Quantitative measurement of finger usage in stroke hemiplegia using ring-shaped wearable devices.

Autor: Yamamoto N; Department of Computer and Information Sciences, Graduate School of Engineering, Tokyo University of Agriculture and Technology, 2-24-16, Naka-cho, Koganei, Tokyo, Japan.; Department of Rehabilitation, Shonan Keiiku Hospital, 4360, Endo, Fujisawa, Kanagawa, Japan., Matsumoto T; Department of Computer and Information Sciences, Graduate School of Engineering, Tokyo University of Agriculture and Technology, 2-24-16, Naka-cho, Koganei, Tokyo, Japan., Sudo T; Department of Computer and Information Sciences, Graduate School of Engineering, Tokyo University of Agriculture and Technology, 2-24-16, Naka-cho, Koganei, Tokyo, Japan., Miyashita M; Department of Computer and Information Sciences, Graduate School of Engineering, Tokyo University of Agriculture and Technology, 2-24-16, Naka-cho, Koganei, Tokyo, Japan., Kondo T; Department of Computer and Information Sciences, Graduate School of Engineering, Tokyo University of Agriculture and Technology, 2-24-16, Naka-cho, Koganei, Tokyo, Japan. t_kondo@cc.tuat.ac.jp.
Jazyk: angličtina
Zdroj: Journal of neuroengineering and rehabilitation [J Neuroeng Rehabil] 2023 Jun 06; Vol. 20 (1), pp. 73. Date of Electronic Publication: 2023 Jun 06.
DOI: 10.1186/s12984-023-01199-4
Abstrakt: Background: In post-stroke rehabilitation, positive use of affected limbs in daily life is important to improve affected upper-limb function. Several studies have quantitatively evaluated the amount of upper-limb activity, but few have measured finger usage. In this study, we used a ring-shaped wearable device to measure upper-limb and finger usage simultaneously in hospitalized patients with hemiplegic stroke and investigated the association between finger usage and general clinical evaluation.
Methods: Twenty patients with hemiplegic stroke in an inpatient hospital participated in this study. All patients wore a ring-shaped wearable device on both hands for 9 h on the day of the intervention, and their finger and upper-limb usage were recorded. For the rehabilitation outcome assessments, the Fugl-Meyer Assessment of the Upper Extremity (FMA-UE), Simple Test for Evaluating Hand Function (STEF), Action Research Arm Test (ARAT), Motor Activity Log-14 (MAL), and Functional Independence Measure Motor (FIM-m) were performed and evaluated on the same day as the intervention.
Results: Finger usage of the affected hand was moderately correlated with STEF ([Formula: see text], [Formula: see text]) and STEF ratio ([Formula: see text], [Formula: see text]). The finger-usage ratio was moderately correlated with FMA-UE ([Formula: see text], [Formula: see text]) and ARAT ([Formula: see text], [Formula: see text]), and strongly correlated with STEF ([Formula: see text], [Formula: see text]) and STEF ratio ([Formula: see text], [Formula: see text]). The upper-limb usage of the affected side was moderately correlated with FMA-UE ([Formula: see text], [Formula: see text]), STEF ([Formula: see text], [Formula: see text]) and STEF ratio ([Formula: see text], [Formula: see text]), and strongly correlated with ARAT ([Formula: see text], [Formula: see text]). The upper-limb usage ratio was moderately correlated with ARAT ([Formula: see text], [Formula: see text]) and STEF ([Formula: see text], [Formula: see text]), and strongly correlated with the STEF ratio ([Formula: see text], [Formula: see text]). By contrast, there was no correlation between MAL and any of the measurements.
Conclusions: This measurement technique provided useful information that was not biased by the subjectivity of the patients and therapists.
(© 2023. The Author(s).)
Databáze: MEDLINE
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