyo 105-8471, Japan.
Department of Rehabilitation, Graduate School of Health Science, Saitama Prefectural University, Saitama 343-8540, Japan.
J Clin Med. 2024 Apr 11;13(8):2212. doi: 10.3390/jcm13082212.
: Upper-limb function of chronic stroke patients declined when outpatient rehabilitation was interrupted and outings restricted, owing to the novel coronavirus infection (COVID-19) pandemic. We investigated whether these patients recovered upper-limb function post-resumption of outpatient rehabilitation. : In this observational study, 43 chronic stroke hemiparesis patients with impaired upper extremity function were scored for limb function via the Fugl-Meyer assessment of the upper extremity (FMA-UE) and the Action Research Arm Test (ARAT) after a structured interview, evaluation, and intervention. Scores at 6 and 3 months pre- and 3 months post-rehabilitation interruption were examined retrospectively; scores immediately and at 3 and 6 months post-resumption of care were examined prospectively. The amount of change for each time period and an analysis of covariance were performed with time as a factor, changes in the FMA-UE and the ARAT scores as dependent variables, and statistical significance at 5%. : The time of evaluation significantly impacted the total score, as well as part C and part D of FMA-UE and total, pinch, and gross movement of the ARAT. Post-hoc tests showed that the magnitude of change in limb-function scores from immediately to 3 months post-resumption was significantly higher than the change from 3 months pre- to immediately post-interruption for the total score and part D of the FMA-UE, as well as grip and gross movement of the ARAT ( < 0.05). : Upper-limb functional decline in chronic stroke patients, caused by the COVID-19 pandemic-related therapy interruption and outing restrictions, was resolved approximately 3 months post-resumption of rehabilitation therapy. Our data can serve as reference standards for planning and evaluating treatment for chronic stroke patients with inactivity-related impaired upper-limb function.
由于新型冠状病毒感染（COVID-19）大流行，门诊康复中断且外出受限，慢性中风患者的上肢功能下降。我们调查了这些患者在恢复门诊康复后上肢功能是否恢复。：在这项观察性研究中，对43例上肢功能受损的慢性中风偏瘫患者进行结构化访谈、评估和干预后，通过上肢Fugl-Meyer评估（FMA-UE）和动作研究臂测试（ARAT）对肢体功能进行评分。回顾性检查康复中断前6个月和3个月以及康复中断后3个月的评分；前瞻性检查恢复护理后即刻、3个月和6个月的评分。以时间为因素，以FMA-UE和ARAT评分的变化为因变量，进行每个时间段的变化量分析和协方差分析，显著性水平为5%。：评估时间对总分、FMA-UE的C部分和D部分以及ARAT的总分、捏力和总体运动有显著影响。事后检验表明，恢复后即刻至3个月肢体功能评分的变化幅度显著高于康复中断前3个月至即刻的总分和FMA-UE的D部分以及ARAT的握力和总体运动的变化幅度（<0.05）。：由COVID-19大流行相关治疗中断和外出限制导致的慢性中风患者上肢功能下降在恢复康复治疗后约3个月得到解决。我们的数据可作为规划和评估上肢功能因活动不足而受损的慢性中风患者治疗的参考标准。
