文章摘要
顾旭东,吴华,傅建明,等.基于可穿戴技术的远程康复对脑卒中居家患者上肢运动功能和日常生活活动能力的影响[J].中华物理医学与康复杂志,2024,46(12):1091-1095
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基于可穿戴技术的远程康复对脑卒中居家患者上肢运动功能和日常生活活动能力的影响
  
DOI:10.3760/cma.j.cn421666-20240407-00237
中文关键词: 可穿戴技术  远程康复  脑卒中  运动功能
英文关键词: Wearable technology  Telerehabilitation  Stroke  Motor function
基金项目:浙江省科技厅重大研发攻关计划项目(2022C03177)
作者单位
顾旭东 嘉兴市第二医院康复医学科嘉兴 314000 
吴华 嘉兴市第二医院康复医学科嘉兴 314000 
傅建明 嘉兴市第二医院康复医学科嘉兴 314000 
时美芳 嘉兴市第二医院康复医学科嘉兴 314000 
姚云海 嘉兴市第二医院康复医学科嘉兴 314000 
傅雄伟 嘉兴市第二医院康复医学科嘉兴 314000 
孙亚 嘉兴市第二医院康复医学科嘉兴 314000 
李小龙 嘉兴市第二医院康复医学科嘉兴 314000 
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中文摘要:
      目的 观察基于可穿戴技术的远程康复对脑卒中居家患者上肢运动功能和日常生活活动能力的影响。 方法 按随机数字表法将脑卒中居家患者50例随机分为试验组和对照组,每组患者25例。2组患者均给予基础药物治疗,对照组在此基础上进行常规居家康复训练,试验组则在基础药物治疗的同时给予基于可穿戴技术的远程康复训练。基于可穿戴技术的远程康复训练每日训练1次,每次20 min,每周治疗5 d,连续训练8周。于干预前和干预8周后采用简化的Fugl-Meyer量表(FMA)上肢部分、改良Ashworth 量表(MAS)、改良Barthel指数(MBI)分别评估2组患者上肢运动功能、偏瘫侧上肢肌肉痉挛情况和日常生活活动能力,同时采用PN3型无线动作捕捉系统检测2组患者的平均轨迹误差(ATE)和测试执行时间(Time)。 结果 干预8周后,2组患者的上肢FMA评分、MAS评分和MBI评分均显著优于组内干预前(P<0.05),且试验组的上肢FMA评分、MAS评分和MBI评分亦显著优于对照组干预8周后,差异均有统计学意义(P<0.05)。干预8周后,2组患者患侧的ATE值和Time值均显著优于组内干预前(P<0.05),且试验组的患侧的ATE值和Time值分别为(42.43±11.65)%和(34.65±17.32)s,亦显著优于对照组干预8周后,差异均有统计学意义(P<0.05)。 结论 基于可穿戴技术的远程康复可显著改善脑卒中居家患者的上肢运动功能和日常生活活动能力。
英文摘要:
      Objective To explore any effect of supplementing telerehabilitation with wearable technology on the upper limb functioning and activity of stroke survivors. Methods Fifty family-based stroke survivors were randomly divided into an experimental group and a control group, each of 25. In addition to routine medication, the control group was given routine rehabilitation guidance at home, while the experimental group was guided using telerehabilitation and wearable technology. The guidance lasted 20 minutes, 5 days a week for 8 weeks. Before and after the intervention, both groups′ upper limb motor functioning was evaluated using the Fugl-Meyer upper extremity assessment (FMA-UE). The modified Ashworth scale (MAS) was used to quantify hemiplegic muscle spasms, and ability in the activities of daily living was quantified using the modified Barthel index (MBI). A wireless motion capture system generated average trace error (ATE) and test execution time data. Results There were no significant differences between the two groups before the experiment. After the 8 weeks, significant improvement was observed in both groups′ average FMA, MAS and MBI scores, with those of the experimental group significantly better, on average, than those of the control group. There was also a significant improvement in the average ATE and time data in both groups, with significantly better results in the treatment group. Conclusions Telerehabilitation based on wearable technology can distinctly improve upper limb motor function and ability in the activities of daily living after a stroke.
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