Use of the NESS Handmaster to restore handfunction in tetraplegia: clinical experiences in ten patients
Use of the NESS Handmaster to restore handfunction in tetraplegia: clinical experiences in ten patients
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DOI：
10.1038/sj.sc.3100980
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发表时间：
2000-04-01
期刊：
影响因子：
2.2
通讯作者：
Zilvold, G
中科院分区：
文献类型：
--
作者：
Snoek, GJ;Ijzerman, MJ;Zilvold, G
目的：探讨Handmaster在四肢瘫痪中可能的功能效果，并确定适合该系统的患者。患者：C4和CG之间的颈髓损伤患者，运动组0 - 3。重要的选择标准是一个稳定的临床情况和没有其他医疗问题和complications.Design：10例患者连续选择从一个大型康复医院在荷兰的门诊部。每个病人都配备了一个Handmaster由一个合格的治疗师，并进行肌肉力量和功能训练至少2 months. Methods：功能评价包括一组定义的任务和至少一个额外的任务，由患者自己选择的性能。任务在有和没有Handmaster的情况下进行。最后，患者被要求他们的意见，对Handmaster使用，以及他们的意愿，以未来use.Results：在6例患者的一个刺激的把握和释放与一个或两个把握模式（关键和手掌捏）的Handmaster是可能的。4名患者可以使用Handmaster执行这组任务，而没有Handmaster则无法执行。最终，一名患者继续使用Handmaster在ADL at home. Conclusion：Handmaster在有限的C5 SCI运动组0和1的患者中具有功能益处。合适的患者应具有足够的肩部和肱二头肌功能，同时腕伸肌缺失或较弱。虽然功能性使用是使用Handmaster的主要原因，但该病例系列表明也可以考虑治疗性使用。
Objective: To explore possible functional effects of the Handmaster in tetraplegia and to determine suitable patients for the system.Patients: Patients with a cervical spinal cord injury between C4 and CG, motor group 0-3. Important selection criteria were a stable clinical situation and the absence of other medical problems and complications.Design: Ten patients were consecutively selected from the in- and outpatient department of a large rehabilitation hospital in The Netherlands. Each patient was fitted with a Handmaster by a qualified therapist and underwent muscle strength and functional training for at least 2 months.Methods: Functional evaluation comprised the performance of a defined set of tasks and at Least one additional task as selected by patients themselves. Tasks were performed both with and without the Handmaster. Finally, patients were asked for their opinion on Handmaster use as well as their willingness to future use.Results: In six patients a stimulated grasp and release with either one or both grasp modes (key- and palmar pinch) of the Handmaster was possible. Four patients could perform the set of tasks using the Handmaster, while they were not able to do so without the Handmaster. Eventually, one patient continued using the Handmaster during ADL at home.Conclusion: The Handmaster has a functional benefit in a limited group of patients with a C5 SCI motor group 0 and 1. Suitable patients should have sufficient shoulder and biceps Function combined with absent or weak wrist extensors. Though functional use was the main reason for using the Handmaster, this case series showed that therapeutic use can also be considered.