'Remind-to-Move' for Promoting Upper Extremity Recovery Using Wearable Devices in Subacute Stroke: A Multi-Center Randomized Controlled Study
| العنوان: | 'Remind-to-Move' for Promoting Upper Extremity Recovery Using Wearable Devices in Subacute Stroke: A Multi-Center Randomized Controlled Study |
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| المؤلفون: | Wayne X. J. Wei, Kenneth N.K. Fong, Hobby K Y Cheung, Raymond T. Chung, Eddie S L Chow |
| المصدر: | IEEE Transactions on Neural Systems and Rehabilitation Engineering. 27:51-59 |
| بيانات النشر: | Institute of Electrical and Electronics Engineers (IEEE), 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Male, 030506 rehabilitation, medicine.medical_specialty, Subacute stroke, Significant group, Biomedical Engineering, Hemiplegia, Vibration, law.invention, Upper Extremity, Wearable Electronic Devices, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, Randomized controlled trial, law, Internal Medicine, medicine, Humans, In patient, Stroke, Wearable technology, Aged, business.industry, General Neuroscience, Rehabilitation, Stroke Rehabilitation, Recovery of Function, Middle Aged, medicine.disease, Treatment Outcome, medicine.anatomical_structure, Usual care, Arm, Upper limb, Female, Cues, 0305 other medical science, business, 030217 neurology & neurosurgery |
| الوصف: | This paper examined the effects of "Remind-to-Move" (RTM) via vibration cueing using wearable devices to increase the use of the affected upper limb and integrate upper limb activities undertaken at home in patients with subacute stroke after inpatient discharge. In a multi-centered randomized controlled trial, 84 eligible patients from four general hospitals, who had a first stroke in the last six months, were randomly allocated to either an experimental, sham, or control group, stratified by arm function levels. Patients in the experimental group were treated by RTM, using wearable devices for three consecutive hours daily, over four weeks. The sham group used sham devices, and the control group received usual care alone. A masked assessor evaluated the patients at 0th, 4th, 8th, and 12th weeks using outcome measures included arm function tests, motor activity log, and movement recorded by the devices. Results showed that there was a significant group by time interaction, and the average movement amount and Action Research Arm Test score in the experimental group were significantly higher than in the sham group. This paper demonstrates that RTM via wearable devices used for the hemiplegic upper extremities could promote more arm recovery than the sham or control and, hence, produce an optimal functional improvement for subacute stroke patients. |
| تدمد: | 1558-0210 1534-4320 |
| DOI: | 10.1109/tnsre.2018.2882235 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::999aad736092e751101d640e2e60779d https://doi.org/10.1109/tnsre.2018.2882235 |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....999aad736092e751101d640e2e60779d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15580210 15344320 |
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| DOI: | 10.1109/tnsre.2018.2882235 |