Comparing Home Upper Extremity Activity with Clinical Evaluations of Arm Function in Chronic Stroke.
Comparing Home Upper Extremity Activity with Clinical Evaluations of Arm Function in Chronic Stroke.
复制标题
将家庭上肢活动与慢性中风中ARM功能的临床评估进行比较。
DOI：
10.1016/j.arrct.2020.100048
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发表时间：
2020-06-18
影响因子：
--
通讯作者：
Conroy SS
中科院分区：
文献类型：
--
作者：
Bhatnagar K;Bever CT;Tian J;Zhan M;Conroy SS
确定中风后手臂功能的临床评估是否与手臂加速计的日常运动能力相对应。一项分析更大试验(NCT02665052)基线数据的横断面研究。门诊研究中心。社区成年人(N=20)，患有慢性手臂运动障碍(中风≥6mo)。在正常情况下，总共进行72小时的家用腕式加速度计。临床评估包括Fugl-Meyer评估(FMA)、行动研究性手臂测试(ARAT)、Wolf运动功能测试(WMFT)和两个自我评估：运动活动日志(MAL)和卒中影响量表(SIS)的手运动分量表(SIS)。加速度计衍生的变量包括运动强度(幅度)和手臂使用时间的量化。参与者有中度手臂损伤(FMA，36.1±9.4)。加速度计得出的平均震级比与FMA(ρ=0.6，P&t；.01)、WMFT功能评分(ρ=0.59，P&t；.01)和ARAT(ρ=0.5，P<；.05)显著相关。使用小时数与平均使用量(ρ=0.58P<；.01)和运动质量(ρ=0.61P<；.01)相关。总的瘫痪时间与FMA、WMFT或ARAT无关，强度变量与MAL或SIS无关。基线功能较高的参与者在家中偏瘫手臂的运动强度更大；同样，那些认为自己残疾程度较低的参与者使用偏瘫手臂的比例高于非偏瘫手臂。然而，一些临床得分较高的参与者在日常生活中并没有表现出更多的手臂使用，这可能是因为忽视和习得的不使用。因此，个性化的家庭加速度谱可以为更好地定制中风后康复提供有价值的见解。
To determine if clinical evaluations of poststroke arm function correspond to everyday motor performance indexed by arm accelerometers. Cross-sectional study analyzing baseline data from a larger trial (NCT02665052). Outpatient research center. Community-dwelling adults (N=20) with chronic arm motor deficits (stroke≥6mo). A total of 72 hours of home wrist-worn accelerometry during normal routine. Clinical evaluations included the Fugl-Meyer Assessment (FMA), Action Research Arm Test (ARAT), Wolf Motor Function Test (WMFT), and 2 self-assessments: the Motor Activity Log (MAL) and hand motor subscale of the Stroke Impact Scale (SIS). Accelerometer-derived variables included quantifications of movement intensity (magnitude) and duration of arm use. Participants had moderate arm impairment (FMA, 36.1±9.4). The accelerometer-derived mean magnitude ratio correlated significantly with the FMA (ρ=0.60, P<.01), WMFT functional score (ρ=0.59, P<.01), and ARAT (ρ=0.50, P<.05). The hours of use ratio correlated with the MAL amount of use (ρ=0.58, P<.01) and quality of movement (ρ=0.61, P<.01). Total paretic hours did not correlate with the FMA, WMFT, or ARAT, and intensity variables did not correlate with the MAL or SIS. Participants with higher baseline function had greater intensity of paretic arm movement at home; similarly, those who perceived they had less disability used their paretic arm more relative to their nonparetic arm. However, some participants with higher clinical scores did not exhibit greater arm use in everyday life, possibly because of neglect and learned nonuse. Therefore, individualized home accelerometry profiles could provide valuable insight to better tailor poststroke rehabilitation.
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影响因子：
4.2
作者：
Bailey RR;Klaesner JW;Lang CE
通讯作者：
Lang CE
DOI：
10.1016/j.jht.2012.06.005
发表时间：
2013-04
期刊：
Journal of hand therapy : official journal of the American Society of Hand Therapists
影响因子：
--
作者：
Lang CE;Bland MD;Bailey RR;Schaefer SY;Birkenmeier RL
通讯作者：
Birkenmeier RL
影响因子：
4.2
作者：
Harris, Jocelyn E.;Eng, Janice J.
通讯作者：
Eng, Janice J.
影响因子：
4.4
作者：
Park, Eun-Young;Kim, Jung-Hee
通讯作者：
Kim, Jung-Hee
影响因子：
3.2
作者：
Plummer, P;Morris, ME;Dunai, J
通讯作者：
Dunai, J