现实世界的动画与中风后的运动恢复之间的关联
Keith R Lohse1,2, Allison E Miller1, Marghuretta D Bland1,2,3
1Program in Physical Therapy, WashU Medicine, St Louis, MO. (K.R.L., A.E.M., M.D.B., C.E.L.).
Stroke
|April 23, 2025
概括
遥控可穿戴传感器在测量中风后手臂恢复方面表现出强烈的有效性,尤其是在早期. 这项技术可以帮助在大型研究中以最小的参与者负担跟踪运动恢复.
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:
- 脑卒中康复的进步已经落后于急性治疗,需要可扩展的方法来收集恢复数据.
- 大规模的生物研究需要有效的,低负荷的方法来表型发动机中风后恢复.
- 可穿戴式传感器技术为远程,客观测量运动功能的潜力.
研究的目的:
- 调查远程收集的可穿戴传感器数据与中风后运动恢复的临床评估的同时有效性.
- 为了评估使用比率 (paretic与非paretic手臂活动) 的实用性,作为运动恢复的衡量标准.
- 评估这些措施在中风恢复的不同阶段的可靠性.
主要方法:
- 使用了大型,协调的多站点数据集,对中风恢复的各个阶段的成年人进行了研究 (N=198横截面,N=98纵向).
- 分析了使用比率,行动研究手臂测试 (ARAT) 和Fugl-Meyer评估 (FMA-UE) 的同时有效性.
- 通过比较这些指标的横截面和纵向变化,从中风后的0周到52周.
主要成果:
- 在使用比率,ARAT和FMA-UE之间观察到强烈的并发有效性,无论是横截面还是纵横.
- 在中风后的早期发现了很高的相关性 (例如,在0-6周的使用比率和ARAT之间r=0.87).
- 使用比率和临床评估之间的相关性随着时间的推移而下降 (例如,r=0.58在≥52周).
结论:
- 来自可穿戴传感器的使用比率表明,对于评估中风后的运动恢复,特别是在早期阶段,具有很强的并发有效性.
- 虽然相关性随着时间的推移而减少,但使用率仍然是大规模回收研究的宝贵工具.
- 随着中风后的时间推移,个人和环境因素可能越来越多地影响运动恢复和测量有效性.
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