Mobile arm supports: criteria for successful use in muscle disease patients.
Mobile arm supports: criteria for successful use in muscle disease patients.
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移动臂支架：肌肉疾病患者成功使用的标准。
DOI：
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发表时间：
1986
影响因子：
4.3
通讯作者：
J. Hsu
中科院分区：
文献类型：
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作者：
Y. L. Yasuda;K. Bowman;J. Hsu
对29名在本研究开始前6个月至11年安装了移动的手臂支撑器的受试者进行了评价，以确定成功使用此类支撑器的标准。所有受试者均被诊断为杜氏肌营养不良症或脊髓性肌萎缩症。采用三种方法收集数据：1）查阅病历，2）与患者和家属进行访谈，3）观察患者在轮椅上的坐姿稳定性、移动的手臂支撑的调节和控制以及有和无支撑的自行进食速度和效率。样本中的成功用户符合先前为最佳使用建立的物理标准，但肘关节屈曲挛缩除外。在那些脊柱弯曲的患者中，脊柱融合术增加了移动的手臂支撑的成功使用者的百分比。屈肘肌的肌肉等级低于差，则成功使用率下降。当自我喂食、驾驶电动轮椅和表演休闲技能的任务只能在支持下完成时，成功的发生率更高。早期拒绝支持的主要原因与对设备的态度、社会支持系统的影响以及使用设备进行活动的模式有关。
Twenty-nine subjects who had been fitted with mobile arm supports 6 months to 11 years prior to the initiation of this study were evaluated to determine criteria for successful use of such supports. All subjects were diagnosed as having Duchenne muscular dystrophy or spinal muscular atrophy. Three methods were used to collect data: 1) review of medical charts, 2) interview with patient and family member(s), and 3) observation of the patient in his wheelchair for sitting stability, adjustment and control of the mobile arm support, and speed and efficiency in self-feeding with and without the support. The physical criteria previously established for optimal use were met by the successful users in the sample except for presence of elbow flexion contractures. Among those who had curvature of the spine, spinal fusion increased the percentage of successful users of mobile arm supports. Successful use declined with muscle grades of below poor in elbow flexors. The incidence of success was greater when the tasks of self-feeding, driving a motorized wheelchair and performing leisure skills could be accomplished only with the support. Primary reasons for early rejection of the support were related to attitude toward the equipment, influence of the social support system, and patterns of activities performed with the equipment.