论文标题
慢性中风的上肢康复的可穿戴式纤维曲线刺激：使用VTS手套的临床可行性试验
Wearable vibrotactile stimulation for upper extremity rehabilitation in chronic stroke: clinical feasibility trial using the VTS Glove
论文作者
论文摘要
目的：使用可穿戴刺激装置（VTS手套）评估对手功能的可行性和潜在影响，该装置为慢性中风幸存者的受影响肢体提供机械的振动输入。 方法：一项双盲，随机，受控的可行性研究，包括16个慢性中风幸存者（平均年龄：54;势一后1 - 13岁），其受影响的手的运动和触觉感知减少。为参与者提供了可穿戴设备带回家的设备，并要求每天在八周内穿三个小时。设备干预是（1）VTS手套，该手套为手提供了颤振刺激，或者（2）残疾人振动的相同手套。参与者同样随机分配到每个条件。每周在家里和当地的物理治疗诊所中测量手和手臂功能。 结果：使用VTS手套的参与者显示出明显改善的Semmes-Weinstein单丝检查，手指改良的Ashworth措施的减少以及一些自愿性手指屈曲，肘部和肩部运动范围增加。 结论：应用于残疾肢体的颤振刺激可能会影响触觉感知，音调和痉挛以及自愿运动范围。可穿戴设备可扩展应用和研究临床环境之外的刺激方法。
Objective: Evaluate the feasibility and potential impacts on hand function using a wearable stimulation device (the VTS Glove) which provides mechanical, vibratory input to the affected limb of chronic stroke survivors. Methods: A double-blind, randomized, controlled feasibility study including sixteen chronic stroke survivors (mean age: 54; 1-13 years post-stroke) with diminished movement and tactile perception in their affected hand. Participants were given a wearable device to take home and asked to wear it for three hours daily over eight weeks. The device intervention was either (1) the VTS Glove, which provided vibrotactile stimulation to the hand, or (2) an identical glove with vibration disabled. Participants were equally randomly assigned to each condition. Hand and arm function were measured weekly at home and in local physical therapy clinics. Results: Participants using the VTS Glove showed significantly improved Semmes-Weinstein monofilament exam, reduction in Modified Ashworth measures in the fingers, and some increased voluntary finger flexion, elbow and shoulder range of motion. Conclusions: Vibrotactile stimulation applied to the disabled limb may impact tactile perception, tone and spasticity, and voluntary range of motion. Wearable devices allow extended application and study of stimulation methods outside of a clinical setting.
