"It's All Sort of Cool and Interesting…but What Do I Do With It?" A Qualitative Study of Stroke Survivors' Perceptions of Surface Electromyography.
"It's All Sort of Cool and Interesting…but What Do I Do With It?" A Qualitative Study of Stroke Survivors' Perceptions of Surface Electromyography.
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“这很酷又有趣……但是我该怎么办？”对中风幸存者对表面肌电图的看法的定性研究。
DOI：
10.3389/fneur.2020.01037
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发表时间：
2020
影响因子：
3.4
通讯作者：
Steele KM
中科院分区：
文献类型：
--
作者：
Feldner HA;Papazian C;Peters K;Steele KM
背景：脑卒中是世界范围内最常见的神经系统损伤之一。几十年来，基于证据的神经康复研究和无线可穿戴传感器设计的进步支持了技术的部署，以促进中风后的恢复。表面肌电图（sEMG）就是这样一种技术，然而，临床应用仍然有限。为了理解这种转化实践的差距，提高临床吸收，这是至关重要的，包括利益相关者的声音在神经康复实践的分析，目前的sEMG技术的可接受性，以及促进者和障碍sEMG在临床和社区的使用。本研究的目的是展望中风幸存者的观点，以更好地了解他们在神经康复方面的经验，他们在康复过程中使用的技术，以及他们对实验室设计和商业化的表面肌电图系统的看法。方法：一个定性的，现象学的研究完成。深入，半结构化访谈进行了8中风幸存者（年龄范围49-78岁，中风后6个月至12年）和两个照顾者从一个大都市地区。提供了四个表面肌电系统的演示，以收集传感器设计、特征和功能以及用户界面的感知。访谈录音，逐字转录，并编码分析使用不断比较，直到数据饱和。结果如下：数据中出现了三个主题：“表面肌电图具有潜力......但是......”强调了对表面肌电图作为一种有价值的工具的认识，但揭示了缺乏理解和需要从数据中获得明确的意义;“跟踪几天或几年的增量进展很重要”强调了表面肌电图在检测可能为神经康复实践和政策提供信息的微小变化方面的希望和潜在益处的持久性;和“神经康复技术是繁琐的”突出了优化治疗时间和尝试新技术，管理成本，物流和设置，以及所需的技术功能之间的紧张关系。结论：sEMG技术在神经康复方面的进一步转化为中风幸存者带来了希望，但sEMG系统设计和用户界面需要改进。使用sEMG技术和产品的过程必须简单，并为恢复提供有意义的见解。将卒中幸存者直接纳入翻译工作对于改善临床环境中的吸收至关重要。
Background: Stroke is one of the most common neurologic injuries worldwide. Over decades, evidence-based neurorehabilitation research and advancements in wireless, wearable sensor design have supported the deployment of technologies to facilitate recovery after stroke. Surface electromyography (sEMG) is one such technology, however, clinical application remains limited. To understand this translational practice gap and improve clinical uptake, it is essential to include stakeholder voices in an analysis of neurorehabilitation practice, the acceptability of current sEMG technologies, and facilitators and barriers to sEMG use in the clinic and the community. The purpose of this study was to foreground the perspectives of stroke survivors to gain a better understanding of their experiences in neurorehabilitation, the technologies they have used during their recovery, and their opinions of lab-designed and commercially-available sEMG systems. Methods: A qualitative, phenomenological study was completed. In-depth, semi-structured interviews were conducted with eight stroke survivors (age range 49–78 years, 6 months to 12 years post-stroke) and two caregivers from a large metropolitan region. A demonstration of four sEMG systems was provided to gather perceptions of sensor design, features and function, and user interface. Interviews were audio-recorded, transcribed verbatim, and coded for analysis using constant comparison until data saturation was reached. Results: Three themes emerged from the data: “Surface EMG has potential….but…” highlights the recognition of sEMG as a valuable tool but reveals a lack of understanding and need for clear meaning from the data; “Tracking incremental progress over days or years is important” highlights the persistence of hope and potential benefit of sEMG in detecting small changes that may inform neurorehabilitation practice and policy; and “Neurorehabilitation technology is cumbersome” highlights the tension between optimizing therapy time and trying new technologies, managing cost, logistics and set-up, and desired technology features. Conclusion: Further translation of sEMG technology for neurorehabilitation holds promise for stroke survivors, but sEMG system design and user interface needs refinement. The process of using sEMG technology and products must be simple and provide meaningful insight to recovery. Including stroke survivors directly in translational efforts is essential to improve uptake in clinical environments.
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影响因子：
1.7
作者：
Fensli, R.;Pedersen, P. E.;Hejlesen, O.
通讯作者：
Hejlesen, O.
DOI：
10.1089/cpb.2006.9.137
发表时间：
2006-04-01
期刊：
CYBERPSYCHOLOGY & BEHAVIOR
影响因子：
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作者：
Crosbie, JH;Lennon, S;McDonough, SM
通讯作者：
McDonough, SM
DOI：
10.1016/j.clinph.2014.03.019
发表时间：
2014-12
期刊：
Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology
影响因子：
--
作者：
Li S;Liu J;Bhadane M;Zhou P;Rymer WZ
通讯作者：
Rymer WZ
影响因子：
1.5
作者：
Eng XW;Brauer SG;Kuys SS;Lord M;Hayward KS
通讯作者：
Hayward KS
DOI：
10.1016/j.neucli.2005.03.001
发表时间：
2005-07-01
影响因子：
3
作者：
Hogrel, JY
通讯作者：
Hogrel, JY