https://scholars.lib.ntu.edu.tw/handle/123456789/633303
標題: | Predicting Arm Nonuse in Individuals with Good Arm Motor Function after Stroke Rehabilitation: A Machine Learning Study | 作者: | Chen, Yu-Wen Li, Yi-Chun CHIEN-YU HUANG Lin, Chia-Jung Tien, Chia-Jui WEN-SHIANG CHEN Chen, Chia-Ling KEH-CHUNG LIN |
關鍵字: | arm nonuse; chronic stroke; machine learning; predictors; stroke rehabilitation | 公開日期: | 25-二月-2023 | 卷: | 20 | 期: | 5 | 來源出版物: | International journal of environmental research and public health | 摘要: | Many stroke survivors demonstrate arm nonuse despite good arm motor function. This retrospective secondary analysis aims to identify predictors of arm nonusers with good arm motor function after stroke rehabilitation. A total of 78 participants were categorized into 2 groups using the Fugl-Meyer Assessment Upper Extremity Scale (FMA-UE) and the Motor Activity Log Amount of Use (MAL-AOU). Group 1 comprised participants with good motor function (FMA-UE ≥ 31) and low daily upper limb use (MAL-AOU ≤ 2.5), and group 2 comprised all other participants. Feature selection analysis was performed on 20 potential predictors to identify the 5 most important predictors for group membership. Predictive models were built with the five most important predictors using four algorithms. The most important predictors were preintervention scores on the FMA-UE, MAL-Quality of Movement, Wolf Motor Function Test-Quality, MAL-AOU, and Stroke Self-Efficacy Questionnaire. Predictive models classified the participants with accuracies ranging from 0.75 to 0.94 and areas under the receiver operating characteristic curve ranging from 0.77 to 0.97. The result indicates that measures of arm motor function, arm use in activities of daily living, and self-efficacy could predict postintervention arm nonuse despite good arm motor function in stroke. These assessments should be prioritized in the evaluation process to facilitate the design of individualized stroke rehabilitation programs to reduce arm nonuse. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/633303 | ISSN: | 16617827 | DOI: | 10.3390/ijerph20054123 |
顯示於: | 職能治療學系 |
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