IntroductionEmerging literature suggests that wearable devices offer a promising option for self-directed home-based upper limb training for persons with stroke. However, little research is available to explore integrating smartphone applications with wearable devices to provide upper limb telerehabilitation to stroke survivors at home. This study examined the feasibility and potential therapeutic effects of a wearable device integrated with a smartphone-based telerehabilitation system to provide upper limb rehabilitation to stroke survivors at home.MethodsTwelve stroke survivors from community support groups participated in a treatment consisting of 4-week telerehabilitation using a wearable device and 4-week conventional therapy successively in a single-blind, randomised crossover study. A 3-week washout period was administered between the two 4-week treatments. The primary outcome measures were the Fugl Meyer Assessment, the Action Research Arm Test, and the active range of motion (ROM) of the upper limb. Secondary outcome measures included the Motor Activity Log and exercise adherence.ResultsResults showed that the active ROM of participants’ hemiplegic shoulder improved more significantly after 4 weeks of telerehabilitation with the wearable device than with conventional therapy. No significant differences were found in other outcome measures.ConclusionsA 4-week telerehabilitation programme using a wearable device improves the hemiplegic upper limb in community-dwelling stroke survivors and may be feasible as an effective intervention for self-directed upper limb rehabilitation at home.

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“智能提醒”：可穿戴设备治疗中风患者偏瘫上肢效果的可行性试点研究

简介新兴文献表明，可穿戴设备为中风患者进行自我指导的家庭上肢训练提供了一个有前途的选择。然而，很少有研究探索将智能手机应用程序与可穿戴设备相结合，为家中的中风幸存者提供上肢远程康复。本研究探讨了可穿戴设备与基于智能手机的远程康复系统相结合，为中风幸存者在家中提供上肢康复的可行性和潜在治疗效果。方法来自社区支持小组的 12 名中风幸存者参加了为期 4 周的远程康复治疗。在一项单盲、随机交叉研究中，先后使用可穿戴设备和为期 4 周的常规治疗。在两次为期 4 周的治疗之间进行为期 3 周的清除期。主要结果指标是 Fugl Meyer 评估、动作研究手臂测试和上肢主动活动范围 (ROM)。次要结局指标包括运动活动日志和运动依从性。结果结果显示，与传统治疗相比，使用可穿戴设备进行 4 周的远程康复后，参与者偏瘫肩部的主动 ROM 改善更为显着。其他结果指标没有发现显着差异。 结论 使用可穿戴设备进行为期 4 周的远程康复计划可改善社区中风幸存者的偏瘫上肢，并且作为在家自我指导上肢康复的有效干预措施可能是可行的。