Wearable myoelectric interface enables high-dose, home-based training in severely impaired chronic stroke survivors.
Wearable myoelectric interface enables high-dose, home-based training in severely impaired chronic stroke survivors.
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DOI：
10.1002/acn3.51442
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发表时间：
2021-09
影响因子：
5.3
通讯作者：
Slutzky MW
中科院分区：
文献类型：
--
作者：
Hung NT;Paul V;Prakash P;Kovach T;Tacy G;Tomic G;Park S;Jacobson T;Jampol A;Patel P;Chappel A;King E;Slutzky MW
高强度职业治疗可以改善中风后的手臂功能，但许多人缺乏这种治疗。家庭疗法可以满足这一需求，但它们通常不能解决异常肌肉共激活，这是手臂损伤的一个重要方面。早期的一项研究使用基于实验室的肌电计算机界面游戏训练，使慢性中风幸存者能够减少异常共激活并改善手臂功能。在这里，我们评估在家里使用一种新颖的，可穿戴的，肌电接口神经康复训练（MINT）范例进行这种训练的可行性。评估严重受损的慢性卒中幸存者的家庭高剂量MINT治疗的耐受性和可行性。23名参与者被指示使用MINT和游戏进行训练，每天90分钟，在6周内进行36天。我们使用训练时间和游戏表现来评估可行性。在训练结束时，我们使用定制版本的内在动机量表评估耐受性（享受和努力）。参与者对在家接受近每日治疗的依从性很高（平均训练时间为82分钟/天; 96%的人每天至少训练60分钟）并且喜欢这种治疗。随着训练的进行，训练表现提高，共激活降低。虽然有相当多的参与者停止了培训，但大多数辍学者是由于与培训模式本身无关的原因。在严重受损的卒中幸存者中，MINT的家庭治疗是可行的，并且可以耐受。这种负担得起的、令人愉快的、移动的健康模式有可能在各种环境中改善中风的恢复。Clinicaltrials.gov：NCT03401762。
High‐intensity occupational therapy can improve arm function after stroke, but many people lack access to such therapy. Home‐based therapies could address this need, but they don’t typically address abnormal muscle co‐activation, an important aspect of arm impairment. An earlier study using lab‐based, myoelectric computer interface game training enabled chronic stroke survivors to reduce abnormal co‐activation and improve arm function. Here, we assess feasibility of doing this training at home using a novel, wearable, myoelectric interface for neurorehabilitation training (MINT) paradigm. Assess tolerability and feasibility of home‐based, high‐dose MINT therapy in severely impaired chronic stroke survivors. Twenty‐three participants were instructed to train with the MINT and game for 90 min/day, 36 days over 6 weeks. We assessed feasibility using amount of time trained and game performance. We assessed tolerability (enjoyment and effort) using a customized version of the Intrinsic Motivation Inventory at the conclusion of training. Participants displayed high adherence to near‐daily therapy at home (mean of 82 min/day of training; 96% trained at least 60 min/day) and enjoyed the therapy. Training performance improved and co‐activation decreased with training. Although a substantial number of participants stopped training, most dropouts were due to reasons unrelated to the training paradigm itself. Home‐based therapy with MINT is feasible and tolerable in severely impaired stroke survivors. This affordable, enjoyable, and mobile health paradigm has potential to improve recovery from stroke in a variety of settings. Clinicaltrials.gov: NCT03401762.
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影响因子：
4.3
作者：
Lang, Catherine E.;MacDonald, Jillian R.;Reisman, Darcy S.;Boyd, Lara;Kimberley, Teresa Jacobson;Schindler-Ivens, Sheila M.;Hornby, T. George;Ross, Sandy A.;Scheets, Patricia L.
通讯作者：
Scheets, Patricia L.
DOI：
10.15585/mmwr.mm6720a2
发表时间：
2018-05-25
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Ayala C;Fang J;Luncheon C;King SC;Chang T;Ritchey M;Loustalot F
通讯作者：
Loustalot F
影响因子：
2.2
作者：
Miller, Kristine K.;Porter, Rebecca E.;Schmid, Arlene A.
通讯作者：
Schmid, Arlene A.
影响因子：
158.5
作者：
Dobkin, BH
通讯作者：
Dobkin, BH
影响因子：
4.2
作者：
Benvenuti, Francesco;Stuart, Mary;Weinrich, Michael
通讯作者：
Weinrich, Michael