慢性中风幸存者在简单的二维运动任务中低估了自己的上肢运动能力。

IF 5.2 2区 医学 Q1 ENGINEERING, BIOMEDICAL Journal of NeuroEngineering and Rehabilitation Pub Date : 2024-10-01 DOI:10.1186/s12984-024-01471-1
Sebastian Sporn, M Coll, S Bestmann, N S Ward
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引用次数: 0

摘要

背景:脑卒中幸存者受影响上肢的实际运动能力与他们在日常生活中使用受影响上肢的程度不匹配。因此,不使用患侧上肢会对参与神经康复和功能独立性产生负面影响。人们对导致不使用受影响上肢的因素知之甚少。其中一种可能是,不使用患侧上肢是因为对自己的上肢运动能力信心不足:方法:20 名慢性中风幸存者(平均 FM:28.2 ± 10.5)使用外骨骼机器人完成一项 2D 伸手任务。目标大小被单独改变,以确保两个上肢的成功率相似。在每次伸手动作之前,参与者都要对自己成功击中目标的信心进行评分(估计上肢运动能力):结果:与受影响较小的上肢(实际能力)相比,尽管受影响的上肢在伸手任务中同样成功,但受影响的上肢(估计能力)的信心评级却明显较低。此外,信心评级与受损程度没有关联:我们的研究结果表明,慢性中风幸存者会低估其受累上肢的实际运动能力,这与受损程度无关。我们的研究结果表明,慢性中风幸存者会低估其患侧上肢的实际运动能力,这与受损程度无关。对患侧上肢运动能力的信心不足应被视为一个治疗目标,以提高患侧上肢在日常生活中的活动能力。
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Chronic stroke survivors underestimate their upper limb motor ability in a simple 2D motor task.

Background: Stroke survivors can exhibit a mismatch between the actual motor ability of their affected upper limb and how much they use it in daily life. The resulting non-use of the affected upper limb has a negative impact on participation in neurorehabilitation and functional independence. The factors leading to non-use of the affected upper limb are poorly understood. One possibility is that non-use comes about through inappropriately low confidence in their own upper limb motor abilities.

Objective: We asked whether chronic stroke survivors underestimate the motor ability of their affected upper limb.

Methods: 20 chronic stroke survivors (Mean FM: 28.2 ± 10.5) completed a 2D reaching task using an exoskeleton robot. Target sizes were individually altered to ensure success rates were similar for both upper limbs. Prior to each reaching movement, participants rated their confidence about successfully hitting the target (estimated upper limb motor ability).

Results: Confidence ratings were significantly lower for the affected upper limb (estimated ability), even though it was equally successful in the reaching task in comparison to the less affected upper limb (actual ability). Furthermore, confidence ratings did not correlate with level of impairment.

Conclusions: Our results demonstrate that chronic stroke survivors can underestimate the actual motor abilities of their affected upper limb, independent of impairment level. Low confidence in affected upper limb motor abilities should be considered as a therapeutic target to increase the incorporation of the affected upper limb into activities of daily living.

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来源期刊
Journal of NeuroEngineering and Rehabilitation
Journal of NeuroEngineering and Rehabilitation 工程技术-工程:生物医学
CiteScore
9.60
自引率
3.90%
发文量
122
审稿时长
24 months
期刊介绍: Journal of NeuroEngineering and Rehabilitation considers manuscripts on all aspects of research that result from cross-fertilization of the fields of neuroscience, biomedical engineering, and physical medicine & rehabilitation.
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