上肢矫形器对中风偏瘫患者静态和动态坐姿时躯干肌肉活动的影响

IF 1.4 3区医学 Q4 ENGINEERING, BIOMEDICAL

Clinical Biomechanics Pub Date : 2025-02-01 DOI:10.1016/j.clinbiomech.2025.106439

Kazuhiro Fukata , Yuya Chiba , Kohei Shida , Saki Natsuaki , Ryota Kakinuma , Natsumi Izumi , Kazu Amimoto , Shigeru Makita , Hidetoshi Takahashi

{"title":"上肢矫形器对中风偏瘫患者静态和动态坐姿时躯干肌肉活动的影响","authors":"Kazuhiro Fukata , Yuya Chiba , Kohei Shida , Saki Natsuaki , Ryota Kakinuma , Natsumi Izumi , Kazu Amimoto , Shigeru Makita , Hidetoshi Takahashi","doi":"10.1016/j.clinbiomech.2025.106439","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>We aimed to clarify the immediate effect of wearing the Omo Neurexa upper limb suspended orthosis (Ottobock Japan, Tokyo, Japan) on trunk muscle activity during seated tasks.</div></div><div><h3>Methods</h3><div>Fifteen participants with upper limb hemiparesis were included. Surface electromyography of the thoracic and lumbar erector spinae and the external oblique muscles was performed. All participants performed static sitting, repetitive lateral reaching, and maximum lateral reaching tasks with or without the orthosis. The paired <em>t</em>-test was performed to compare the trunk muscle activity with and without the orthosis.</div></div><div><h3>Findings</h3><div>During static sitting, the activity of the thoracic and lumbar erector spinae muscles on the non-paretic side was significantly greater with the orthosis than without it (<em>p</em> = 0.025 and <em>p</em> = 0.047, respectively). The time required to complete five repetitive lateral reaching was significantly shorter with the orthosis than without it (<em>p</em> <em>=</em> 0.030). However, the orthosis did not affect during f repetitive lateral reaching and maximum lateral reaching task.</div></div><div><h3>Interpretation</h3><div>The upper limb orthosis may influence the activity of the trunk muscles of patients who had had a stroke during static sitting and improve the sitting reaching performance. Our results suggest that the effects of upper limb orthoses on trunk muscle and sitting performance should be further explored for the treatment of sitting disabilities after hemiparetic stroke. (University Hospital Medical Information Network Clinical Trials Registry number: UMIN 000044629).</div></div>","PeriodicalId":50992,"journal":{"name":"Clinical Biomechanics","volume":"122 ","pages":"Article 106439"},"PeriodicalIF":1.4000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Influences of upper limb orthosis on trunk muscle activity during static and dynamic sitting tasks for hemiparetic stroke\",\"authors\":\"Kazuhiro Fukata , Yuya Chiba , Kohei Shida , Saki Natsuaki , Ryota Kakinuma , Natsumi Izumi , Kazu Amimoto , Shigeru Makita , Hidetoshi Takahashi\",\"doi\":\"10.1016/j.clinbiomech.2025.106439\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>We aimed to clarify the immediate effect of wearing the Omo Neurexa upper limb suspended orthosis (Ottobock Japan, Tokyo, Japan) on trunk muscle activity during seated tasks.</div></div><div><h3>Methods</h3><div>Fifteen participants with upper limb hemiparesis were included. Surface electromyography of the thoracic and lumbar erector spinae and the external oblique muscles was performed. All participants performed static sitting, repetitive lateral reaching, and maximum lateral reaching tasks with or without the orthosis. The paired <em>t</em>-test was performed to compare the trunk muscle activity with and without the orthosis.</div></div><div><h3>Findings</h3><div>During static sitting, the activity of the thoracic and lumbar erector spinae muscles on the non-paretic side was significantly greater with the orthosis than without it (<em>p</em> = 0.025 and <em>p</em> = 0.047, respectively). The time required to complete five repetitive lateral reaching was significantly shorter with the orthosis than without it (<em>p</em> <em>=</em> 0.030). However, the orthosis did not affect during f repetitive lateral reaching and maximum lateral reaching task.</div></div><div><h3>Interpretation</h3><div>The upper limb orthosis may influence the activity of the trunk muscles of patients who had had a stroke during static sitting and improve the sitting reaching performance. Our results suggest that the effects of upper limb orthoses on trunk muscle and sitting performance should be further explored for the treatment of sitting disabilities after hemiparetic stroke. (University Hospital Medical Information Network Clinical Trials Registry number: UMIN 000044629).</div></div>\",\"PeriodicalId\":50992,\"journal\":{\"name\":\"Clinical Biomechanics\",\"volume\":\"122 \",\"pages\":\"Article 106439\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Biomechanics\",\"FirstCategoryId\":\"5\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0268003325000117\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"ENGINEERING, BIOMEDICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Biomechanics","FirstCategoryId":"5","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0268003325000117","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ENGINEERING, BIOMEDICAL","Score":null,"Total":0}

引用次数: 0

摘要

背景：我们的目的是澄清佩戴Omo Neurexa上肢悬吊矫形器（Ottobock Japan, Tokyo, Japan）对坐位任务时躯干肌肉活动的直接影响。方法：选取上肢偏瘫患者15例。行胸、腰竖脊肌及外斜肌表面肌电图。所有的参与者在有或没有矫形器的情况下都进行了静态坐姿、重复性侧伸和最大侧伸任务。采用配对t检验比较有矫形器和没有矫形器的躯干肌肉活动。结果：在静坐时，有矫形器时，非麻痹侧胸、腰竖脊肌的活动明显大于没有矫形器时（p = 0.025和p = 0.047）。使用矫形器完成5次重复性侧伸所需时间明显短于未使用矫形器（p = 0.030）。然而，矫形器在重复性外伸和最大外伸任务中不受影响。解释：上肢矫形器可能会影响中风患者在静坐时躯干肌肉的活动，并改善坐位到达的性能。我们的研究结果表明，上肢矫形器对躯干肌肉和坐姿的影响值得进一步探讨，以治疗偏瘫卒中后的坐姿障碍。（大学医院医学信息网络临床试验注册编号：UMIN 000044629）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Influences of upper limb orthosis on trunk muscle activity during static and dynamic sitting tasks for hemiparetic stroke

Background

We aimed to clarify the immediate effect of wearing the Omo Neurexa upper limb suspended orthosis (Ottobock Japan, Tokyo, Japan) on trunk muscle activity during seated tasks.

Methods

Fifteen participants with upper limb hemiparesis were included. Surface electromyography of the thoracic and lumbar erector spinae and the external oblique muscles was performed. All participants performed static sitting, repetitive lateral reaching, and maximum lateral reaching tasks with or without the orthosis. The paired t-test was performed to compare the trunk muscle activity with and without the orthosis.

Findings

During static sitting, the activity of the thoracic and lumbar erector spinae muscles on the non-paretic side was significantly greater with the orthosis than without it (p = 0.025 and p = 0.047, respectively). The time required to complete five repetitive lateral reaching was significantly shorter with the orthosis than without it (p = 0.030). However, the orthosis did not affect during f repetitive lateral reaching and maximum lateral reaching task.

Interpretation

The upper limb orthosis may influence the activity of the trunk muscles of patients who had had a stroke during static sitting and improve the sitting reaching performance. Our results suggest that the effects of upper limb orthoses on trunk muscle and sitting performance should be further explored for the treatment of sitting disabilities after hemiparetic stroke. (University Hospital Medical Information Network Clinical Trials Registry number: UMIN 000044629).

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Clinical Biomechanics 医学-工程：生物医学

CiteScore

3.30

自引率

5.60%

发文量

189

审稿时长

12.3 weeks

期刊介绍： Clinical Biomechanics is an international multidisciplinary journal of biomechanics with a focus on medical and clinical applications of new knowledge in the field. The science of biomechanics helps explain the causes of cell, tissue, organ and body system disorders, and supports clinicians in the diagnosis, prognosis and evaluation of treatment methods and technologies. Clinical Biomechanics aims to strengthen the links between laboratory and clinic by publishing cutting-edge biomechanics research which helps to explain the causes of injury and disease, and which provides evidence contributing to improved clinical management. A rigorous peer review system is employed and every attempt is made to process and publish top-quality papers promptly. Clinical Biomechanics explores all facets of body system, organ, tissue and cell biomechanics, with an emphasis on medical and clinical applications of the basic science aspects. The role of basic science is therefore recognized in a medical or clinical context. The readership of the journal closely reflects its multi-disciplinary contents, being a balance of scientists, engineers and clinicians. The contents are in the form of research papers, brief reports, review papers and correspondence, whilst special interest issues and supplements are published from time to time. Disciplines covered include biomechanics and mechanobiology at all scales, bioengineering and use of tissue engineering and biomaterials for clinical applications, biophysics, as well as biomechanical aspects of medical robotics, ergonomics, physical and occupational therapeutics and rehabilitation.