Clinical evaluation of the Bionic Glove
Clinical evaluation of the Bionic Glove
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DOI：
10.1016/s0003-9993(99)90141-7
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发表时间：
1999-03-01
影响因子：
4.3
通讯作者：
Vulovic, D
中科院分区：
文献类型：
--
作者：
Popovic, D;Stojanovic, A;Vulovic, D
目的：仿生手套的临床评价，一种新的功能性电刺激设备的原型，旨在改善脊髓损伤后瘫痪的手的功能。患者：12名C5-C7脊髓损伤的患者，使用该设备6个月或更长时间。设置：测量在贝尔格莱德的“Miroslav Zotovic博士”研究所进行，作为多中心临床试验的一部分。方法：测量包括上肢功能测试，功能独立性测量，和四肢瘫痪指数Function.Results：日常使用的仿生手套有两个主要的影响：（I）增加的力量抓;（2）增加的运动范围。如其他研究所示，主动力显著大于被动肌腱固定力。大多数手动任务的改善显着与辅助系统的使用，判断所需的时间来完成一项任务或受试者的任务难度的定性评级。大多数科目谁保留了一些灵活性没有辅助系统犹豫使用辅助系统来操纵小objects.Conclusion：仿生手套可以显着提高C5-C7脊髓损伤的人的独立性，如果他们的初始功能独立性测量和四肢瘫指数的功能评分是最大值的20%至50%。(C)1999年由美国康复医学大会和美国物理医学和康复学会。
Objective: Clinical evaluation of the Bionic Glove, a prototype of a new functional electrical stimulation device designed to improve the function of the paralyzed hand after spinal cord injury.Patients: Twelve people with spinal cord injury at C5-C7 who had used the device 6 months or more.Setting: Measurements were made at the Institute "Dr Miroslav Zotovic" in Belgrade as a part of a multicenter clinical trial.Methods: Measures include Upper Extremity Function Test, Functional Independence Measure, and Quadriplegia Index of Function.Results: The daily use of a Bionic Glove had two major effects: (I) increasing the power grasp; and (2) increasing the range of movements. Active force was significantly greater than passive tenodesis force, as shown in other studies. Most manual tasks improved significantly with the use of the assistive system, as judged by the time needed to complete a task or the subject's qualitative ratings of a task difficulty. Most subjects who retained some dexterity without the assistive system hesitated to use the assistive system to manipulate small objects.Conclusion: The Bionic Glove can significantly improve independence in people with C5-C7 spinal cord injury if their initial Functional Independence Measure and Quadriplegia Index of Function scores are 20% to 50% of the maximum values. (C) 1999 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.