upper and lower limb

上肢和下肢
  • 文章类型: Journal Article
    背景和目的:Fugl-Meyer运动能力评估和感觉评估量表(FMA)是中风患者上肢和下肢感觉运动损害最常用和推荐的结果指标。这项研究的目的是进行跨文化翻译和将量表改编为波兰语,并评估FMA对缺血性中风患者上肢和下肢部分的运动表现和感觉的可靠性。方法:波兰语版本的FMA(FMA-PL)是使用一组专家进行的前后翻译开发的,然后由法官小组根据国际准则进行评估。该研究涉及86名患者(F=30,M=56,即35%;患者平均年龄为64±12岁,36的右侧笔划和50的左侧笔划)。FMA-PL由两名经验丰富的神经物理治疗师进行了两次,评估之间有2小时的间隔(重测和评估者之间)。通过计算组内相关系数(ICC)来定义结果测量的可靠性。还计算了测量的标准误差(SEM)和最小可检测变化(MDC)。测试的内部一致性由Cronbach的α指标确定。结果:在FMA-PL量表上评估了三个域。从整个测试来看,结果在12-124分范围内获得:FMA-UE-PL2为64分,FMA-LE-PL4为34分,FMA-S-PL0为24分。对于总FMA-PL评分和每个域的结果,ICC值在0.99-1.00的范围内。针对测试-重测测量计算的整个FMA-PL的SEM和MDC分别为0.22和1.60。在同一研究者的重复测量期间获得的总FMA-PL评分的SEM和MDC分别为1.3和3.5分,分别。为总FMA-PL计算的Cronbachα值,FMA-UE-PL,FMA-LE-PL,和FMA-S-PL项目分别为0.938-0.939、0.932-0.934和0.634-0.722。结论:波兰语版本的FMA是亚急性和慢性中风阶段患者上肢和下肢运动和感觉评估的一致且可靠的结果指标。
    Background and Purpose: The Fugl-Meyer Assessment of Motor Performance and Sensory Assessment Scale (FMA) is the most commonly used and recommended outcome measure for the sensorimotor impairment of the upper and lower limbs in stroke patients. The aim of this study was to perform cross-cultural translation and adaptation of the scale into Polish and to evaluate the FMA\'s reliability of motor performance and sensation of the upper and lower limb sections among ischemic stroke patients. Methods: The Polish version of the FMA (FMA-PL) was developed using a forward-backward translation performed by a group of experts and then evaluated by a panel of judges according to international guidelines. The study involved 86 patients (F = 30, M = 56, i.e., 35%; the average age of patients was 64 ± 12 years, 36 with right-sided stroke and 50 with left-sided stroke). The FMA-PL was carried out twice by two experienced neurological physiotherapists with a 2 h gap between assessments (test-retest and inter-rater). The reliability of the outcome measure was defined by calculating the intraclass correlation coefficient (ICC). The standard error of measurement (SEM) and the minimum detectable change (MDC) were also calculated. The internal consistency of the test was determined by the Cronbach\'s alpha indicator. Results: Three domains were evaluated on the FMA-PL scale. From the whole test, results were obtained in the range of 12-124 points: 64 points for FMA-UE-PL 2, 34 points for FMA-LE-PL 4, and 24 points for FMA-S-PL 0. The ICC values were in the range of 0.99-1.00 for the total FMA-PL score and the results of each domain. The SEM and MDC for the entire FMA-PL calculated for test-retest measurements were 0.22 and 1.60, respectively. The SEM and MDC for the total FMA-PL score obtained during repeated measurements of the same investigator were 1.3 and 3.5 points, respectively. The Cronbach\'s alpha values calculated for the total FMA-PL, FMA-UE-PL, FMA-LE-PL, and FMA-S-PL items amounted to 0.938-0.939, 0.932-0.934, and 0.634-0.722, respectively. Conclusions: The Polish version of the FMA is a consistent and reliable outcome measure for the motor and sensory evaluation of the upper and lower limbs for patients in subacute and chronic stroke stages.
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  • 文章类型: Journal Article
    该研究旨在评估机器人辅助康复训练对帕金森病(PD)患者上下肢运动功能和疲劳的疗效,并探索最佳效果的机器人康复计划。
    我们在七个数据库中搜索了研究,搜索期从构建到2023年6月30日。两名研究人员独立筛选了研究,并评估了数据提取的研究质量。
    共纳入21项研究,18项与下肢康复有关的研究和3项与上肢康复有关的研究,共有787名参与者。结果表明,机器人辅助康复显著改善了下肢运动功能UPDRS第三部分(WMD=-3.58,95%CI=-5.91至-1.25,p=0.003)和BBS(WMD=4.24,95%CI=2.88至5.54,p<0.001)的指标,以及PD患者的非运动疲劳症状(WMD=-13.39,95%CI=-17.92至-8.86,p<0.001)。在上肢功能水平,PFS(WMD=-0.25,95%CI=-4.44至3.93,p=0.9)和BBT(WMD=1.73,95%CI=-2.85至6.33,p=0.458)的结局指标无统计学差异。
    机器人辅助康复显着改善了运动功能,疲劳,平衡PD患者的信心,但目前的证据并没有表明智能康复系统能改善上肢功能。特别是,机器人与虚拟现实的结合效果最好。
    机器人辅助康复显著改善运动症状,下肢运动功能,疲劳,并平衡帕金森病(PD)患者的信心。机器人技术与虚拟现实相结合是最有效的应用,应该得到鼓励。在PD患者的机器人康复中,重点需要放在培训的持续时间和它提供的长期利益上。
    UNASSIGNED: The study aims to assess the efficacy of robot-assisted rehabilitation training on upper and lower limb motor function and fatigue in Parkinson\'s disease (PD), and to explore the best-acting robotic rehabilitation program.
    UNASSIGNED: We searched studies in seven databases and the search period was from the build to 30 June 2023. Two researchers independently screened studies and assessed the quality of the studies for data extraction.
    UNASSIGNED: A total of 21 studies were included, 18 studies related to lower limbs rehabilitation and 3 studies related to upper limbs rehabilitation, involving a total of 787 participants. The results showed that robot-assisted rehabilitation significantly improved indicators of lower limb motor function UPDRS Part III (WMD = -3.58, 95% CI = -5.91 to -1.25, p = 0.003) and BBS (WMD = 4.24, 95% CI = 2.88 to 5.54, p < 0.001), as well as non-motor symptoms of fatigue (WMD = -13.39, 95% CI = -17.92 to -8.86, p < 0.001) in PD patients. At the level of upper limb function, there was no statistically significant difference in the outcome measures of PFS (WMD = -0.25, 95% CI = -4.44 to 3.93, p = 0.9) and BBT (WMD = 1.73, 95% CI = -2.85 to 6.33, p = 0.458).
    UNASSIGNED: Robot-assisted rehabilitation significantly improved motor function, fatigue, and balance confidence in PD patients, but current evidence doesn\'t show that intelligent rehabilitation systems improve upper limb function. In particular, robotics combined with virtual reality worked best.
    Robot-assisted rehabilitation significantly improves motor symptoms, lower limb motor function, fatigue, and balance confidence in Parkinson’s disease (PD) patients.Robotics combined with virtual reality is the most effective application and should be encouraged.In the robotic rehabilitation of PD patients, the focus needs to be on the duration of the training and the long-term benefits it provides.
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  • 文章类型: Journal Article
    中风是发达国家长期残疾的主要原因。由于人口老龄化,未来几十年,中风后需要康复的人数将会增加。机器人介导的神经康复有可能改善康复治疗的临床结果。对文献的统计分析旨在关注该主题的主要趋势。
    通过康复机器人领域的科学出版物数据库进行了关于中风后机器人康复的文献计量调查。通过覆盖过去的20年,收集了17,429个来源。分析了主要研究领域的相关模式和统计数据。确定了在该领域发布和传播知识的领先期刊和会议。进行了详细的命名研究。捕获了研究领域的时间趋势。讨论了对未来趋势的看法和预测,这些趋势有望影响该领域的近期发展。
    数据分析揭示了过去二十年来研究领域的不断扩大,预计在不久的将来会大幅上升。将更多的注意力放在早期患者的下肢康复和疾病/设计的具体应用上。
    UNASSIGNED: Stroke is the leading cause of long-term disability in developed countries. Due to population aging, the number of people requiring rehabilitation after stroke is going to rise in the coming decades. Robot-mediated neurorehabilitation has the potential to improve clinical outcomes of rehabilitation treatments. A statistical analysis of the literature aims to focus on the main trend of this topic.
    UNASSIGNED: A bibliometric survey on post-stroke robotic rehabilitation was performed through a database collection of scientific publications in the field of rehabilitation robotics. By covering the last 20 years, 17,429 sources were collected. Relevant patterns and statistics concerning the main research areas were analyzed. Leading journals and conferences which publish and disseminate knowledge in the field were identified. A detailed nomenclature study was carried out. The time trends of the research field were captured. Opinions and predictions of future trends that are expected to shape the near future of the field were discussed.
    UNASSIGNED: Data analysis reveals the continuous expansion of the research field over the last two decades, which is expected to rise considerably in near future. More attention will be paid to the lower limbs rehabilitation and disease/design specific applications in early-stage patients.
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