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虚拟鸡蛋测试在评估中风患者手部灵活性中的应用与适应性:一项初步研究。

Application and adaptation of the Virtual Eggs Test for assessing hand dexterity in subjects with stroke: a pilot study.

作者信息

Piazzini Michele, Ciapetti Tommaso, Baccini Marco, Doronzio Stefano, Angelini Lucia, Mucci Paola, Guachi Robinson, Controzzi Marco, Cecchi Francesca

机构信息

Dipartimento di Medicina Sperimentale e Clinica, UniFi, Firenze - Italia.

Unità di Ricerca Neuromotoria, IRCCS Fondazione don Carlo Gnocchi ONLUS, Firenze - Italia.

出版信息

Arch Physiother. 2025 Jun 5;15:131-137. doi: 10.33393/aop.2025.3291. eCollection 2025 Jan-Dec.

DOI:10.33393/aop.2025.3291
PMID:40475794
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12139516/
Abstract

OBJECTIVES

To verify the feasibility of the Virtual Eggs Test (VET) and establish the ranges of fragilities of the Virtual Eggs (VEs) for assessing dexterity of stroke subjects and to collect feedback to improve its usability.

METHODS

An observational non-profit study, with a pre-market medical device. It was conducted at a hospital neurorehabilitation unit. Nine subjects with chronic stroke (5 males; mean age 55.8 ± 18.9) performed the pilot with their paretic arm. Time to complete the test (TT), the number of failures for each VE, the threshold (T), and participants' self-reported comfort in performing the test were measured.

RESULTS

The T varied among participants from 1.70 to 4.88 N/N. The average TT was 20.1 ± 6.5 minutes (range 11-33). Only one subject found the test uncomfortable.

CONCLUSIONS

The study found that the VET, with minor modifications, is feasible in stroke subjects. It might be useful for assessing sensorimotor impairment in both the affected and the less affected arm. Its metric properties and normative values in the healthy population will be determined in a study currently underway.

摘要

目的

验证虚拟鸡蛋测试(VET)的可行性,确定虚拟鸡蛋(VE)的易碎性范围,以评估中风患者的灵活性,并收集反馈意见以提高其可用性。

方法

一项针对上市前医疗设备的观察性非营利研究。该研究在医院神经康复科进行。九名慢性中风患者(5名男性;平均年龄55.8±18.9岁)用其患侧手臂进行了试点测试。测量完成测试的时间(TT)、每个VE的失败次数、阈值(T)以及参与者在进行测试时自我报告的舒适度。

结果

参与者的T值在1.70至4.88N/N之间变化。平均TT为20.1±6.5分钟(范围为11 - 33分钟)。只有一名受试者觉得测试不舒服。

结论

该研究发现,经过 minor modifications的VET在中风患者中是可行的。它可能有助于评估患侧和未受影响手臂的感觉运动障碍。其在健康人群中的度量特性和标准值将在当前正在进行的一项研究中确定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2ec/12139516/a05597c17003/aop-15-131_g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2ec/12139516/40783522f5a4/aop-15-131_g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2ec/12139516/a05597c17003/aop-15-131_g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2ec/12139516/40783522f5a4/aop-15-131_g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2ec/12139516/a05597c17003/aop-15-131_g002.jpg

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本文引用的文献

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IEEE Trans Neural Syst Rehabil Eng. 2024 Dec 31;PP. doi: 10.1109/TNSRE.2024.3524791.
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Sensory weighting of position and force feedback during pinching.捏夹过程中位置和力反馈的感觉权重。
Exp Brain Res. 2023 Aug;241(8):2009-2018. doi: 10.1007/s00221-023-06654-1. Epub 2023 Jun 29.
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Grip force as a functional window to somatosensory cognition.握力作为体感认知的功能窗口。
Front Psychol. 2022 Oct 14;13:1026439. doi: 10.3389/fpsyg.2022.1026439. eCollection 2022.
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Biomechanical assessment of the ipsilesional upper limb in post-stroke patients during multi-joint reaching tasks: A quantitative study.中风后患者在多关节伸展任务中患侧上肢的生物力学评估:一项定量研究。
Front Rehabil Sci. 2022 Jul 28;3:943397. doi: 10.3389/fresc.2022.943397. eCollection 2022.
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A low-dimensional representation of arm movements and hand grip forces in post-stroke individuals.脑卒中患者手臂运动和手部抓握力的低维表示。
Sci Rep. 2022 May 9;12(1):7601. doi: 10.1038/s41598-022-11806-4.
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Electrotactile Feedback Improves Grip Force Control and Enables Object Stiffness Recognition While Using a Myoelectric Hand.电触觉反馈可改善握力控制,并在使用肌电手时实现物体刚度识别。
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Redefining a minimal assessment protocol for stroke rehabilitation: the new "Protocollo di Minima per l'ICtus" (PMIC2020).重新定义脑卒中康复的最小评估方案:新的“Protocollo di Minima per l'ICtus”(PMIC2020)。
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8
Systematic review of guidelines to identify recommendations for upper limb robotic rehabilitation after stroke.系统评价识别脑卒中后上肢机器人康复建议的指南。
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Hand Control With Invasive Feedback Is Not Impaired by Increased Cognitive Load.侵入性反馈的手部控制不会因认知负荷增加而受损。
Front Bioeng Biotechnol. 2020 Apr 3;8:287. doi: 10.3389/fbioe.2020.00287. eCollection 2020.
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World Stroke Organization (WSO): Global Stroke Fact Sheet 2019.世界卒中组织(WSO):2019年全球卒中情况说明书。
Int J Stroke. 2019 Oct;14(8):806-817. doi: 10.1177/1747493019881353.