Archives of rehabilitation research and clinical translation · 2026
Quantification of Lower Extremity Dressing Movements in Patients With Stroke.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Kuroda Yuki, Motojima Naoyuki, Kouhei Sano, Yamamoto Sumiko
Аннотация
OBJECTIVE: To quantify movement characteristics of lower extremity dressing among patients with stroke.
DESIGN: Retrospective study.
SETTING: Rehabilitation hospital.
PARTICIPANTS: This study included 49 patients with stroke and hemiplegia. They were classified by toileting scores of the Functional Independence Measure: independent group (14 men, 4 women; n=18), supervision group (13 men, 3 women; n=16), and assistance group (11 men, 4 women; n=15).
INTERVENTIONS: None.
MAIN OUTCOME MEASURES: The lower garment raising movement was measured using a 3-dimensional motion analysis system. Forty-three reflective markers were attached, and the movement was divided into 5 phases based on hand-marker trajectories. Trunk and pelvic angles, center-of-pressure range, paretic limb loading ratio, manipulation time, and vertical displacement of the lower garment were calculated.
RESULTS: The supervision group had longer manipulation times than the independent group during the downward reach (2.08s vs 1.29s, P=.005) and the first paretic-side manipulation (1.28s vs 0.66s, P=.013). The assistance group exhibited smaller pelvic flexion during the downward reach (3.38° vs 8.42°, P=.002), as well as showed smaller trunk rotation angle (-11.05° vs 3.46°, P=.002) and pelvic rotation angle (-6.32° vs 5.28°, P=.013) than the supervision group during the final non-paretic-side manipulation, and performed the task while oriented toward the paretic side. Furthermore, during the final paretic-side manipulation, the assistance group exhibited a significantly larger pelvic rotation angle (18.29° vs 9.50°, P=.009).
CONCLUSIONS: In the supervision group, decreased efficiency was noted during the downward reach and initial manipulations. In the assistance group, participants performed downward reach and the final manipulations in a posture that limited hand access to the lower garment, resulting in inefficient movements.
DESIGN: Retrospective study.
SETTING: Rehabilitation hospital.
PARTICIPANTS: This study included 49 patients with stroke and hemiplegia. They were classified by toileting scores of the Functional Independence Measure: independent group (14 men, 4 women; n=18), supervision group (13 men, 3 women; n=16), and assistance group (11 men, 4 women; n=15).
INTERVENTIONS: None.
MAIN OUTCOME MEASURES: The lower garment raising movement was measured using a 3-dimensional motion analysis system. Forty-three reflective markers were attached, and the movement was divided into 5 phases based on hand-marker trajectories. Trunk and pelvic angles, center-of-pressure range, paretic limb loading ratio, manipulation time, and vertical displacement of the lower garment were calculated.
RESULTS: The supervision group had longer manipulation times than the independent group during the downward reach (2.08s vs 1.29s, P=.005) and the first paretic-side manipulation (1.28s vs 0.66s, P=.013). The assistance group exhibited smaller pelvic flexion during the downward reach (3.38° vs 8.42°, P=.002), as well as showed smaller trunk rotation angle (-11.05° vs 3.46°, P=.002) and pelvic rotation angle (-6.32° vs 5.28°, P=.013) than the supervision group during the final non-paretic-side manipulation, and performed the task while oriented toward the paretic side. Furthermore, during the final paretic-side manipulation, the assistance group exhibited a significantly larger pelvic rotation angle (18.29° vs 9.50°, P=.009).
CONCLUSIONS: In the supervision group, decreased efficiency was noted during the downward reach and initial manipulations. In the assistance group, participants performed downward reach and the final manipulations in a posture that limited hand access to the lower garment, resulting in inefficient movements.