Rehab-let: touchscreen tablet for self-training impaired dexterity post stroke: study protocol for a pilot randomized controlled trial.
Rehab-let: touchscreen tablet for self-training impaired dexterity post stroke: study protocol for a pilot randomized controlled trial.
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DOI：
10.1186/s13063-015-0796-9
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发表时间：
2015-06-18
期刊：
影响因子：
2.5
通讯作者：
Kizony R
中科院分区：
文献类型：
--
作者：
Rand D;Zeilig G;Kizony R
中风后，较弱上肢的灵活性受损是常见的，建议这些人练习多次重复运动以恢复功能。然而，中风康复方法没有达到有效所需的强度。触摸屏平板电脑技术可用作中风后较弱上肢灵活性受损的自我训练的激励工具。Rehab-let是一种自我训练方案，利用触摸屏上的游戏应用程序练习较弱上肢的运动。我们将进行一项试点随机对照试验，以评估Rehab-let与传统自我训练相比，可以提高弱手的灵活性，并增加亚急性中风患者的自我训练时间和满意度。40名接受亚急性康复的中风患者将被随机分配到Rehab-let或传统的自我训练计划，使用治疗辅助工具，如球，块和钉。所有参与者将被要求每天进行60分钟的自我训练，每周5次，持续4周。通过九孔钉测试评估的灵活性是主要的结果测量。评估将在自我训练干预前后由评估员进行，评估员对组分配不知情。本研究的结果将为设计一项充分把握度的随机对照试验提供信息，以评估Rehab-let的有效性。如果发现有效，Rehab-let可以在亚急性康复期间使用，以增加治疗强度并提高灵活性。潜在地，Rehab-let也可以在出院后使用，并且可能是轻度中风患者的理想选择，这些患者通常不需要进行正式的康复治疗。2014年9月17日注册的当前对照试验NCT 02136433。
Impaired dexterity of the weaker upper extremity is common post stroke and it is recommended that these individuals practice many repetitions of movement to regain function. However, stroke rehabilitation methods do not achieve the required intensity to be effective. Touchscreen tablet technology may be used as a motivating tool for self-training impaired dexterity of the weaker upper extremity post stroke. Rehab-let is a self-training protocol utilizing game apps on a touchscreen for practicing movement of the weaker upper extremity. We will conduct a pilot randomized controlled trial to assess Rehab-let compared to traditional self-training to improve dexterity of the weaker hand, and to increase self-training time and satisfaction in individuals with subacute stroke. Forty individuals with stroke undergoing subacute rehabilitation will be randomly allocated to Rehab-let or a traditional self-training program using therapeutic aids such as balls, blocks and pegs. All participants will be requested to perform self-training for 60 minutes a day, 5 times a week for 4 weeks. Dexterity assessed by The Nine Hole Peg Test is the main outcome measure. Assessments will be administered pre and post the self-training intervention by assessors blind to the group allocation. The outcomes of this study will inform the design of a fully powered randomized controlled trial to evaluate the effectiveness of Rehab-let. If found to be effective, Rehab-let can be used during subacute rehabilitation to increase treatment intensity and improve dexterity. Potentially, Rehab-let can also be used after discharge and might be ideal for individuals with mild stroke who are often not referred to formal rehabilitation. Current Controlled Trials NCT02136433 registered on 17 September 2014.
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影响因子：
2.2
作者：
Carlsson, GE;Möller, A;Blomstrand, C
通讯作者：
Blomstrand, C
DOI：
10.1097/00004356-198112000-00001
发表时间：
1981-01-01
影响因子：
1.7
作者：
LYLE, RC
通讯作者：
LYLE, RC
影响因子：
3.2
作者：
Croarkin, E;Danoff, J;Barnes, C
通讯作者：
Barnes, C
影响因子：
8.3
作者：
DENNIS, MS;BAMFORD, JM;WARLOW, CP
通讯作者：
WARLOW, CP
影响因子：
8.3
作者：
Duncan, PW;Samsa, GP;Matchar, D
通讯作者：
Matchar, D