學院 |
醫學院 |
系所 |
職能治療學系 |
題名 |
Predictors
of motor, daily function, and quality of life improvements after upper limb
robot-assisted rehabilitation in stroke |
作者 |
Huang, P-C. †, Hsieh, Y-W. †, Wang, C-M., Wu, C-Y.,
Huang, S-C., & Lin, K-C. |
期刊名稱 |
American
Journal of Occupational Therapy (SSCI 期刊) |
發表日期 |
2014 |
著作性質 |
原著 |
語文 |
英文 |
關鍵字 |
stroke,
rehabilitation, prediction, dexterity, robotics |
摘要 |
Objective: A subgroup of
patients benefiting most from robot-assisted therapy (RT) has not yet been
described. We examined the predictors of improved outcomes after RT. Methods: Sixty-six stroke
patients receiving RT were analyzed. The outcome measures were the Fugl-Meyer Assessment (FMA), Wolf Motor Function Test
(WMFT), Motor Activity Log (MAL), and Stroke Impact Scale (SIS). The
potential predictors were age, side of lesion, time
since onset,
Modified Ashworth Scale (MAS) scores, accelerometer data, Box and Block Test (BBT) scores, and kinematic parameters. Results: BBT scores were
predictive of FMA (29%) and MAL (9-15%) improvements. Reduced
shoulder flexion synergy, as measured by less shoulder abduction during
forward reach, and MAS-distal were predictive of WMFT-function improvements.
MAS-distal was predictive of SIS-physical improvements. Demographic variables
did not predict outcomes. Conclusion: Manual dexterity was
a valuable predictor of motor impairment and daily function after RT.
Outcomes at different levels may have different predictors. |