Tablet Apps and Dexterity: Comparison Between 3 Age Groups and Proof of Concept for Stroke Rehabilitation
Tablet Apps and Dexterity: Comparison Between 3 Age Groups and Proof of Concept for Stroke Rehabilitation
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DOI：
10.1097/npt.0000000000000110
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发表时间：
2016-01-01
影响因子：
3.8
通讯作者：
Rand, Debbie
中科院分区：
文献类型：
--
作者：
Kizony, Rachel;Zeilig, Gabi;Rand, Debbie
背景和目的：触摸屏平板电脑技术可能适用于脑卒中后灵巧度受损的自我训练。我们比较了来自3个年龄组的无残疾人基于应用程序的手部活动的表现，并评估了中风患者使用平板电脑应用程序的可行性。方法：实验I包括172名无残疾人：79例年轻人（26.2 [3.9]岁）、61例中年人（55.9 [5.1]岁）和32例老年人（68.7 [3.0]岁）。实验II包括20名中风患者，年龄为59.3 +/- 13.7岁，上肢受损。所有参与者都进行了两次基于应用程序的“轻拍”（轻拍）任务和九孔桩测试。结果：3个年龄组的敲击任务表现差异有统计学意义（P <0.05），其中3个年龄组的敲击任务表现差异有统计学意义（P <0.05）优势手时间：F-（2，F-169）= 30.57; P = 0.0001;准确性F-（2，F-169）= 25.20; P = 0.0001; P = 0.0001;准确度F-（2，F-169）= 19.62; P = 0.0001）。在20名中风患者中，有15名能够完成敲击任务的2次试验，但所有参与者都表示很享受这种体验，并认为这些应用程序可能具有中风康复的潜力，可以改善受中风影响的手的表现。平板电脑应用程序的性能-在无残疾的老年参与者和中风参与者中，基于手的活动受到手部灵活性受损的影响。平板电脑应用程序可能提供一种方法来促进重复的、任务导向的、孤立的手指和手部运动的自我训练，以改善中风后的手部灵活性和功能。视频摘要可用于作者的其他见解（见补充数字内容1，http：//links。lww。com/JNPT/A118）。
Background and Purpose: Touch screen tablet technology might be suitable for self-training of impaired dexterity poststroke. We compared performance of app-based hand activities in individuals without a disability from 3-age groups, and assessed the feasibility of using tablet apps in individuals with stroke.Methods: Experiment I included 172 Individuals without a disability: 79 young adults (26.2 [3.9] years old), 61 middle-aged adults (55.9 [5.1] years old), and 32 older adults (68.7 [3.0] years old). Experiment II included 20 individuals with stroke, aged 59.3 +/- 13.7 years with impairment of the upper extremity. All participants performed the app-based "Tap-it" (tapping) task twice and the Nine Hole Peg Test. The stroke group practiced with additional apps and underwent clinical assessments.Results: Significant differences in the tapping task performance were found between the 3 age groups (dominant hand time: F-(2,F-169) = 30.57; P = 0.0001; and accuracy F-(2,F-169) = 25.20; P = 0.0001; nondominant hand time: F-(2,F-169) = 35.09; P = 0.0001; and accuracy F-(2,F-169) = 19.62; P = 0.0001). Of the 20 individuals with stroke, 15 were able to complete the 2 trials of the tapping task, but all participants reported enjoying the experience and thought the apps may have potential for stroke rehabilitation to improve performance of the stroke-affected hand.Discussion and Conclusions: Performance of tablet app-based hand activities was affected by impaired hand dexterity in older participants without a disability and in participants with stroke. Tablet apps may potentially provide a way to facilitate self-training of repetitive, task-oriented, isolated finger and hand movements to improve hand dexterity and function after stroke. Video Abstract available for additional insights from the authors (see Supplemental Digital Content 1, http://links. lww. com/JNPT/A118).