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基于可穿戴设备的脑卒中情景智能康复训练系统的临床应用研究:一项随机对照试验

Clinical Application Research on Stroke Situational Intelligent Rehabilitation Training System Based on Wearable Devices: A Randomized Controlled Trial.

作者信息

Lu Ying, Ding Kangjia, Dai Yayuan, Yin Jie, Yao Jianjun, Guo Liquan, Wang Jiping, Wang Xiaojun

机构信息

Suzhou Xiangcheng People's Hospital, Suzhou 215131, China.

Suzhou Institute of Biomedical Engineering Technology, Chinese Academy of Sciences, Suzhou 215010, China.

出版信息

Healthcare (Basel). 2025 Mar 23;13(7):708. doi: 10.3390/healthcare13070708.

DOI:10.3390/healthcare13070708
PMID:40218006
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11989009/
Abstract

With the advancement of intelligent sensing technology, rehabilitation systems based on wearable devices have a positive impact on the functional recovery and quality of life of stroke patients. This study aims to evaluate the application value of a contextualized intelligent rehabilitation training system for stroke survivors, which is based on wearable devices, in the rehabilitation of motor function impairments following stroke. A randomized controlled trial design was employed, in which 100 stroke patients were randomly divided into a control group (n = 50, receiving standard physical therapy rehabilitation interventions) and an experimental group (n = 50). The experimental group additionally underwent motor function rehabilitation interventions and intelligent assessments through a wearable device-based contextual intelligent rehabilitation training system, with sessions conducted twice daily for 30 min each, five days a week, over a duration of eight weeks. Both groups of patients underwent clinical scale evaluations and data collection before and after the treatment, with primary outcome measures including motor ability (Fugl-Meyer Assessment, FMA), activities of daily living (Modified Barthel Index, MBI), and participation in rehabilitation therapy. The intervention effects of both groups were compared after eight weeks of rehabilitation. Prior to the intervention, there were no significant differences in Fugl-Meyer Assessment (FMA) and Modified Barthel Index (MBI) scores between the experimental group and the control group ( > 0.05). After eight weeks of rehabilitation, the experimental group demonstrated significantly superior performance in motor function (FMA scores) and activities of daily living (MBI scores) compared to the control group ( < 0.01). The intelligent rehabilitation system significantly enhances motor function and activities of daily living in stroke survivors. Compared to traditional rehabilitation methods, it improves patient adherence to rehabilitation training and overall outcomes.

摘要

随着智能传感技术的进步,基于可穿戴设备的康复系统对中风患者的功能恢复和生活质量产生了积极影响。本研究旨在评估一种基于可穿戴设备的情境化智能康复训练系统在中风幸存者运动功能障碍康复中的应用价值。采用随机对照试验设计,将100例中风患者随机分为对照组(n = 50,接受标准物理治疗康复干预)和实验组(n = 50)。实验组通过基于可穿戴设备的情境智能康复训练系统额外接受运动功能康复干预和智能评估,每天进行两次,每次30分钟,每周五天,持续八周。两组患者在治疗前后均进行临床量表评估和数据收集,主要结局指标包括运动能力(Fugl-Meyer评估,FMA)、日常生活活动能力(改良Barthel指数,MBI)以及参与康复治疗的情况。康复八周后比较两组的干预效果。干预前,实验组和对照组的Fugl-Meyer评估(FMA)和改良Barthel指数(MBI)评分无显著差异(> 0.05)。康复八周后,实验组在运动功能(FMA评分)和日常生活活动能力(MBI评分)方面的表现明显优于对照组(< 0.01)。该智能康复系统显著提高了中风幸存者的运动功能和日常生活活动能力。与传统康复方法相比,它提高了患者对康复训练的依从性和总体康复效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b90e/11989009/a605ada1125b/healthcare-13-00708-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b90e/11989009/795aa21cbdbe/healthcare-13-00708-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b90e/11989009/a48a3da07098/healthcare-13-00708-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b90e/11989009/a605ada1125b/healthcare-13-00708-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b90e/11989009/795aa21cbdbe/healthcare-13-00708-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b90e/11989009/a48a3da07098/healthcare-13-00708-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b90e/11989009/a605ada1125b/healthcare-13-00708-g003.jpg

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本文引用的文献

1
The Safety, Feasibility, and Efficacy of a Structured Individual Exercise Program for Community-Dwelling Stroke Patients.一项针对社区中风患者的结构化个体锻炼计划的安全性、可行性和有效性
Healthcare (Basel). 2024 Nov 15;12(22):2281. doi: 10.3390/healthcare12222281.
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Analyzing the Impact of Rehabilitation Utilizing Neurofunctional Exercises on the Functional Status of Stroke Patients.分析运用神经功能锻炼的康复治疗对中风患者功能状态的影响。
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Recommendations for Upper Limb Motor Recovery: An Overview of the UK and European Rehabilitation after Stroke Guidelines (2023).
上肢运动恢复的建议:英国和欧洲卒中后康复指南(2023年)概述
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Clinical Effect Analysis of Wearable Sensor Technology-Based Gait Function Analysis in Post-Transcranial Magnetic Stimulation Stroke Patients.基于可穿戴传感器技术的步态功能分析在经颅磁刺激脑卒中患者中的临床效果分析。
Sensors (Basel). 2024 May 11;24(10):3051. doi: 10.3390/s24103051.
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Upper-Limb Functional Recovery in Chronic Stroke Patients after COVID-19-Interrupted Rehabilitation: An Observational Study.COVID-19 中断康复后慢性卒中患者的上肢功能恢复:一项观察性研究
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A Novel, Wearable Inertial Measurement Unit for Stroke Survivors: Validity, Acceptability, and Usability.一种新型可穿戴惯性测量单元用于脑卒中幸存者:有效性、可接受性和易用性。
Arch Phys Med Rehabil. 2024 Jun;105(6):1142-1150. doi: 10.1016/j.apmr.2024.01.020. Epub 2024 Mar 5.
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Benefits of Robot-Assisted Upper-Limb Rehabilitation from the Subacute Stage after a Stroke of Varying Severity: A Multicenter Randomized Controlled Trial.不同严重程度中风后亚急性期机器人辅助上肢康复的益处:一项多中心随机对照试验
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