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单边外周神经损伤后的活动损失和保持模式:对康复的影响
Samah Gassass1, Ruiwen Zhou2, Robin Hattori3
1Samah Gassass, MS, OTR/L, is Doctoral Student, Program in Occupational Therapy, School of Medicine, Washington University in St. Louis, St. Louis, MO; g.samah@wustl.edu.
概括
周围神经损伤 (PNI) 在上肢影响活动参与,仅仅是运动需求并不能完全解释损失. 康复需要个性化,以活动为基础的评估,以进行有效的干预计划.
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
- 职业疗法 职业疗法 职业疗法
背景情况:
- 上肢外围神经损伤 (PNI) 严重影响患者参与日常活动的能力.
- 目前对PNI对参与的影响的评估工具有限.
- 了解运动需求对活动保持的影响对于康复至关重要.
研究的目的:
- 根据运动需求 (精细运动,粗运动,双手运动) 调查PNI对上肢活动参与的影响.
- 测试关于活动保留,手的灵巧度相关性和单手 vs.双手活动表现的假设.
- 为了确定与PNI后参与赤字相关的患者因素.
主要方法:
- 在两个上肢康复诊所进行的横截面观察性研究.
- 涉及48名患有单边上肢PNI的患者.
- 通过使用活动卡排序,评估了五个活动维度的参与保留率.
主要成果:
- 与微型运动活动相比,参与者保持了较少的毛动运动活动.
- 疼痛和与健康有关的生活质量与参与有显著的关联.
- 手的敏捷性与精细运动活动的保留没有相关性;单手活动被保留得比双手活动更好.
结论:
- PNI后的活动损失受运动需求以外的因素的影响,包括个人和上下文因素.
- 虽然运动技能很重要,但康复必须解决补偿策略和双手任务的困难.
- 基于活动的评估对于调整干预措施以满足个体患者需求和现实世界的挑战至关重要.
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