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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Effects of the Interaction among Motor Functions on Self-care in Individuals with Stroke
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Effects of the Interaction among Motor Functions on Self-care in Individuals with Stroke

机译：电机功能相互作用对中风中个体自我照顾的影响

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Background: No study to date has focused on what combinations of motor functions are strongly associated with self-care independence in individuals with stroke. The purpose of this study is to clarify the impact of motor function interactions on self-care independence in individuals with stroke. Methods: This retrospective observational study included 132 individuals with first stroke. We conducted a decision tree analysis to examine the impact on daily living skills of numerous key functions - the upper and lower limbs on the affected side, bilateral grip strength and lower limb muscle strength on the unaffected side, bilateral upper limb and trunk function, and balance. Further, we confirmed the interaction effects detected via the decision tree approach using logistic regression. Results: As per the decision tree analysis, the interaction between balance and upper limb function of the affected side showed an association with self-care independence. The interaction terms of balance and upper limb function we analyzed were significantly associated with the ability to achieve self-care independence, after some adjustments to eliminate the influence of confounding factors. Conclusions: These results suggest that the combination of functional status of balance and upper limb function of the affected side are strongly associated with the independence of self-care. The decision tree created in this study could serve as an effective guide when implementing a remedial approach for individuals with stroke aiming to achieve self-care independence.
机译：背景：迄今为止没有研究专注于电机功能的组合与中风中的个体的自我保健独立性强烈相关。本研究的目的是阐明电机功能相互作用对中风中个体自我保健独立的影响。方法：该回顾性观测研究包括第一中风的132个个体。我们进行了决策树分析，以检查许多关键功能的日常生活技能 - 受影响侧的上下肢，双侧握力和下肢肌肉强度，在未受影响的一侧，双边上肢和躯干功能，以及平衡。此外，我们确认了通过使用逻辑回归来通过决策树方法检测的交互效应。结果：根据决策树分析，受影响方的平衡与上肢功能之间的相互作用显示出与自我保管独立性的关联。我们分析的平衡和上肢功能的互动条款与实现自我保健独立性的能力显着相关，以消除混淆因素的影响。结论：这些结果表明，受影响方的平衡和上肢功能的功能状况的结合与自我保健的独立性​​密切相关。在本研究中创建的决策树可以作为一项有效的指导，为旨在实现自我护理独立的脑卒中的个体的补救方法。

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