专题 脑卒中后上肢和手功能康复

多维视觉手功能康复定量评估系统在脑卒中患者手功能评估中的可行性研究

  • 付江红 ,
  • 陈树耿 ,
  • 钱叶叶 ,
  • 陆小锋 ,
  • 龙海生 ,
  • 崔晓 ,
  • 贾杰
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  • 1.复旦大学附属华山医院康复医学科,上海市 200040;
    2.复旦大学附属浦东医院康复医学科,上海市 200135;
    3.上海大学通信与信息工程学院,上海市 200444;
    4.上海市闵行区马桥社区卫生服务中心,上海市 201111;
    5.上海市长宁区天山中医医院康复医学科,上海市 200051
付江红(1994-),女,汉族,安徽五河县人,硕士研究生,医师,主要研究方向:脑损伤后手功能障碍的康复机制与临床应用研究。

收稿日期: 2018-09-06

  修回日期: 2018-10-08

  网络出版日期: 2019-01-04

基金资助

1.上海市科委课题(No. 15441901601; No. 16441905303); 2.国家高技术研究发展计划(863计划)项目(No. SS2015AA020501); 3.上海闵行区自然科学研究课题(No. 2017MHZ27)

Feasibility of Multi-dimensional Visual Hand Function Rehabilitation Quantitative Assessment System in Assessing Hand Function for Stroke Patients

  • FU Jiang-hong ,
  • CHEN Shu-geng ,
  • QIAN Ye-ye ,
  • LU Xiao-feng ,
  • LONG Hai-sheng ,
  • CUI Xiao ,
  • JIA Jie
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  • 1. Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China;
    2. Department of Rehabilitation Medicine, Pudong Hospital, Fudan University, Shanghai 200135, China;
    3. School of Communication and Information Engineering, Shanghai University, Shanghai 200444, China;
    4. Maqiao Community Healthcare Center of Minhang District, Shanghai 201111, China;
    5. Department of Rehabilitation, Tianshan Traditional Chinese Medicine Hospital, Shanghai 200051, China

Received date: 2018-09-06

  Revised date: 2018-10-08

  Online published: 2019-01-04

Supported by

Shanghai Science and Technology Commission Project (No. 15441901601; No. 16441905303), National High Technology Research and Development Program of China (No. SS2015AA020501) and Natural Science Research Project of Shanghai Minhang District (No. 2017MHZ27)

摘要

目的 探讨多维视觉手功能康复定量评估系统用于脑卒中患者手功能评估的可行性。方法 2017年11月至2018年7月,17例脑卒中住院患者分别采用Fugl-Meyer评定量表进行上肢和手运动功能评估,同时采用多维评估系统进行前臂、腕和手运动功能评估。结果 多维评估系统评估结果与Fugl-Meyer评定量表评分呈正相关(r = 0.609, P = 0.010)。结论 多维视觉手功能康复定量评估系统可用于定量评估脑卒中患者上肢和手功能。

本文引用格式

付江红 , 陈树耿 , 钱叶叶 , 陆小锋 , 龙海生 , 崔晓 , 贾杰 . 多维视觉手功能康复定量评估系统在脑卒中患者手功能评估中的可行性研究[J]. 中国康复理论与实践, 2018 , 24(12) : 1380 -1383 . DOI: 10.3969/j.issn.1006-9771.2018.12.004

Abstract

Objective To investigate the feasibility of Multi-dimensional Visual Hand Function Rehabilitation Quantitative Assessment System in the assessment of hand function for stroke patients. Methods From November, 2017 to July, 2018, 17 stroke inpatients were assessed with Fugl-Meyer Assessment-upper extremities (FMA-UE) and the Multi-dimensional Assessment System. Results The results of Multi-dimensional Assessment System positively correlated with the score of FMA-UE (r = 0.609, P = 0.010). Conclusion The Multi-dimensional Visual Hand Function Rehabilitation Quantitative Assessment System can be used to assess the hand function for stroke patients quantitatively.

参考文献

[1] Winstein CJ, Stein J, Arena R, et al.Guidelines for Adult Stroke Rehabilitation and Recovery: A Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association[J]. Stroke, 2016, 47(6): e98-e169.
[2] Bustamante A, García-Berrocoso T, Rodriguez N, et al.Ischemic stroke outcome: a review of the influence of post-stroke complications within the different scenarios of stroke care[J]. Eur J Intern Med, 2016, 29: 9-21.
[3] 吴亚哲,陈伟伟. 中国脑卒中流行概况[J]. 心脑血管病防治, 2016, 16(6): 410-414.
[4] Baricich A, Picelli A, Molteni F, et al.Post-stroke spasticity as a condition: a new perspective on patient evaluation[J]. Funct Neurol, 2016, 31(3): 179-180.
[5] Mcentire CR, Choudhury GR, Torres A, et al.Impaired arm function and finger dexterity in a nonhuman primate model of stroke: motor and cognitive assessments[J]. Stroke, 2016, 47(4): 1109-1116.
[6] 贾杰. 脑卒中后手功能康复应评价和治疗并重[J]. 上海医药, 2014, 35(2): 6-9.
[7] Lee S, Lee YS, Kim J.Automated evaluation of upper-limb motor function impairment using Fugl-Meyer Assessment[J]. IEEE Trans Neural Syst Rehabil Eng, 2018, 26(1): 125-134.
[8] Huang CY, Lin GH, Huang YJ, et al.Improving the utility of the Brunnstrom recovery stages in patients with stroke: validation and quantification[J]. Medicine (Baltimore), 2016, 95(31): e4508.
[9] Page SJ, Fulk GD, Boyne P.Clinically important differences for the upper-extremity Fugl-Meyer Scale in people with minimal to moderate impairment due to chronic stroke[J]. Phys Ther, 2012, 92(6): 791-798.
[10] Pandian S, Arya KN.Stroke-related motor outcome measures: do they quantify the neurophysiological aspects of upper extremity recovery?[J]. J Bodyw Mov Ther, 2014, 18(3): 412-423.
[11] Lundquist CB, Maribo T.The Fugl-Meyer assessment of the upper extremity: reliability, responsiveness and validity of the Danish version[J]. Disabil Rehabil, 2017, 39(9): 934-939.
[12] 中华神经科学会,中华神经外科学会. 各类脑血管疾病诊断要点[J]. 中华神经科杂志, 1996, 29(6): 379-380.
[13] Sullivan KJ, Tilson JK, Cen SY, et al.Fugl-Meyer assessment of sensorimotor function after stroke: standardized training procedure for clinical practice and clinical trials[J]. Stroke, 2011, 42(2): 427-432.
[14] 陆雅婷,陆小锋,王聪,等. 基于手功能评估系统的“腕背伸”动作定量评估[J]. 电子测量技术, 2017, 40(10): 127-133.
[15] Soekadar SR, Witkowski M, Birbaumer N, et al.Enhancing Hebbian learning to control brain oscillatory activity[J]. Cereb Cortex, 2015, 25(9): 2409-2415.
[16] Wilk HA, Morton JB.Developmental changes in patterns of brain activity associated with moment-to-moment adjustments in control[J]. Neuroimage, 2012, 63(1): 475-484.
[17] Bütefisch CM, Wessling M, Netz J, et al.Relationship between interhemispheric inhibition and motor cortex excitability in subacute stroke patients[J]. Neurorehabil Neural Repair, 2008, 22(1): 4-21.
[18] McDonnell MN, Stinear CM. TMS measures of motor cortex function after stroke: a meta-analysis[J]. Brain Stimul, 2017, 10(4): 721-734.
[19] Kubis N.Non-invasive brain stimulation to enhance post-stroke recovery[J]. Front Neural Circuits, 2016, 10: 56.
[20] 贾杰. “上下肢一体化”整体康复:脑卒中后手功能康复新理念[J]. 中国康复理论与实践, 2017, 23(1): 1-3.
[21] Li KK, Harvey LA, Diong JHL, et al.Half of the adults who present to hospital with stroke develop at least one contracture within six months: an observational study[J]. J Physiother, 2012, 58(1): 41-47.
[22] McPherson JG, Chen A, Ellis MD, et al. Progressive recruitment of contralesional cortico-reticulospinal pathways drives motor impairment post stroke[J]. J Physiol, 2018, 596(7): 1211-1225.
[23] Bhadane M, Liu J, Rymer WZ, et al.Re-evaluation of EMG-torque relation in chronic stroke using linear electrode array EMG recordings[J]. Sci Rep, 2016, 6: 28957.
[24] Wintermark M, Sanelli PC, Anzai Y, et al.Imaging evidence and recommendations for traumatic brain injury: advanced neuro- and neurovascular imaging techniques[J]. Am J Neuroradiol, 2015, 36(2): E1-E11.
[25] Lee WJ, Jung KH, Ryu YJ, et al.Progression of cerebral white matter hyperintensities and the associated sonographic index[J]. Radiology, 2017, 284(3): 824-833.
[26] Dias CP, Freire B, Goulart NB, et al.Muscle architecture and torque production in stroke survivors: an observational study[J]. Top Stroke Rehabil, 2017, 24(3): 206-213.
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