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首页> 外文期刊>Journal of Telemedicine and Telecare >Feasibility of a home-based telerehabilitation system compared to usual care: arm/hand function in patients with stroke, traumatic brain injury and multiple sclerosis
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Feasibility of a home-based telerehabilitation system compared to usual care: arm/hand function in patients with stroke, traumatic brain injury and multiple sclerosis

机译:与常规护理相比,家庭远程康复系统的可行性:中风,脑外伤和多发性硬化症患者的手臂/手功能

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We conducted a randomized controlled multicentre trial to investigate the feasibility of a telerehabilitation intervention for arm/hand function (the Home Care Activity Desk [HCAD] training) in a home setting. Usual care was compared to HCAD training. The hypothesis was that the clinical outcomes of the HCAD intervention would be at least the same as those measured after a period of usual care for patients with stroke, traumatic brain injury (TBI) and multiple sclerosis (MS) with respect to their arm/hand function. Eighty-one patients with affected arm/hand function resulting from either stroke, MS or TBI were recruited in Italy, Spain and Belgium; 11 were lost during follow-up (14%). The outcome measures were the Action Research Arm Test (ARAT) and the Nine Hole Peg Test (NHPT). There were no significant differences between the two groups on the outcome measures (ARAT and NHPT); in both groups, patients maintained or even improved their arm/hand function. The HCAD training was found to be as feasible as usual care in terms of clinical outcomes, and both therapists and patients were satisfied with the HCAD intervention. A telerehabilitation intervention using HCAD may increase the efficiency of care.
机译:我们进行了一项随机对照的多中心试验,以研究在家中进行远程康复干预对手臂/手功能(家庭护理活动台[HCAD]培训)的可行性。将常规护理与HCAD培训进行了比较。假设是,HCAD干预的临床结果至少与经过中风,脑外伤(TBI)和多发性硬化症(MS)的手臂/手患者的常规护理后测得的结果相同功能。在意大利,西班牙和比利时招募了81名因中风,MS或TBI导致臂/手功能受影响的患者;随访期间丢失11例(14%)。结果测量是动作研究臂测验(ARAT)和九孔钉测验(NHPT)。两组在结局指标(ARAT和NHPT)上没有显着差异。两组患者均保持甚至改善了手臂/手的功能。在临床结果方面,发现HCAD培训与常规护理一样可行,并且治疗师和患者都对HCAD干预感到满意。使用HCAD的远程康复干预可以提高护理效率。

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