Efficacy of Armeo®Spring during the chronic phase of stroke. Study in mild to moderate cases of hemiparesis
Efficacy of Armeo®Spring during the chronic phase of stroke. Study in mild to moderate cases of hemiparesis
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DOI：
10.1016/j.nrl.2012.04.017
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发表时间：
2013-06-01
期刊：
影响因子：
3.9
通讯作者：
Noe, E.
中科院分区：
文献类型：
--
作者：
Colomer, C.;Baldovi, A.;Noe, E.
目的：评估重力支持的计算机增强装置（Armeo (R) Spring）对慢性中风患者上肢康复的效果。 材料和方法：我们纳入了 23 名慢性偏瘫患者（持续时间：328 +/- 90.8 天；分布：17 名男性和 6 名女性），年龄 54.6 +/- 9.5 岁，患有缺血性中风 (n = 12) 或出血性中风。中风（n = 11）。所有患者均使用 Armeo (R) Spring 系统完成了 36 次一小时的疗程。在治疗计划开始和结束时以及 4 个月后再次评估手臂运动。主要结果测量涵盖结构、活动和功能，按照国际功能、残疾和健康分类：改良 Ashworth 量表、运动指数 (MI)、Fugl-Meyer 评估量表 (FM)、运动评估量表 (MAS)、手动功能测试 (MFT) 和 Wolf 运动功能测试 (WMFT)。结果：重复测量方差分析显示所有功能量表均显着改善（时间效应）（FM 和 MI 的 P < .01）和活动量表（MAS、MFT 和 WMFT 能力 P < .01，WMFT 时间 P < .05），肌张力没有显着变化。事后分析 (Bonferroni) 显示了功能和活动测量的不同进化模式，以及与 Armeo (R) Spring 训练相关的明显益处，尤其是在活动量表方面。结论：Armeo (R) Spring 是一种有效的工具，用于康复继发于发作的偏瘫患者的受影响手臂，即使是在慢性阶段。 (C) 2012 年西班牙神经病学协会。由 Elsevier Espana, S.L. 出版版权所有。
Objective: To evaluate the efficacy of a gravity-supported, computer-enhanced device (Armeo (R) Spring) for upper limb rehabilitation in chronic stroke patients.Material and methods: We included 23 chronic hemiparetic patients (chronicity: 328 +/- 90.8 days; distribution: 17 men and 6 women) aged 54.6 +/- 9.5 years, who had sustained ischaemic stroke (n =12) or haemorrhagic stroke (n = 11). All patients completed 36 one-hour sessions using the Armeo (R) Spring system. Arm movement was assessed at the beginning and end of the treatment programme and once more 4 months later. Main outcome measurements covered structure, activity, and function, as per the International Classification of Functioning, Disability and Health: Modified Ashworth Scale, Motricity Index (MI), Fugl-Meyer Assessment Scale (FM), Motor Assessment Scale (MAS), Manual Function Test (MFT), and Wolf Motor Function Test (WMFT).Results: Repeated measures ANOVA showed significant improvement (time effect) for all function scales (P < .01 for FM and MI) and activity scales (P < .01 for MAS, MFT and WMFT-ability, and P < .05 WMFT-time) without significant changes in muscle tone. The post-hoc analysis (Bonferroni) showed different evolutionary patterns for function and activity measurements, and clear benefits related to Armeo (R) Spring training, especially on activity scales.Conclusions: Armeo (R) Spring is an effective tool for rehabilitating the affected arm in patients with hemiparesis secondary to ictus, even in the chronic stage. (C) 2012 Sociedad Espanola de Neurologia. Published by Elsevier Espana, S.L. All rights reserved.