Internet + wearable device training effects on limb function recovery and serum neurocytokine content in stroke patients.

IF 1.7 4区医学 Q3 CLINICAL NEUROLOGY

NeuroRehabilitation Pub Date : 2024-01-01 DOI:10.3233/NRE-230347

Yijun Wang, Chang Liu, Zhangmin Wang, Yongjian Li, Hai Jiang, Yi Zhang, Youhong Xie

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引用次数: 0

Abstract

Background: The traditional method of post-hospital intervention and guidance of stroke patients has some limitations.

Objective: To investigate the effects of Internet + wearable device training on limb function recovery and the levels of serum neurocytokines (BDNF, NT-3, and NGF) in stroke patients.

Methods: 80 stroke patients with hemiplegia were randomly selected from the Department of Neurorehabilitation, Affiliated Rehabilitation Hospital of Chongqing Medical University. They were divided into a control group and an observation group, with 40 patients in each group. The control group received routine post-hospital follow-up guidance, while the observation group received Internet remote home rehabilitation guidance combined with wearable device training. The interventions were compared between the two groups.

Results: At 4 weeks and 12 weeks after discharge, the observation group showed higher scores on the Fugl-Meyer scale (FMA), Berg Balance Scale (BBS), modified Barthel Index (MBI), stride length, gait speed, gait frequency, and higher levels of BDNF, NT-3, and NGF. Additionally, the observation group had lower scores on the Hamilton Anxiety and Depression Scale (HADS) (P < 0.05).

Conclusions: The application of Internet remote home rehabilitation guidance combined with wearable device training in stroke patients with hemiplegia can improve limb function recovery. It effectively increases the levels of BDNF, NT-3, and NGF, promoting the nutritional repair of damaged nerves. These findings hold clinical significance.

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互联网+可穿戴设备训练对中风患者肢体功能恢复和血清神经细胞因子含量的影响

背景：传统的脑卒中患者院后干预和指导方法存在一定的局限性：对脑卒中患者进行院后干预和指导的传统方法存在一定的局限性：方法：从重庆医科大学附属康复医院神经康复科随机抽取80例脑卒中偏瘫患者，分为对照组和观察组，每组40例。方法：随机选取重庆医科大学附属康复医院神经康复科的 80 例脑卒中偏瘫患者，将其分为对照组和观察组，每组 40 例。对照组接受常规院后随访指导，观察组接受互联网远程家庭康复指导，并结合可穿戴设备训练。对两组的干预措施进行比较：出院后4周和12周时，观察组在福格-迈耶量表（FMA）、伯格平衡量表（BBS）、改良巴特尔指数（MBI）、步幅、步速、步频方面得分更高，BDNF、NT-3和NGF水平更高。此外，观察组在汉密尔顿焦虑和抑郁量表（HADS）上的得分较低（P 结论：观察组的焦虑和抑郁程度低于观察组：在脑卒中偏瘫患者中应用互联网远程家庭康复指导结合可穿戴设备训练可改善肢体功能恢复。它能有效提高 BDNF、NT-3 和 NGF 的水平，促进受损神经的营养修复。这些研究结果具有重要的临床意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

NeuroRehabilitation CLINICAL NEUROLOGY-REHABILITATION

CiteScore

3.20

自引率

0.00%

发文量

178

审稿时长

6-12 weeks

期刊介绍： NeuroRehabilitation, an international, interdisciplinary, peer-reviewed journal, publishes manuscripts focused on scientifically based, practical information relevant to all aspects of neurologic rehabilitation. We publish unsolicited papers detailing original work/research that covers the full life span and range of neurological disabilities including stroke, spinal cord injury, traumatic brain injury, neuromuscular disease and other neurological disorders. We also publish thematically organized issues that focus on specific clinical disorders, types of therapy and age groups. Proposals for thematic issues and suggestions for issue editors are welcomed.