一种用于中风康复的双侧上肢训练新方法。

IF 5.2 2区 医学 Q2 ENGINEERING, BIOMEDICAL
Tong-Hun Hwang, Melanie Boltzmann, Simone B Jenner, Jens D Rollnik, Gerd Schmitz, Alfred O Effenberg
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引用次数: 0

摘要

中风后的个体经常经历上肢感觉运动障碍,这限制了他们进行日常生活活动的能力(adl)。双侧上肢训练(BULT)在中风康复中是必不可少的,因为许多ADL任务需要双侧协调,并受益于增强的半球间协调需求——本文提出的方法的主要目的。然而,支持BULT优于单侧上肢训练(UULT)的证据有限,因为在实验和临床环境中,BULT装置的复杂性和可及性有限。传统运动功能测试的低灵敏度也是检测双侧上肢技能水平细微差异的严重障碍。本文介绍了一种新颖的基于平板电脑的BULT方法,该方法在一个简单的非沉浸式虚拟现实(VR)应用程序中使用绳球绕圈任务,并在手腕上结合可穿戴惯性传感器(ISs)。在这项研究中,18名中风患者和18名健康对照者被要求用双手有节奏地倾斜平板电脑,沿着圆形的指导方针旋转虚拟绳球。在不同参数下分析了任务性能和前臂末端执行器运动学。重复测量方差分析在任务表现、不对称性和协调特征上产生显著差异。结果表明,所提出的BULT方法不仅对康复有效,而且对评估双侧上肢技能水平的细微差异也很敏感。该方法具有较高的可及性和用户友好性,可为未来的BULT研究和脑卒中康复提供支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Novel Bilateral Upper Limb Training Method for Stroke Rehabilitation.

Post-stroke individuals often experience upper limb sensorimotor impairments that limit their ability to perform activities of daily living (ADLs). Bilateral upper limb training (BULT) is essential in stroke rehabilitation, as many ADL tasks require bilateral coordination and benefit from enhanced interhemispheric coordination demands-the key aim of the method presented here. However, evidence supporting the superiority of BULT over unilateral upper limb training (UULT) is limited due to the complexity and limited accessibility of BULT devices in experimental and clinical settings. The low sensitivity of conventional motor function tests is also a serious obstacle to detecting subtle differences in bilateral upper limb skill levels. This paper introduces a novel, tablet-based BULT approach using a tetherball circling task within a simple non-immersive virtual reality (VR) application, incorporating wearable inertial sensors (ISs) on the wrists. In this study, 18 stroke patients and 18 healthy controls were asked to rhythmically tilt the tablet with both hands to rotate a virtual tetherball along a circular guideline. Task performance and forearm end-effector kinematics were analyzed using different parameters. Repeated measures ANOVA resulted in significant differences in task performance, asymmetry, and coordination characteristics. The findings indicate that the proposed BULT method is both effective for rehabilitation and sensitive to assess the subtle differences in bilateral upper limb skill levels. With its high accessibility and user-friendliness, the proposed method can support future BULT research and stroke rehabilitation.

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来源期刊
CiteScore
8.60
自引率
8.20%
发文量
479
审稿时长
6-12 weeks
期刊介绍: Rehabilitative and neural aspects of biomedical engineering, including functional electrical stimulation, acoustic dynamics, human performance measurement and analysis, nerve stimulation, electromyography, motor control and stimulation; and hardware and software applications for rehabilitation engineering and assistive devices.
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