Functional measurement post-stroke via mobile application and body-worn sensor technology.

Functional measurement post-stroke via mobile application and body-worn sensor technology.
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DOI：
10.21037/mhealth.2019.08.11
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发表时间：
2019-01-01
期刊：
mHealth
影响因子：
--
通讯作者：
Salstrand, Rebecca
Salstrand, Rebecca
中科院分区：
其他
文献类型：
--
作者：
Fell, Nancy;True, Hanna H;Salstrand, Rebecca

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背景：卒中后个体的长期管理是至关重要的，因为由此导致的慢性残疾和卒中复发的风险。移动医疗技术显示，为患者、护理者和医疗团队提供经济高效的监测和支持系统的前景越来越大。理想情况下，这样的系统将包括中风管理坚持支持，将患者和照顾者与资源联系起来的机制，以及用于优化康复的安全纵向数据收集和档案。然而，医疗保健提供者和计算机科学应用程序开发人员必须首先合作，确定有意义的措施，并开发方法，通过移动系统远程可靠地收集此类数据。方法：mStroke是一个移动医疗系统，由两个传感器和一个移动应用程序组成，旨在支持中风幸存者的最佳康复。使用世界卫生组织的国际功能、残疾和健康分类模型(ICF模型)，作者确定了临床上常用的4种测量方法，并开发了支持远程数据收集的移动应用功能：美国国立卫生研究院中风量表(NIHSS)项目5和6(运动手臂和腿功能)、功能伸展测试(FRT)和10米步行测试(10MWT)。在当地一家住院康复机构，通过mStroke系统和标准化临床评估的同步评分，对35名中风幸存者执行每项措施。结果：4项临床指标与mStroke系统APP评分均显著相关：NIHSS Motor ARM-0.839，P
BACKGROUND: Long-term management of individuals post-stroke is essential due to the resultant chronic disability and risk for recurrent stroke. Mobile health technology shows increasing promise to provide cost-effective monitoring and support systems for the patient, caregiver, and healthcare team. Ideally, such systems will include stroke management adherence support, mechanisms to link patients and caregivers to resources, and secure longitudinal data collection with archive that are employed to optimize recovery. However, healthcare providers and computer science application developers must first collaborate to identify meaningful measures and develop methods to reliably gather such data remotely via mobile systems.METHODS: mStroke is a mobile health system composed of two sensors and a mobile application designed to support optimal recovery for stroke survivors. Using the World Health Organization's International Classification of Functioning, Disability and Health model (ICF model), the authors identified 4 measures that are commonly used in the clinic and developed the mobile application features to support remote data collection: National Institutes of Health Stroke Scale (NIHSS) items 5 and 6 (Motor Arm and Leg function), Functional Reach Test (FRT), and 10 Meter Walk Test (10MWT). At a local inpatient rehabilitation facility, each measure was executed with 35 stroke survivors through simultaneous scoring by the mStroke system and standardized clinical assessment. Correlation coefficients were calculated for clinician versus mStroke system scoring.RESULTS: All four clinical measures significantly correlated with mStroke system app scoring: NIHSS Motor Arm-0.839, P