https://scholars.lib.ntu.edu.tw/handle/123456789/479158
標題: | Predicting clinically significant changes in motor and functional outcomes after robot-assisted stroke rehabilitation | 作者: | Hsieh Y.-W. KEH-CHUNG LIN Wu C.-Y. Lien H.-Y. Chen J.-L. Chen C.-C. Chang W.-H. |
公開日期: | 2014 | 卷: | 95 | 期: | 2 | 起(迄)頁: | 316-321 | 來源出版物: | Archives of Physical Medicine and Rehabilitation | 摘要: | Objective To investigate the predictors of minimal clinically important changes on outcome measures after robot-assisted therapy (RT). Design Observational cohort study. Setting Outpatient rehabilitation clinics. Participants A cohort of outpatients with stroke (N=55). Interventions Patients with stroke received RT for 90 to 105min/d, 5d/wk, for 4 weeks. Main Outcome Measures Outcome measures, including the Fugl-Meyer Assessment (FMA) and Motor Activity Log (MAL), were measured before and after the intervention. Potential predictors include age, sex, side of lesion, time since stroke onset, finger extension, Box and Block Test (BBT) score, and FMA distal score. Results Statistical analysis showed that the BBT score (odds ratio[OR]=1.06; P=.04) was a significant predictor of clinically important changes in the FMA. Being a woman (OR=3.9; P=.05) and BBT score (OR=1.07; P=.02) were the 2 significant predictors of clinically significant changes in the MAL amount of use subscale. The BBT score was the significant predictor of an increased probability of achieving clinically important changes in the MAL quality of movement subscale (OR=1.07; P=.02). The R2 values for the 3 logistic regression models were low (.114-.272). Conclusions The results revealed that patients with stroke who had greater manual dexterity measured by the BBT appear to have a higher probability of achieving clinically significant motor and functional outcomes after RT. Further studies are needed to evaluate other potential predictors to improve the models and validate the findings. ? 2014 by the American Congress of Rehabilitation Medicine. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84893643778&doi=10.1016%2fj.apmr.2013.09.018&partnerID=40&md5=b0c985e877dd6458cf51d6e50d341e5f https://scholars.lib.ntu.edu.tw/handle/123456789/479158 |
ISSN: | 0003-9993 | DOI: | 10.1016/j.apmr.2013.09.018 | SDG/關鍵字: | adult; age; arm exercise; article; box and block test; cerebrovascular accident; cohort analysis; female; Fugl Meyer assessment; human; major clinical study; male; middle aged; motor activity log; motor performance; named inventories, questionnaires and rating scales; observational study; outcome assessment; outpatient department; prediction; rehabilitation; rehabilitation center; robotics; secondary analysis; sex difference; stroke rehabilitation robot assisted; amount of use; AOU; BBT; Box and Block Test; FMA; Fugl-Meyer Assessment; MAL; Motor Activity Log; Prognosis; QOM; quality of movement; Rehabilitation; robot-assisted therapy; RT; Stroke; variance inflation factor; VIF; Adult; Aged; Disability Evaluation; Female; Humans; Male; Middle Aged; Predictive Value of Tests; Prognosis; Recovery of Function; Robotics; Stroke; Treatment Outcome; Upper Extremity |
顯示於: | 職能治療學系 |
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