Use of a Portable Assistive Glove to Facilitate Rehabilitation in Stroke Survivors With Severe Hand Impairment
Use of a Portable Assistive Glove to Facilitate Rehabilitation in Stroke Survivors With Severe Hand Impairment
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DOI：
10.1109/tnsre.2015.2513675
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发表时间：
2016-03-01
影响因子：
4.9
通讯作者：
Kamper, Derek G.
中科院分区：
文献类型：
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作者：
Fischer, Heidi C.;Triandafilou, Kristen M.;Kamper, Derek G.
严重手部损伤的中风幸存者的治疗选择是有限的。主动任务练习可能受到难以自主激活手指肌肉和不随意肌兴奋干扰的限制。我们开发了一种便携式的、驱动的手套矫形器，它可以用来解决这两个问题。我们假设，将设备施加的被动周期性拉伸（减少运动神经元的过度兴奋性）与主动辅助的任务导向训练（恢复肌肉激活）相结合，将改善中风后上肢运动控制和任务表现。13名在入组前2-6个月经历过中风的参与者在5周内完成了15次治疗。每个疗程包括循环伸展长指屈肌（30分钟），然后是主动辅助的任务导向运动练习（60分钟）。结果测量分六个间隔完成：治疗开始前三个，治疗开始后三个。所有结果测量均观察到训练后得分的总体改善，包括分级Wolf运动功能测试、动作研究臂测试和握力和捏紧力(p
Treatment options for stroke survivors with severe hand impairment are limited. Active task practice can be restricted by difficulty in voluntarily activating finger muscles and interference from involuntary muscle excitation. We developed a portable, actuated glove-orthosis, which could be employed to address both issues. We hypothesized that combining passive cyclical stretching (reducing motoneuronal hyperexcitability) imposed by the device with active-assisted, task-oriented training (rehabilitating muscle activation) would improve upper extremity motor control and task performance post-stroke. Thirteen participants who experienced a stroke 2-6 months prior to enrollment completed 15 treatment sessions over five weeks. Each session involved cyclically stretching the long finger flexors (30 min) followed by active-assisted task-oriented movement practice (60 min). Outcome measures were completed at six intervals: three before and three after treatment initiation. Overall improvement in post-training scores was observed across all outcome measures, including the Graded Wolf Motor Function Test, Action Research Arm Test, and grip and pinch strength (p