Hong Kong Journal of Occupational Therapy最新文献_第6页

Relationship Between Driving-violation Behaviours and Risk Perception in Motorcycle Accidents 摩托车事故中驾驶违规行为与风险感知的关系

IF 0.4 4区医学 Q2 Health Professions

Hong Kong Journal of Occupational Therapy

Pub Date : 2015-06-01 DOI: 10.1016/j.hkjot.2015.06.001

Andy S.K. Cheng , Karen P.Y. Liu , Nikki Tulliani

Objective/Background

Riding motorcycles is a popular means of community mobility in many Asian and developing countries. However, the potential harm associated with accidents is greater for motorcyclists and their passengers than for other vehicle users. The primary aims of this study were to explore the relationship between driving-violation behaviours and perceptions of the risk associated with potential accident causes, and to assess the contribution of these factors to active involvement in accidents among Chinese motorcyclists.

Methods

A total of 621 Chinese motorcyclists were recruited. All were asked to fill in a specially developed questionnaire to assess their driving-violation behaviours and perceptions of potential causes of motorcycle accidents.

Results

A relationship was identified between driving-violation behaviours and risk perceptions. Furthermore, both were significant predictors of involvement in motorcycle accidents. The motorcyclists involved in accidents demonstrated more aggressive and ordinary driving-violation behaviours. In addition, these motorcyclists exhibited lower perceptions of risk from both driving and environmental factors. Instead, these motorcyclists were more likely to identify risk in terms of belief-related causes.

Conclusion

This study could assist occupational-therapy practitioners involved in driving rehabilitation and training to identify strategies to deal with drivers' violation behaviours and risk perception. It could also provide evidence-based recommendations for drivers' education, driving-safety campaigns, or even licensing policies.

目的/背景在许多亚洲和发展中国家，骑摩托车是一种流行的社区交通工具。然而，与其他车辆使用者相比，与事故相关的潜在危害对摩托车手及其乘客更大。本研究的主要目的是探讨驾驶违规行为与潜在事故原因相关风险认知之间的关系，并评估这些因素对中国摩托车驾驶者主动参与事故的贡献。方法共招募621名中国摩托车手。所有人都被要求填写一份特别开发的问卷，以评估他们的驾驶违规行为和对摩托车事故潜在原因的看法。结果发现违规驾驶行为与风险认知之间存在相关性。此外，两者都是参与摩托车事故的重要预测因素。发生事故的摩托车手表现出更多的攻击性和普通的驾驶违规行为。此外，这些摩托车手对驾驶和环境因素的风险认知较低。相反，这些骑摩托车的人更有可能从与信仰相关的原因中识别风险。结论本研究可帮助从事驾驶康复培训的职业治疗从业人员确定处理司机违规行为和风险认知的策略。它还可以为司机的教育、驾驶安全活动、甚至驾驶执照政策提供基于证据的建议。

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引用次数: 33

Performance of the Visual-Motor Integration of Preschool Children in Hong Kong 香港学龄前儿童视觉-运动整合的表现

IF 0.4 4区医学 Q2 Health Professions

Hong Kong Journal of Occupational Therapy

Pub Date : 2015-06-01 DOI: 10.1016/j.hkjot.2015.06.002

Miranda Ng, Mandy Chui, Lenzs Lin, Anita Fong, Donna Chan

Objective/Background

The Beery–Buktenica Developmental Test of Visual-Motor Integration (VMI) is an important assessment tool used by occupational therapists working with children. The aims of this study were (a) to identify performance differences in the VMI between Hong Kong preschool children and their counterparts in the United States; (b) to develop local references for the VMI (fifth edition) for the preschool children in Hong Kong; and (c) to examine the dimensionality and the hierarchical ordering of the VMI items using the Rasch Measurement Model (RMM).

Methods

A total of 288 healthy children aged between 3 years and 6 months and 5 years and 11 months were recruited from 54 local preschools in Hong Kong using the multistage sampling method. VMI was administered to the children individually at their preschools.

Results

Hong Kong preschool children were significantly better than those in the United States in VMI performance (p < .001). The results of the RMM showed that the VMI fell within the acceptable levels of unidimensionality. Most items were found to be hierarchically ordered, although a few items were found to have the same level of difficulty.

Conclusion

The local reference developed in this study yielded additional insights for occupational therapists and psychologists with regard to the application of the VMI (fifth edition) for Hong Kong children aged between 3 years and 6 months and 5 years and 11 months.

目的/背景Beery-Buktenica视觉运动整合发展测试(VMI)是儿童职业治疗师使用的重要评估工具。本研究的目的是(a)找出香港学龄前儿童与美国学龄前儿童在VMI方面的表现差异;(b)为香港学龄前儿童编制第5版的本地参考资料;(c)利用Rasch测量模型(RMM)检验VMI项目的维度和层次顺序。方法采用多阶段抽样方法，从香港54所幼儿园招募3 ~ 6个月和5 ~ 11个月的健康儿童288名。VMI对学龄前儿童进行了单独的治疗。结果香港学龄前儿童的VMI表现显著优于美国学龄前儿童(p <措施)。RMM的结果表明，VMI的单维性在可接受的范围内。大多数项目被发现是按等级顺序排列的，尽管有一些项目被发现具有相同的难度水平。结论本研究提供的本地参考资料，为职业治疗师和心理学家在香港3岁至6个月及5岁至11个月的儿童中应用VMI(第五版)提供了额外的见解。

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引用次数: 14

Establishment of the Hong Kong College of Occupational Therapy 成立香港职业治疗学院

IF 0.4 4区医学 Q2 Health Professions

Hong Kong Journal of Occupational Therapy

Pub Date : 2015-06-01 DOI: 10.1016/j.hkjot.2015.09.001

引用次数: 0

Quality of Life Enhancement Programme for Individuals with Mood Disorder: A Randomized Controlled Pilot Study 情绪障碍患者生活质量改善计划:一项随机对照先导研究

IF 0.4 4区医学 Q2 Health Professions

Hong Kong Journal of Occupational Therapy

Pub Date : 2015-06-01 DOI: 10.1016/j.hkjot.2015.04.001

Yun-Ling Chen , Ay-Woan Pan , Ping-Chuan Hsiung , Lyinn Chung

Objective/Background

To investigate the efficacy and feasibility of the Quality of Life Enhancement Programme (QOLEP) for individuals with mood disorder.

Methods

Twenty-one individuals with mood disorder were recruited from psychiatric rehabilitation centres in Taipei City and were randomly assigned to either the treatment group (N = 11) or the control group (N = 10). The treatment group received an 8-week QOLEP. The control group received only “phone contact”, which included support for everyday situations pertaining to daily life and emotions. The primary outcome measure was evaluating improvements in quality of life using the World Health Organization Quality of Life-BREF-Taiwan version questionnaire. The feasibility of the intervention was assessed by the recruitment rate, dropout rate of the participants, and by its content and delivery. The content and delivery were assessed by the group satisfaction questionnaire. The mixed-effects linear model was applied to analyze the efficacy of QOLEP.

Results

The individuals who participated in the eight-session QOLEP showed significant improvement in their level of depression compared with the control group [pre vs. post, treatment group: 25.8 (19.2) vs. 17.8 (13.1); control group: 13.3 (17.3) vs. 13.3 (14.4)]. The criteria of feasibility were met in this study. Most of the participants were satisfied with engaging in the QOLEP activities within a supportive environment.

Conclusion

The participants who received the 8-week QOLEP demonstrated significant improvement in the level of depression. Studies with a sample size of at least 104 participants are recommended in the future.

目的/背景探讨生活质量改善计划(QOLEP)对情绪障碍患者的疗效和可行性。方法从台北市精神康复中心招募心境障碍患者21例，随机分为治疗组(N = 11)和对照组(N = 10)。治疗组给予8周QOLEP。对照组只接受“电话联系”，其中包括与日常生活和情感有关的日常情况的支持。主要结果测量是使用世界卫生组织生活质量- bref -台湾版问卷评估生活质量的改善。通过参与者的招募率、辍学率以及干预的内容和方式来评估干预的可行性。通过小组满意度问卷对教学内容和教学方式进行评估。采用混合效应线性模型对QOLEP的疗效进行分析。结果与对照组相比，参加8期QOLEP的个体抑郁水平有显著改善[治疗前与治疗后:25.8(19.2)对17.8 (13.1);对照组:13.3 (17.3)vs. 13.3(14.4)]。本研究符合可行性标准。大多数参与者对在一个支持性的环境中参与QOLEP活动感到满意。结论接受8周QOLEP治疗的患者抑郁程度有明显改善。在未来的研究中，建议样本量至少为104人。

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引用次数: 12

Impact of Glaucoma on Quality of Life and Activities of Daily Living 青光眼对生活质量和日常生活活动的影响

IF 0.4 4区医学 Q2 Health Professions

Hong Kong Journal of Occupational Therapy

Pub Date : 2015-06-01 DOI: 10.1016/j.hkjot.2015.04.002

Sangshin Park , Young Lim Kho , Hyo-Jin Kim , JiHyun Kim , Eun-Hee Lee

Objective/Background

This study was performed to assess the associations of glaucoma with health-related quality of life (HRQOL) and activities of daily living (ADL).

Methods

Using data from the Korean National Health and Nutrition Examination Survey III in 2005, we analysed 9,047 participants (≥ 50 years old) and 3,518 participants (≥ 65 years old) to assess the associations of glaucoma with HRQOL and ADL, respectively. The diagnosis of glaucoma was based on questionnaires. HRQOL was evaluated by the EuroQol five-dimension descriptive system (EQ-5D) and the EuroQol visual analogue scale. The ADL was evaluated by the Korean-optimised ADL questionnaire. Logistic-regression analyses were used to assess the associations of glaucoma with HRQOL and ADL.

Results

The glaucoma patients showed lower HRQOL and ADL scores compared to the healthy participants. The glaucoma patients showed significantly higher prevalence of impaired health status in all dimensions of EQ-5D, as well as in the “bathing” dimension of ADL as compared with the healthy participants. Impaired HRQOL and ADL were significantly associated with the risk of glaucomatous status (odds ratio [95% confidence interval] of EQ-5D: 1.65 [1.33, 2.05], EuroQol visual analogue scale: 1.75 [1.43, 2.15], and ADL: 2.04 [1.12, 3.74]).

Conclusion

In line with previous studies conducted in other countries, Koreans with glaucoma had impaired HRQOL and ADL as compared with healthy Koreans.

目的/背景本研究旨在评估青光眼与健康相关生活质量(HRQOL)和日常生活活动(ADL)的关系。方法利用2005年韩国国家健康与营养调查III的数据，我们分析了9047名参与者(≥50岁)和3518名参与者(≥65岁)，分别评估青光眼与HRQOL和ADL的关系。青光眼的诊断基于问卷调查。采用EuroQol五维描述系统(EQ-5D)和EuroQol视觉模拟量表评价HRQOL。ADL采用韩国优化的ADL问卷进行评价。采用logistic回归分析评估青光眼与HRQOL和ADL的关系。结果青光眼患者HRQOL和ADL评分均低于健康组。青光眼患者在EQ-5D的所有维度以及ADL的“沐浴”维度中健康状况受损的患病率明显高于健康者。HRQOL和ADL受损与青光眼状态的风险显著相关(EQ-5D比值比[95%可信区间]:1.65 [1.33,2.05]，EuroQol视觉模拟量表:1.75 [1.43,2.15]，ADL: 2.04[1.12, 3.74])。结论韩国青光眼患者的HRQOL和ADL均低于健康韩国人，与其他国家的研究结果一致。

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引用次数: 8

Effect of a Social Emotional Learning Programme for Primary School Students 小学生社会情绪学习计划的效果

IF 0.4 4区医学 Q2 Health Professions

Hong Kong Journal of Occupational Therapy

Pub Date : 2014-12-01 DOI: 10.1016/j.hkjot.2014.11.001

Agnes S.K. Wong, Cecilia W.P. Li-Tsang, Andrew M.H. Siu

Objective/Background

This study evaluates the effect of a social emotional learning (SEL) programme for primary school students who have difficulties in social and emotional management, as reported by their teachers or parents.

Methods

Twenty-seven primary school students were recruited and randomly assigned to the treatment group (n = 14) and the control group (n = 13). The elementary school version of the Social Skills Rating System was used to assess the social skills and problem behaviours of the participants before and after the programme. The treatment group joined a six-session SEL programme, which was modified and localized based on the Strong Kids Programme. The programme aimed to improve participants' social emotional skills, such as dealing with anxiety and understanding and identifying the emotions of self and others. Each session lasted for about 1 hour and was run in small groups.

Results

Problem behaviours were significantly less frequent in the treatment group after the programme (p = .008), but not in the control group. However, no significant changes were found in the measures of social skills.

Conclusion

The results of this pilot study show that the SEL can effectively reduce the problem behaviours of primary school students. Implications and future research directions are discussed.

目的/背景本研究旨在评估社会情绪学习(SEL)课程对有社会情绪管理困难的小学生的效果。方法选取27名小学生，随机分为治疗组(n = 14)和对照组(n = 13)。使用小学版的社会技能评分系统来评估参与者在节目前后的社会技能和问题行为。治疗组参加了一个六期的SEL项目，该项目在“坚强儿童项目”的基础上进行了修改和本地化。该项目旨在提高参与者的社交情感技能，比如处理焦虑、理解和识别自我和他人的情绪。每次训练持续约1小时，以小组形式进行。结果治疗组问题行为发生率明显低于对照组(p = 0.008)。然而，在社交技能方面没有发现明显的变化。结论本初步研究结果表明，SEL能有效减少小学生的问题行为。讨论了研究的意义和未来的研究方向。

{"title":"Effect of a Social Emotional Learning Programme for Primary School Students","authors":"Agnes S.K. Wong, Cecilia W.P. Li-Tsang, Andrew M.H. Siu","doi":"10.1016/j.hkjot.2014.11.001","DOIUrl":"https://doi.org/10.1016/j.hkjot.2014.11.001","url":null,"abstract":"<div><h3>Objective/Background</h3><p>This study evaluates the effect of a social emotional learning (SEL) programme for primary school students who have difficulties in social and emotional management, as reported by their teachers or parents.</p></div><div><h3>Methods</h3><p>Twenty-seven primary school students were recruited and randomly assigned to the treatment group (<em>n</em> = 14) and the control group (<em>n</em> = 13). The elementary school version of the Social Skills Rating System was used to assess the social skills and problem behaviours of the participants before and after the programme. The treatment group joined a six-session SEL programme, which was modified and localized based on the Strong Kids Programme. The programme aimed to improve participants' social emotional skills, such as dealing with anxiety and understanding and identifying the emotions of self and others. Each session lasted for about 1 hour and was run in small groups.</p></div><div><h3>Results</h3><p>Problem behaviours were significantly less frequent in the treatment group after the programme (<em>p</em> = .008), but not in the control group. However, no significant changes were found in the measures of social skills.</p></div><div><h3>Conclusion</h3><p>The results of this pilot study show that the SEL can effectively reduce the problem behaviours of primary school students. Implications and future research directions are discussed.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2014.11.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137285162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 28

Flow Experience During Attentional Training Improves Cognitive Functions in Patients with Traumatic Brain Injury: An Exploratory Case Study 注意训练中的心流体验改善创伤性脑损伤患者的认知功能:一项探索性案例研究

IF 0.4 4区医学 Q2 Health Professions

Hong Kong Journal of Occupational Therapy

Pub Date : 2014-12-01 DOI: 10.1016/j.hkjot.2015.01.001

Kazuki Yoshida , Daisuke Sawamura , Keita Ogawa , Katsunori Ikoma , Kiyoshi Asakawa , Taro Yamauchi , Shinya Sakai

Objective/Background

Flow is the holistic experience that occurs when an individual acts with total involvement. The objective of this study was to examine the effects of attention training that induces flow experience for patients with attention-deficit disorder after traumatic brain injury (TBI).

Methods

A two-patient case report with a within-subject AB design was conducted. Two patients with attention deficit after TBI were recruited for attention training. Two types of video game tasks for attention training were created, one inducing flow (flow task) and the other not (control task). Patient A performed the flow task for 14 days after receiving general occupational therapy (OT) for 11 days. Patient B performed the flow task for 15 days after performing the control task for 10 days. We examined training effects using neuropsychological tests. The Flow State Scale for Occupational Tasks was administered to identify the patient's flow state. To evaluate the training effect, we used visual analysis, the two-standard deviation band method, and effect-size analyses.

Results

Both Patient A and Patient B showed improvement on the Continuous Performance Test, Symbol Digit Modalities Test, and Moss Attention Rating Scale after the flow task. Patient B also showed improvement on the Trail Making Test.

Conclusion

The results for Patient A suggested that the flow task was more effective than general OT for improving attention deficits. Moreover, the results for Patient B suggested that the flow task was more effective than the control task. Attention training inducing flow experience may thus facilitate improvement of attention.

目标/背景流是当个体完全参与行动时所产生的整体体验。本研究旨在探讨注意力训练对创伤性脑损伤(TBI)后注意力缺陷障碍患者诱导心流体验的影响。方法采用受试者内AB设计，对2例患者进行病例报告。选取2例脑外伤后注意力缺陷患者进行注意力训练。他们创造了两种类型的注意力训练电子游戏任务，一种是诱导心流(心流任务)，另一种则不是(控制任务)。患者A在接受普通职业治疗(OT) 11天后进行了14天的流程任务。患者B在执行控制任务10天后执行流任务15天。我们使用神经心理学测试来检验训练效果。运用职业任务心流状态量表来确定患者的心流状态。为了评估训练效果，我们使用了视觉分析、双标准差带法和效应量分析。结果A、B两组患者在心流任务后的连续行为测试、符号数字模式测试和Moss注意评定量表上均有改善。患者B在Trail Making Test中也有改善。结论A患者的结果表明，心流任务比普通OT更有效地改善了注意缺陷。此外，患者B的结果表明，流任务比控制任务更有效。引起心流体验的注意力训练可以促进注意力的提高。

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引用次数: 11

Efficacy of Static Progressive Splinting in the Management of Metacarpophalangeal Joint Stiffness: A Pilot Clinical Trial 静态渐进式夹板治疗掌指关节僵硬的疗效:一项临床试验

IF 0.4 4区医学 Q2 Health Professions

Hong Kong Journal of Occupational Therapy

Pub Date : 2014-12-01 DOI: 10.1016/j.hkjot.2014.07.001

Jun Wang , Gard Erlandsson , Yong-Jun Rui , Cecilia Li-Tsang

Objective

To evaluate the efficacy of a static progressive metacarpophalangeal (MCP) joint flexion splint in managing MCP joint stiffness in patients suffering from traumatized hands.

Methods

A total of 31 patients with stiff MCP joints (n = 116) were recruited for this prospective study. A static progressive MCP flexion splint was designed to manage the MCP joint stiffness of traumatized hands, which is a common problem after surgery. The values of the initial and final passive range of motion (PROM) and active range of motion (AROM) were compared. In addition, the Disabilities of the Arm, Shoulder, and Hand (DASH) scores before and after surgery were also compared. Spearman correlation matrix was used to determine the relationship of the DASH score with PROM and AROM separately.

Results

The PROM increased from 23.47 ± 16.26 degrees to 59.01 ± 14.75 degrees after treatment, and the difference between the initial and final PROM is 35.54 ± 16.92 degrees (t = 22.63, p < .001, df = 115). The AROM also significantly increased from 10.29 ± 10.67 degrees to 25.03 ± 18.25 degrees, with a mean difference of 14.74 ± 15.40 degrees (t = 10.31, p < .001, df = 115). The DASH score improved from 40.71 ± 13.22 to 24.26 ± 11.33 (t = 7.00, p < .001, df = 30), which indicates a significant negative correlation with the AROM of MCP joints following treatment.

Conclusion

The static progressive MCP flexion splint promotes both physical and functional outcomes. The increased AROM of the MCP joints improves the functional outcomes in patients with traumatized hands.

目的评价静态渐进式掌指关节屈曲夹板治疗手外伤患者掌指关节僵硬的疗效。方法本前瞻性研究共招募31例MCP关节僵硬患者(116例)。一种静态渐进式MCP屈曲夹板被设计用于管理创伤手的MCP关节僵硬，这是手术后常见的问题。比较初始和最终被动活动范围(PROM)和主动活动范围(AROM)的值。此外，还比较了手术前后手臂、肩膀和手的残疾(DASH)评分。采用Spearman相关矩阵分别确定DASH评分与PROM和AROM的关系。结果治疗后胎膜早破由23.47±16.26度增加到59.01±14.75度，初始胎膜早破与最终胎膜早破之差为35.54±16.92度(t = 22.63, p <.001, df = 115)。AROM也从10.29±10.67度显著增加到25.03±18.25度，平均差值为14.74±15.40度(t = 10.31, p <.001, df = 115)。DASH评分由40.71±13.22分提高至24.26±11.33分(t = 7.00, p <.001, df = 30)，与治疗后MCP关节的AROM呈显著负相关。结论静态渐进式MCP屈曲夹板可促进身体和功能预后。MCP关节AROM的增加改善了手外伤患者的功能预后。

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引用次数: 7

Necessary Metacarpophalangeal Joints Range of Motion to Maintain Hand Function 掌指关节的活动范围是维持手部功能所必需的

IF 0.4 4区医学 Q2 Health Professions

Hong Kong Journal of Occupational Therapy

Pub Date : 2014-12-01 DOI: 10.1016/j.hkjot.2014.10.001

Hiroyuki Hayashi , Hideki Shimizu , Shoji Okumura , Kazuhiro Miwa

Objective/Background

This study was conducted to ascertain the necessary flexion or extension range of motion (ROM) required for the finger metacarpophalangeal (MCP) joints to maintain hand function.

Methods

Twenty-one healthy adults were recruited for participation in this study. Each participant's right-hand function was evaluated using the Jebsen–Taylor hand function test and the O'Connor finger dexterity test. Experiment 1 was conducted to assess the influence of the orthosis on hand function. The function of each participant's right hand was measured without an orthosis, with all the finger MCP joints limited to 90° of flexion and 45° of hyperextension. Experiment 2 was conducted to evaluate the impact of limited flexion and extension of all the MCP joints on hand function. The movements of all the finger MCP joints were limited to 70°, 60°, 50°, and 40° of flexion and 20°, 30°, 40°, and 50° of extension lag using orthoses.

Results

No significant difference was found between a normal hand and a hand with either flexion of 90° or hyperextension of 45° in Experiment 1. In Experiment 2, no significant difference was found between a normal hand and a hand for which the flexion angle was 70°, with an extension lag of 30° or 20°.

Conclusion

The necessary ROMs of the MCP joints to maintain hand function are flexion ROM >70° with an extension ROM <30° of extension lag.

目的/背景本研究旨在确定手指掌指关节(MCP)维持手部功能所需的屈曲或伸展活动范围(ROM)。方法招募21名健康成人参加本研究。每个参与者的右手功能使用Jebsen-Taylor手功能测试和O'Connor手指灵巧性测试进行评估。实验1评估矫形器对手部功能的影响。在没有矫形器的情况下测量每个参与者的右手功能，所有手指MCP关节限制在90°屈曲和45°超伸。实验2评估所有MCP关节有限屈伸对手部功能的影响。使用矫形器时，所有手指MCP关节的屈曲活动限制在70°、60°、50°和40°，伸展活动限制在20°、30°、40°和50°。结果在实验1中，正常手与屈曲90°或过伸45°的手之间无显著差异。在实验2中，正常手和屈曲角度为70°的手没有明显差异，伸展滞后分别为30°和20°。结论MCP关节维持手功能所需的屈曲关节活动度为70°，伸展关节活动度为30°。

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引用次数: 12

Effects of Rhythmic Auditory Stimulation During Hemiplegic Arm Reaching in Individuals with Stroke: An Exploratory Study 节律性听觉刺激对脑卒中患者偏瘫手臂伸展的影响:一项探索性研究

IF 0.4 4区医学 Q2 Health Professions

Hong Kong Journal of Occupational Therapy

Pub Date : 2014-12-01 DOI: 10.1016/j.hkjot.2014.11.002

Jung-ran Kim , Min-ye Jung , Eun-young Yoo , Ji-Hyuk Park , Sung-Hoon Kim , Jin Lee

Objective/Background

This study investigated the effects of rhythmic auditory stimulation (RAS) on muscle activity and elbow motion during arm reaching with hemiplegic arm in participants with stroke.

Methods

Sixteen adults with stroke who resided in a community were recruited in this study. The RAS consisted of sound emitted from a digital metronome. While sitting upright in a chair, participants reached their arms towards a target (a switch on a table) both with and without RAS. The three-dimensional motion analysis system and surface electromyography system were used for measurements during the reaching tasks.

Results

We found that RAS elicited better performance in reaching movements than those movements performed without RAS. RAS shortened the movement time (p = .002), reduced the change in acceleration (p = .001), increased the elbow extension range of motion (p = .001), increased muscle activation of the triceps brachii (p = .024), and reduced the co-contraction ratio (p = .015) of the affected arm.

Conclusion

RAS might be a useful technique to facilitate improvements in motor function of the affected arm in patients with stroke.

目的/背景本研究探讨了节律性听觉刺激(RAS)对脑卒中偏瘫患者手臂伸展过程中肌肉活动和肘部运动的影响。方法在本研究中招募了16名居住在社区的成年中风患者。RAS由数字节拍器发出的声音组成。当参与者笔直地坐在椅子上时，无论是否有RAS，他们都将手臂伸向目标(桌子上的开关)。在到达过程中使用三维运动分析系统和体表肌电图系统进行测量。结果在伸展动作中，有RAS的动作比无RAS的动作表现更好。RAS缩短了运动时间(p = 0.002)，减小了加速度变化(p = 0.001)，增加了肘部伸展的运动范围(p = 0.001)，增加了肱三头肌的肌肉激活(p = 0.024)，降低了患臂的共收缩比(p = 0.015)。结论ras可能是一种促进脑卒中患者患臂运动功能改善的有效技术。

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引用次数: 11