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A Sensor-Based Upper Limb Treatment in Hemiplegic Patients: Results from a Randomized Pilot Study
Sensors ( IF 3.9 ) Pub Date : 2024-04-17 , DOI: 10.3390/s24082574
Fabio Vanoglio 1 , Laura Comini 2 , Marta Gaiani 1 , Gian Pietro Bonometti 1 , Alberto Luisa 1 , Palmira Bernocchi 3
Affiliation  

In post-stroke patients, the disabling motor deficit mainly affects the upper limb. The focus of rehabilitation is improving upper limb function and reducing long-term disability. This study aims to evaluate the feasibility of using the Gloreha Aria (R-Lead), a sensor-based upper limb in-hospital rehabilitation, compared with conventional physiotherapist-led training in subacute hemiplegic patients. Twenty-one patients were recruited and randomised 1:1 to a sensor-based group (treatment group TG) or a conventional group (control group, CG). All patients performed 30 sessions of 30 min each of dedicated upper limb rehabilitation. The Fugl–Meyer Assessment for Upper Extremity (FMA-UE) was the primary evaluation., both as a motor score and as individual items. Secondary evaluations were Functional Independence Measure; global disability assessed with the Modified Barthel Index; Motor Evaluation Scale for UE in stroke; power grip; and arm, shoulder, and hand disability. All the enrolled patients, 10 in the TG and 11 in the CG, completed all hand rehabilitation sessions during their hospital stay without experiencing any adverse events. FMA-UE scores in upper limb motor function improved in both groups [delta change CG (11.8 ± 9.2) vs. TG (12.7 ± 8.6)]. The score at T1 for FMA joint pain (21.8 vs. 24 best score) suggests the use of the Gloreha Aria (R-Lead) as feasible in improving arm function abilities in post-stroke patients.

中文翻译:

偏瘫患者基于传感器的上肢治疗:随机试点研究的结果

在中风后患者中,失能性运动缺陷主要影响上肢。康复的重点是改善上肢功能并减少长期残疾。本研究旨在评估在亚急性偏瘫患者中使用基于传感器的上肢住院康复技术 Gloreha Aria (R-Lead) 与传统物理治疗师主导的训练相比的可行性。招募了 21 名患者,并按照 1:1 的比例随机分配到基于传感器的组(治疗组 TG)或传统组(对照组,CG)。所有患者均进行了 30 次专门的上肢康复训练,每次 30 分钟。 Fugl-Meyer 上肢评估 (FMA-UE) 是主要评估,包括运动评分和单独项目。次要评估是功能独立性测量;使用改良巴塞尔指数评估全球残疾;中风UE运动评估量表;握力;以及手臂、肩膀和手的残疾。所有入组患者(10 名 TG 患者和 11 名 CG 患者)在住院期间完成了所有手部康复课程,没有出现任何不良事件。两组上肢运动功能的 FMA-UE 评分均有所改善 [δ 变化 CG (11.8 ± 9.2) 与 TG (12.7 ± 8.6)]。 T1 时 FMA 关节疼痛评分(21.8 比 24 最佳评分)表明使用 Gloreha Aria (R-Lead) 在改善中风后患者的手臂功能方面是可行的。
更新日期:2024-04-17
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