Home intervention for children and adolescents with unilateral trans-radial and partial carpal reduction deficiencies.
Home intervention for children and adolescents with unilateral trans-radial and partial carpal reduction deficiencies.
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DOI：
10.1038/s41598-022-11470-8
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发表时间：
2022-05-06
影响因子：
4.6
通讯作者：
Zuniga, Jorge M.
中科院分区：
文献类型：
--
作者：
Lukaszek, Jessica L.;Borrell, Jordan A.;Cortes, Claudia;Zuniga, Jorge M.
目前评估儿科功能运动技能的培训干预措施并未考虑到使用假肢的上肢缩小的儿童和青少年。假肢排斥表明，五分之一的假肢使用者会因为缺乏耐用性、缺乏功能、不满足参与者的需求、感知缺乏需求以及医疗限制而拒绝他们的假肢，这些原因表明假肢使用者认为在没有该装置的情况下他们的功能会更好。据推测，为期 8 周的家庭干预计划将显着改善手动灵活性、双手协调性以及计划期间执行的功能活动。还假设新颖的假肢独立功能测量 (PMIF) 评分将反映家庭干预性能的改进。五名患有先天性上肢畸形的儿科参与者（年龄 5-19 岁）为其受影响的肢体安装了 3D 打印的上肢假肢。然后，参与者完成了为期 8 周的家庭干预，其中包括每周完成 2 次、持续 8 周的训练活动和仅在第 1 周和第 8 周完成的非训练活动。记录参与者的时间以及每个参与者获得的 PMIF 分数，范围从 0 = 无法完成活动，到 7 = 完成活动后完全独立。结果显示所有活动的总体平均活动时间有所减少。对于所有进行的活动，除了球类运动之外，个人平均时间在 8 周的干预期内有所增加。家庭干预表现存在显着的交互作用，F = 2.904 (p = 0.003)。在 8 周干预期结束时，所有参与者的 PMIF 分数均提高至 7 分（完全独立）。平均时间的减少和 PMIF 分数的增加表明儿科参与者已经学习和功能使用假肢。
Current training interventions assessing pediatric functional motor skills do not account for children and adolescents with upper limb reductions who utilize a prosthesis. Prosthesis rejection showed that 1 out of 5 prosthesis users will reject their prosthesis due to lack of durability, lack of function, not meeting the participant’s needs, perceived lack of need, and medical restrictions indicating that prosthetic users believed they were more functional without the device. It was hypothesized that an 8-week Home Intervention program will result in significant improvements in gross manual dexterity, bimanual coordination, and the functional activities performed during the program. It was also hypothesized that the novel Prosthesis Measurement of Independent Function (PMIF) score will reflect the Home Intervention performance improvements. Five pediatric participants (ages 5–19 years) with congenital upper limb reductions were fitted with a 3D printed upper extremity prosthesis for their affected limb. Participants then completed the 8-week Home Intervention which included Training activities completed 2×/week for 8 weeks and Non-Training activities completed only at week 1 and week 8. Participant’s times were recorded along with each participant receiving a PMIF score ranging from 0 = unable to complete activity, to 7 = complete independence with activity completion. Results showed a decrease in overall averaged activity times amongst all activities. For all activities performed, individual averaged time decreased with the exception of Ball Play which increased over the 8-week intervention period. There was significant interaction for Home Intervention performance with F = 2.904 (p = 0.003). All participants increased their PMIF scores to 7 (complete independence) at the end of the 8 week intervention period. Decreases in time averages and increases in PMIF scores indicate that learning and functional use of the prostheses have occurred amongst the pediatric participants.
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影响因子：
1.5
作者：
Biddiss, Elaine A.;Chau, Tom T.
通讯作者：
Chau, Tom T.
DOI：
10.1093/cercor/bhy226
发表时间：
2019-01-01
期刊：
Cerebral cortex (New York, N.Y. : 1991)
影响因子：
--
作者：
Raffin E;Siebner HR
通讯作者：
Siebner HR
影响因子：
2.9
作者：
MATHIOWETZ, V;VOLLAND, G;WEBER, K
通讯作者：
WEBER, K
影响因子：
2.9
作者：
Novak, Iona;Cusick, Anne;Lowe, Kevin
通讯作者：
Lowe, Kevin
DOI：
10.1080/17483107.2017.1398279
发表时间：
2019-01-01
影响因子：
2.2
作者：
Zuniga, Jorge M.;Peck, Jean L.;Stergiou, Nicholas
通讯作者：
Stergiou, Nicholas