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生物反培训用于3维指力控制,以改善中风后的上肢功能:一个RCT

Na Jin Seo1,2,3, Christian Schranz1,3,4, Kristen Coupland1,3

  • 1Ralph H. Johnson Veterans Affairs Health Care System, Charleston, SC (N.J.S., C.S., K.C., J.B., G.S., C.F., A.B., J.G., A.A., K.H., D.T., V.R.).

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概括

与1D反相比,三维生物反显著改善了中风幸存者的手动运动恢复. 这种训练通过专注于精确的力量方向控制来增强上肢功能.

关键词:
生物反,心理学,心理学反,感官反,感觉上的反.一次性中风中风中风中风中风幸存者可能是幸存者.上端的极端是上层的极端.

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科学领域:

  • 神经康复疗法 神经康复疗法
  • 生物医学工程 生物医学工程
  • 发动机控制器 发动机控制器

背景情况:

  • 脑卒中幸存者经常经历手部感官运动控制受损,影响物体操纵由于不准确的力缩放和方向.
  • 这种缺陷会影响人们执行需要精细运动技能的日常任务的能力.

研究的目的:

  • 为了比较三维 (3D) 与一维 (1D) 生物反训练对指力大小和方向的有效性.
  • 为了确定哪种生物反方法可以更有效地提高中风后上肢运动恢复.

主要方法:

  • 进行了一项双盲随机对照试验,涉及45名中风幸存者.
  • 参与者接受了18次培训,重点是数字力量生成,其中一组接受3D视觉反,另一组1D视觉反.
  • 用行动研究手臂测试 (ARAT) 来评估上肢功能.

主要成果:

  • 实验组 (3D反) 与对照组 (1D反) (3.5对0.8,P=0.005) 相比,ARAT分数显著改善.
  • 这种改善在1个月的随访后持续.
  • 在3D组中,在过去一年内中风的个体表现出更大的改善 (6.1,P<0.003).

结论:

  • 力量方向反,特别是使用3D生物反,显著提高了中风幸存者的上肢运动恢复.
  • 这种基于生物反的方法提供了强力方向控制的明确培训,这对于中风后有效的手部康复至关重要.