Visually Induced Kinaesthetic Illusion Combined with Therapeutic Exercise for Patients with Chronic Stroke: A Pilot Study.
Visually Induced Kinaesthetic Illusion Combined with Therapeutic Exercise for Patients with Chronic Stroke: A Pilot Study.
复制标题
DOI：
10.2340/jrm.v54.29
复制
发表时间：
2022-04-07
影响因子：
3.5
通讯作者：
中科院分区：
文献类型：
--
作者：
视觉刺激（KINVIS）联合神经肌肉电刺激（NMES）和常规治疗性运动（TherEX）的动觉错觉已被证明可以增强中风合并慢性偏瘫患者的运动功能。这项初步研究的目的是评估重复KINVIS干预联合TherEX，但不使用NMES，对卒中性偏瘫患者上肢运动功能的影响。一项准实验研究，对1组10例脑卒中引起的慢性重度上肢偏瘫患者进行前测后测。在10天的干预前和干预后对患者进行评估，在此期间，每周5天（周一至周五），分别应用KINVIS和therx 20和60分钟。采用Fugl-Meyer评估法（FMA）和动作研究臂测试法（ARAT）评估上肢运动功能，采用改良Ashworth量表（MAS）评估屈肌被动运动阻力。此外，使用运动活动日志（Motor Activity Log， MAL）评估患肢在日常生活中的使用量和运动质量。干预期后，FMA、ARAT、MAS和MAL的临床评估均有显著改善。重复的KINVIS干预联合therx可能改善慢性卒中和严重偏瘫患者的上肢运动功能。视觉刺激（KINVIS）联合神经肌肉电刺激（NMES）和常规治疗性运动（TherEX）可增强脑卒中合并慢性瘫痪患者的肌肉使用。这项初步研究评估了在10例中风性瘫痪患者中，使用重复的KINVIS干预并添加TherEX，但不使用NMES对手臂使用的影响。对10例卒中性慢性麻痹患者进行10天干预前后评估，干预期间，每周5天（周一至周五），分别应用KINVIS和therx 20和60分钟。干预后瘫痪手臂的使用明显改善。重复的KINVIS干预联合TherEX可以改善脑卒中慢性瘫痪患者的手臂使用。
Kinaesthetic perceptional illusion by visual stimulation (KINVIS) combined with neuromuscular electrical stimulation (NMES) and conventional therapeutic exercise (TherEX) has been shown previously to enhance motor function in stroke patients with chronic hemiparesis. The aim of this preliminary study is to assess the effects of a repetitive KINVIS intervention combined with TherEX, but without NMES, on upper limb motor function of patients with stroke-induced hemiparesis. A quasi-experimental study, with pretest–posttest for 1 group Ten patients with stroke-induced, chronic, severe upper limb hemiparesis. Patients were evaluated before and after a 10-day intervention, during which KINVIS and TherEX were applied for 20 and 60 min, respectively, for 5 days per week (Monday to Friday). Upper limb motor function was assessed using Fugl-Meyer Assessment (FMA) and Action Research Arm Test (ARAT), and resistance to passive movement in flexor muscles was assessed using the Modified Ashworth Scale (MAS). In addition, the amount of use and quality of movement of the affected upper limb in daily life were assessed using Motor Activity Log (MAL). Clinical assessments with FMA, ARAT, MAS, and MAL significantly improved after the intervention period. A repetitive KINVIS intervention combined with TherEX may improve upper limb motor function in patients with chronic stroke and severe hemiparesis. LAY ABSTRACT Kinaesthetic perceptional illusion by visual stimulation (KINVIS) combined with neuromuscular electrical stimulation (NMES) and a conventional therapeutic exercise (TherEX) enhance muscle use in stroke patients with chronic paralysis. This preliminary study assessed the effects of a repetitive KINVIS intervention with added TherEX, but without NMES, on the use of the arm in Ten patients with stroke-induced paralysis. Ten patients with stroke-induced chronic paralysis were evaluated before and after a 10-day intervention, during which KINVIS and TherEX were applied for 20 and 60 min, respectively, for 5 days per week (Monday to Friday). The use of the paralysed arm improved significantly after the intervention. The repetitive KINVIS intervention combined with TherEX may improve the use of the arm in patients with chronic paralysis due to stroke.