■中风患者经常经历上肢虚弱,使日常任务难以执行。虽然康复设备是可用的,由于实践不足,患者经常在出院后复发。我们提出了一个基于家庭的手远程康复干预使用iManus™平台,包括一个传感手套,为患者提供的移动应用程序,以及用于监测患者进展的治疗师门户。
■这项研究旨在检验可行性,安全,以及基于家庭的远程康复干预在改善轻度中风患者手功能方面的有效性。还使用了定性方法来探索用户体验,感知到的好处,以及与在家庭环境中使用该平台相关的挑战。
■在这个单案例研究中,我们使用iManus™平台对1例手功能受损的慢性卒中患者进行了手远程康复干预.干预包括八个星期的40个家庭会议。我们通过使用系统可用性量表(SUS)和与参与者及其非正式护理人员的半结构化访谈获得的用户依从性和反馈来评估可行性。通过使用视觉模拟量表(VAS)监测疼痛水平来评估安全性,通过使用iManus™平台观察手指活动范围的变化和临床结果测量来确定疗效,即Fugl-Meyer评估(FMA)和捷成泰勒手功能测试(JTHFT)。
■我们的参与者完成了所有分配的会议,每次平均20分钟。在SUS上,可用性在100分中获得77.5分。来自访谈的用户反馈显示,改善的流动性和对治疗的控制是好处,表明干预的适应性和功能有改进的空间。在干预期间,参与者注意到疼痛没有增加,远程康复平台记录了所有手指和腕关节的运动范围改善,不包括手腕延伸。FMA评分在T0为43,T1为53,T2为56,而JTHFT评分在T0为223,T1为188,T2为240。
■这个单一案例研究证明了初步的可行性,安全,以及新型家庭手部干预对中风幸存者的疗效。参与者表现出改善的手功能,良好的坚持该计划,并报告对干预的满意度。然而,这些结果是基于单一案例研究,在推荐任何推广之前,还需要进一步的大规模研究。
UNASSIGNED: Patients with stroke often experience weakened upper limbs, making daily tasks difficult to perform. Although rehabilitation devices are available, patients often relapse post-discharge due to insufficient practice. We present a home-based hand telerehabilitation intervention using the iManus™ platform comprising a sensorized glove, a mobile app for the patients, and a therapist portal for monitoring patient progress.
UNASSIGNED: This research aimed to examine the feasibility, safety, and effectiveness of a home-based telerehabilitation intervention in improving hand function for individuals with mild stroke. A qualitative approach was also used to explore users\' experiences, perceived benefits, and challenges associated with using the platform in a home setting.
UNASSIGNED: In this single-case study, we delivered a hand telerehabilitation intervention to a chronic stroke patient with impaired hand function using the iManus™ platform. The intervention consisted of 40 home sessions over eight weeks. We assessed feasibility through user adherence and feedback obtained using a System Usability Scale (SUS) and a semi-structured interview with the participant and their informal caregiver. Safety was evaluated by monitoring pain levels using the Visual Analog Scale (VAS), and efficacy was determined by observing the changes in the fingers\' range of motion using the iManus™ platform and clinical outcomes measures, namely the Fugl-Meyer Assessment (FMA) and Jebsen Taylor Hand Function Test (JTHFT).
UNASSIGNED: Our participant completed all the assigned sessions, with each averaging 20 min. Usability scored 77.5 out of 100 on the SUS. User feedback from the interviews revealed improved mobility and control over therapy as benefits, indicating room for improvement in the intervention\'s adaptability and functionality. During the intervention, the participant noted no pain increase, and the telerehabilitation platform recorded range of motion improvements for all finger and wrist joints, excluding wrist extension. The FMA scores were 43 at T0, 53 at T1, and 56 at T2, while the JTHFT scores were 223 at T0, 188 at T1, and 240 at T2.
UNASSIGNED: This single case study demonstrated the preliminary feasibility, safety, and efficacy of a novel home-based hand intervention for stroke survivors. The participant showed improved hand functions, good adherence to the program, and reported satisfaction with the intervention. However, these results are based on a single-case study, and further large-scale studies are needed before any generalization is recommended.