针对慢性中风患者的家庭功能电刺激方案. 单个中心队列的有效性和可用性
F Covarrubias-Escudero1,2, F Balbontín-Miranda2,3, B Urzúa-Soler3
1Translational Research Unit, Trainfes Center, Santiago, Chile.
Artificial organs
|December 12, 2024
概括
使用功能电刺激 (FES) 和数字平台进行家庭康复,在慢性中风幸存者中显著改善了运动功能和平衡. 这种方法表现出很高的坚持和患者满意度,为长期康复提供了可行的解决方案.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 生物医学工程 生物医学工程
背景情况:
- 卒中幸存者经常经历长期的功能缺陷,影响日常生活.
- 家庭康复提供了一个可扩展的解决方案,以弥合急性后护理的差距.
- 功能电刺激 (FES) 等先进技术可以提高康复强度和任务特异性.
研究的目的:
- 评估10周的慢性中风家庭康复计划的有效性和可用性.
- 评估FES设备与基于云的平台和移动应用程序集成对运动功能的影响.
- 为了确定患者对新型家庭康复方案的坚持和满意度.
主要方法:
- 对52名慢性中风患者实施了为期10周的家庭康复方案.
- 该干预使用云平台,移动应用程序和FES设备,提供定制的同步和异步培训课程.
- 通过标准化运动功能测试 (TUG,5STS,MAS,10MWT) 来衡量有效性,通过坚持和患者满意度来衡量可用性.
主要成果:
- 报告了高坚持率 (74.03%) 和患者满意度 (73%).
- 观察到的显著改善是时间上升和移动 (TUG),五次坐到站 (5STS),运动评估量表 (MAS) 和10米步行测试 (10MWT).
- 平均每周无监督炼达到414分钟,在所有结果指标上都有临床相关的改善.
结论:
- 将FES设备与虚拟平台和移动应用程序集成在家庭慢性中风康复中是有效的.
- 该协议维持了高度的坚持,并显著提高了功能结果,包括平衡和步态.
- 这种技术驱动的方法是改善中风幸存者的长期康复的可行和有效策略.
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