脑卒中后8周虚拟运动环境干预:一项纵向混合方法单例研究。

IF 2.3 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Christen J Mendonca, Sangeetha Mohanraj, Rebecca R Rogers, Laurie A Malone, Mohanraj Thirumalai, James H Rimmer, David A Brown
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引用次数: 0

摘要

使用双曲臂循环的偏瘫患者可能会由于神经机械缺陷而经历非麻痹性手臂过度代偿和麻痹性手臂抵抗。促进独立肢体贡献的技术可能会增加中风后患者的双亲手臂恢复。在一个单独的案例研究中,用智能训练器手臂计力器进行8周的训练对功率输出、踏板速度、踏板同步性、生活质量、享受和参与的影响。采用纵向混合方法的案例研究设计,在非沉浸式虚拟运动环境中使用高级虚拟运动环境设备(AVEED)进行为期8周的手臂循环计划后,检查个体中风后的身体和心理社会变化。在一次预试访问后,收集每只手臂的骑行速度,并在24次训练访问中进行开放式回答。进行了测试后访问和半结构化访谈。将数据混合用于培训访问和后测以得出元推论。在进行了8周的AVEED训练后,参与者的双侧骑行速度更快,并且使用双亲臂的次数比前测时更多。他的双亲手臂和非双亲手臂之间的速度差异稳步下降,参与者报告说随着时间的推移,他们的乐趣和参与度增加了。该装置、环境和干预措施被评为可用,参与者将其麻痹手臂的几项功能改善归功于该程序。AVEED与运动游戏平台相结合,通过为期8周的非沉浸式虚拟运动环境计划,成功地提高了个人中风后的骑车速度和麻痹手臂的贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

An 8-Week Virtual Exercise Environment Intervention for People Post-Stroke: A Longitudinal Mixed Methods Single Case Study.

An 8-Week Virtual Exercise Environment Intervention for People Post-Stroke: A Longitudinal Mixed Methods Single Case Study.

An 8-Week Virtual Exercise Environment Intervention for People Post-Stroke: A Longitudinal Mixed Methods Single Case Study.

An 8-Week Virtual Exercise Environment Intervention for People Post-Stroke: A Longitudinal Mixed Methods Single Case Study.

Individuals with hemiplegia using a coupled-crank arm cycle may experience nonparetic arm overcompensation and paretic arm resistance due to neuromechanical deficits. Technologies that foster independent limb contributions may increase paretic arm recovery for people post-stroke. To document in a single case study the effects of 8 weeks of training with a smart trainer arm ergometer on power output, pedal speed, pedal synchronicity, quality of life, enjoyment, and engagement. A longitudinal, mixed methods, case study design was used to examine physical and psychosocial changes in an individual post-stroke after an 8-week arm cycling program using the Advanced Virtual Exercise Environment Device (AVEED) in a non-immersive virtual exergaming environment. After a pretest visit, the cycling speed of each arm was collected with open-ended responses over 24 training visits. A posttest visit and semi-structured interview were conducted. The data were mixed for the training visits and posttest to draw meta-inferences. The participant cycled faster bilaterally and used his paretic arm more than at pretest during cycling after 8 weeks of training with the AVEED. The speed difference between his paretic and non-paretic arms steadily decreased and the participant reported increasing enjoyment and engagement over time. The device, environment, and intervention were rated as usable, and the participant attributed several functional improvements with his paretic arm to the program. The AVEED, combined with an exergaming platform, was successful in improving the cycling speed and paretic arm contribution of an individual post-stroke through an 8-week non-immersive virtual exercise environment program.

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来源期刊
CiteScore
2.50
自引率
0.00%
发文量
192
审稿时长
>12 weeks
期刊介绍: INQUIRY is a peer-reviewed open access journal whose msision is to to improve health by sharing research spanning health care, including public health, health services, and health policy.
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