背景:中风造成了巨大的健康负担,影响全球六分之一的人。十分之一的病人会忍受一秒钟,通常更严重,一年内中风。令人震惊的是,由于最近的生活方式改变,一个年轻的人口受到影响。随着精细运动和认知问题的出现,患者残疾以及护理人员和医疗保健资源的紧张加剧。当代职业治疗通过物体操纵和笔和纸记录来评估手动灵活性和认知功能。然而,这些评估通常是孤立的,这使得治疗师全面评估特定患者状况具有挑战性。此外,对手工文件依赖一对一的培训和评估方法效率低下,容易出现抄写错误。
目的:本研究探讨了在临床中使用交互式电子钉板进行中风康复的可行性。
方法:共招募10名有中风史的患者和10名健康的老年人。以10分钟为限,两组参与者都经历了一系列挑战,涉及与手动操作相关的任务,形状识别,颜色歧视。所有参与者都接受了方框和方框测试和PurduePegboard测试,以评估手动灵活性。以及一系列认知评估,包括跟踪测试和迷你精神状态检查,作为量化参与者注意力的基础,执行功能,和认知能力。
结果:研究结果验证了交互式电子钉板在临床卒中康复中的潜在应用。在所有评估变量中观察到显着的统计学差异(P<0.01),包括年龄,方框和方框测试结果,普渡大学Pegboard测试结果,TrailMakingTest-A分数,和迷你精神状态检查表现,在有中风史的患者和健康的老年人之间。功能和任务测试,除了问卷调查,显示有卒中病史的患者表现出延长的完成时间和稍差的表现。尽管如此,大多数患者认为原型用户友好和引人入胜。因此,在患者康复干预或患者认知评估的背景下,身体机能,或者手动灵活性评估,开发的钉板有可能作为手部功能的有价值的工具,注意,和认知康复,从而减轻卫生保健专业人员的负担。
结论:医疗保健专业人员不仅可以将数字电子钉板用作精确的一对一培训工具,而且可以用作可以在线或离线配置的灵活系统,单人或多人使用。通过数据分析,可以对患者的认知和功能问题进行更知情的检查。重要的是,患者记录将在整个实践中完全保留,练习,或测试,通过利用大数据的特点,患者可以收到最准确的康复处方,从而帮助他们获得最佳护理。
BACKGROUND: Strokes pose a substantial health burden, impacting 1 in 6 people globally. One-tenth of patients will endure a second, often more severe, stroke within a year. Alarmingly, a younger demographic is being affected due to recent lifestyle changes. As fine motor and cognitive issues arise, patient disability as well as the strain on caregivers and health care resources is exacerbated. Contemporary occupational therapy assesses manual dexterity and cognitive functions through object manipulation and pen-and-paper recordings. However, these assessments are typically isolated, which makes it challenging for therapists to comprehensively evaluate specific patient conditions. Furthermore, the reliance on one-on-one training and assessment approaches on manual documentation is inefficient and prone to transcription errors.
OBJECTIVE: This study examines the feasibility of using an interactive electronic pegboard for stroke rehabilitation in clinical settings.
METHODS: A total of 10 patients with a history of stroke and 10 healthy older individuals were recruited. With a limit of 10 minutes, both groups of participants underwent a series of challenges involving tasks related to manual operation, shape recognition, and color discrimination. All participants underwent the Box and Block Test and the Purdue Pegboard Test to assess manual dexterity, as well as an array of cognitive assessments, including the Trail Making Test and the Mini-Mental Status Examination, which served as a basis to quantify participants\' attention, executive functioning, and cognitive abilities.
RESULTS: The findings validate the potential application of an interactive electronic pegboard for stroke rehabilitation in clinical contexts. Significant statistical differences (P<.01) were observed across all assessed variables, including age, Box and Block Test results, Purdue Pegboard Test outcomes, Trail Making Test-A scores, and Mini-Mental Status Examination performance, between patients with a history of stroke and their healthy older counterparts. Functional and task testing, along with questionnaire interviews, revealed that patients with a history of stroke demonstrated prolonged completion times and slightly inferior performance. Nonetheless, most patients perceived the prototype as user-friendly and engaging. Thus, in the context of patient rehabilitation interventions or the evaluation of patient cognition, physical functioning, or manual dexterity assessments, the developed pegboard could potentially serve as a valuable tool for hand function, attention, and cognitive rehabilitation, thereby mitigating the burden on health care professionals.
CONCLUSIONS: Health care professionals can use digital electronic pegboards not only as a precise one-on-one training tool but also as a flexible system that can be configured for online or offline, single-player or multiplayer use. Through data analysis, a more informed examination of patients\' cognitive and functional issues can be conducted. Importantly, patient records will be fully retained throughout practices, exercises, or tests, and by leveraging the characteristics of big data, patients can receive the most accurate rehabilitation prescriptions, thereby assisting them in obtaining optimal care.