可穿戴设备uCare在脑卒中患者社区康复中的应用效果

The effectiveness of wearable device u Care on stroke patients in community-based rehabilitation

目的:探讨可穿戴设备uCare对脑卒中患者社区康复的指导和监测作用,为临床应用提供试验基础。方法:39例脑卒中患者随机分为试验组和对照组。2组患者均接受常规社区康复指导,并根据心肺运动试验结果制定社区康复运动处方。试验组佩戴可穿戴设备uCare进行运动指导和监测,对照组仅进行口头指导下的运动。分别于入选时和4周末进行ICF核心组合评估(通用组合、功能障碍组合、脑卒中简要组合)、Motricity指数、6min步行试验、最大耗氧量评估。结果:①与入组时相比,试验组ICF核心评估组合、6min步行试验、最大耗氧量均有显著改善(P<0.05);Motricity指数数值虽有提升,但差异无显著性意义(P>0.05);对照组各数值虽有改善,但差异无显著性意义(P>0.05)。②入组时两组间比较,差异无显著性意义(P>0.05);4周后两组间比较,试验组6min步行试验结果优于对照组(P<0.05)。结论:使用可穿戴设备uCare,可有效改善社区脑卒中患者的ICF指标和运动功能。

Objective:To explore the role of wearable device uCare for community-based rehabilitation in stroke patients, and to provide theory basis for clinical application. Method:Thirty-nine patients with stroke were randomly divided into experimental group and control group. Both groups received regular community-based rehabilitation guidance and formulated an exercise prescription based on the results of cardiopulmonary exercise. The experimental group was given exercise guidance and monitoring by the wearable device uCare, and the control group was only given verbal guidance. ICF core set evaluation (generic set, disability set, stroke brief), Motricity index, 6min walking test, and maximum oxygen consumption were conducted before and after 4 weeks therapy, respectively. Result:①The ICF core set evaluation, 6min walking test and maximum oxygen consumption were significantly improved (P<0.05) after 4 weeks therapy in experimental group. Motricity index value was improved, but there was no significant difference (P>0.05). There was no significant difference between before and after 4 weeks therapy in the control group (P>0.05).②There were no significant difference between two groups in the beginning (P>0.05), and after 4 weeks, only 6min walking test result of the experimental group was better than the control group (P<0.05). Conclusion:Applying wearable device uCare may effectively improve the ICF values and motor function in community stroke patients.