Gu Guiyi, Lin Ruixuan, Zeng Roy Rongyue, Miller Tiev, Zhang Jack Jiaqi
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China.
Department of Rehabilitation, Dongguan People's Hospital, Dongguan, Guangdong, China.
Front Neurol. 2025 Jun 26;16:1556111. doi: 10.3389/fneur.2025.1556111. eCollection 2025.
Proprioceptive impairments affect 34-64% of post-stroke patients, impacting motor recovery and daily activities. Technology-assisted matching paradigms offer precise, quantitative assessment of upper limb proprioception, but their psychometric properties require evaluation.
The search was conducted using PubMed, Web of Science, EMBASE, and MEDLINE to identify studies on technology-assisted matching paradigms for assessing upper limb proprioception in post-stroke patients. Studies were selected based on the inclusion and exclusion criteria, and relevant data were extracted.
A total of 13 articles were included. Upper limb robots for active mirror-matching tasks were the most used technology among our included studies (9 out of 13 studies). Seven studies showed a moderate level of concurrent validity, and four studies showed a moderate level of convergent validity. Seven studies compared stroke patients to healthy individuals, with most showing good responsiveness. Five studies revealed moderate to high test-retest and inter-rater reliability.
Technology-assisted matching paradigms demonstrate moderate validity and moderate to high reliability when applied in clinical settings for assessing upper limb proprioception in post-stroke patients.
本体感觉障碍影响34%至64%的中风后患者,对运动恢复和日常活动产生影响。技术辅助匹配范式可对上肢体本体感觉进行精确、定量评估,但其心理测量特性需要评估。
通过PubMed、科学网、EMBASE和MEDLINE进行检索,以识别关于技术辅助匹配范式评估中风后患者上肢体本体感觉的研究。根据纳入和排除标准选择研究,并提取相关数据。
共纳入13篇文章。在我们纳入的研究中,用于主动镜像匹配任务的上肢机器人是使用最多的技术(13项研究中有9项)。7项研究显示出中等水平的同时效度,4项研究显示出中等水平的收敛效度。7项研究将中风患者与健康个体进行了比较,大多数显示出良好的反应性。5项研究显示出中等至高的重测信度和评分者间信度。
技术辅助匹配范式在临床环境中用于评估中风后患者上肢体本体感觉时,显示出中等效度和中等至高信度。