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综合评估ICF活动水平,使用能力和绩效指标:一个案例报告
Carey L Holleran1,2, Marghuretta D Bland1,2,3, Catherine E Lang1,2,3
1Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO.
Archives of rehabilitation research and clinical translation
|September 25, 2023
概括
使用消费设备跟踪日常活动表现可以增强神经疾病的物理治疗. 本案例报告展示了客观数据如何支持患有苏萨克综合征的患者,改善了她的流动性和日常功能.
科学领域:
- 神经学物理治疗 神经学物理治疗
- 活动绩效测量 活动绩效测量
- 在康复中使用可穿戴技术
背景情况:
- 物理治疗通常评估活动能力,但测量现实世界的活动表现是一种新兴的,非标准化的做法.
- 患有神经系统疾病的个体需要提高日常生活活动的流动性.
- 客观地跟踪日常活动的表现对于定制的物理治疗干预至关重要.
研究的目的:
- 举例说明门诊神经物理治疗中活动能力和绩效评估的结构,临床推理和实施.
- 为了说明客观的日常活动绩效跟踪如何支持苏萨克综合征患者的物理治疗干预和教育计划.
主要方法:
- 一份病例报告详细介绍了一名42岁的苏萨克综合征患者,她在4.5个月内接受了12次门诊神经物理治疗.
- 在临床和消费级可穿戴设备 (三星手腕追踪器) 中使用活动能力测量,用于客观的日常步行活动监测.
- 干预的重点是日常生活的表现 (步骤/天),有氧空调和前庭习惯.
主要成果:
- 活动能力测量提供了基于诊所的标准化评估.
- 日常生活活动绩效跟踪提供了关于步行活动的定量,现实世界的数据.
- 目标跟踪确定了增加每日步行表现的障碍和促进者.
结论:
- 对日常生活中的活动表现的客观跟踪对于神经疾病中有效的物理治疗管理至关重要.
- 消费级可穿戴设备可以提供有价值的定量数据,以支持临床决策和患者教育.
- 这种方法为患有苏萨克综合征的患者提供了个性化的干预措施,解决了脱水和头的问题.
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