Influence of gravity compensation training on synergistic movement patterns of the upper extremity after stroke, a pilot study.
Influence of gravity compensation training on synergistic movement patterns of the upper extremity after stroke, a pilot study.
复制标题
DOI：
10.1186/1743-0003-9-44
复制
发表时间：
2012-07-23
影响因子：
5.1
通讯作者：
Rietman JS
中科院分区：
文献类型：
--
作者：
Krabben T;Prange GB;Molier BI;Stienen AH;Jannink MJ;Buurke JH;Rietman JS
大多数中风患者必须应对手臂功能受损。手臂的重力补偿会立即影响异常的协同运动模式。本研究的目的是研究重力补偿训练是否能改善无支撑臂的功能。七名慢性中风患者在六周的时间里接受了18次半小时的重力补偿伸展训练。在训练期间，他们玩了一个激励人心的电脑游戏。在训练前后，采用Fugl-Meyer评估和标准化的、无支持的圆绘制任务评估手臂功能。基于肩关节抬高和肘关节屈伸角度的同时变化，确定了协同运动模式。训练后Fugl-Meyer评分中位数增加3分。训练导致偏瘫手臂的工作面积显著增加，如标准化圆形面积所示。训练后，所画圆圈的圆度和协同运动模式的发生保持相似。非自愿耦合强度的降低可能有助于训练后手臂功能的增强。脑卒中后康复训练的作用机制有待进一步研究。使用的培训设置简单且负担得起，因此适合在临床环境中使用。
The majority of stroke patients have to cope with impaired arm function. Gravity compensation of the arm instantaneously affects abnormal synergistic movement patterns. The goal of the present study is to examine whether gravity compensated training improves unsupported arm function. Seven chronic stroke patients received 18 half-hour sessions of gravity compensated reach training, in a period of six weeks. During training a motivating computer game was played. Before and after training arm function was assessed with the Fugl-Meyer assessment and a standardized, unsupported circle drawing task. Synergistic movement patterns were identified based on concurrent changes in shoulder elevation and elbow flexion/extension angles. Median increase of Fugl-Meyer scores was 3 points after training. The training led to significantly increased work area of the hemiparetic arm, as indicated by the normalized circle area. Roundness of the drawn circles and the occurrence of synergistic movement patterns remained similar after the training. A decreased strength of involuntary coupling might contribute to the increased arm function after training. More research is needed to study working mechanisms involved in post stroke rehabilitation training. The used training setup is simple and affordable and is therefore suitable to use in clinical settings.
登录
查看更多内容
DOI：
10.1016/s0003-9993(99)90225-3
发表时间：
1999-07-01
影响因子：
4.3
作者：
Beer, RF;Given, JD;Dewald, JPA
通讯作者：
Dewald, JPA
影响因子：
5.1
作者：
Krabben T;Molier BI;Houwink A;Rietman JS;Buurke JH;Prange GB
通讯作者：
Prange GB
影响因子：
2
作者：
Beer, RF;Dewald, JPA;Rymer, WZ
通讯作者：
Rymer, WZ
影响因子：
3.4
作者：
Chae, J;Yang, G;Labatia, I
通讯作者：
Labatia, I
影响因子：
14.5
作者：
DEWALD, JPA;POPE, PS;RYMER, WZ
通讯作者：
RYMER, WZ