An Objective Pronator Drift Test Application (iPronator) Using Handheld Device 英文参考文献.docVIP

AnObjectivePronatorDriftTestApplication(iPronator) UsingHandheldDevice SoojeongShin1.,EunjeongPark2.,DongHyunLee1,Ki-JeongLee1,JiHoeHeo1,HyoSukNam1* 1DepartmentofNeurology,YonseiUniversityCollegeofMedicine,Seodaemoon-gu,Seoul,Korea,2DepartmentofComputerScienceandEngineering,EwhaWomans University,Seodaemoon-gu,Seoul,Korea Abstract Background:Thepronatordrifttestiswidelyusedtodetectmildarmweakness.Wedevelopedanapplicationthatrunson ahandhelddevicetoobjectifythepronatordrifttestandinvestigateditsfeasibilityinstrokepatients. Methods:TheiPronatorapplication,whichusesthebuilt-inaccelerometerinhandhelddevices,wasdeveloped.Weenrolled acuteischemicstrokepatients(n=10)withmildarmweaknessandhealthycontrols(n=10)tovalidatetheiPronator.In additiontoconventionalneurologicalexaminations,thedegreeofaverage,maximum,andoscillationindriftandpronation weremeasuredandcomparedusingtheiPronator.Follow-uptestsusingtheiPronatorwerealsoconductedinthepatient grouponeweeklater. Results: There was a strong correlation between the average degree of pronation and drift measured by the iPronator (r=0.741, p,0.001). The degrees of average and maximum in pronation were greater in the patient group than in the controlgroup[inaverage,28.9u,interquartilerange(IQR)18.7–40.3vs.3.8u(IQR0.3–7.5),p,0.001],inmaximum,33.0u(IQR 24.0–52.1) vs. 6.2u (IQR 1.4–9.4), p,0.001]. The degree of oscillation in pronation was not different between the groups (p=0.166).Indrift,thedegreesofaverage,maximum,andoscillationweregreaterinthepatientgroup.Instrokepatients,a follow-up study at one week revealed improvements in the degrees of pronation and drift compared with baseline parameters. Conclusions: The iPronator can reliably detect mild arm weakness of stroke patients and was also useful in detecting functionalrecoveryforoneweekinpatientswithacutestroke. Citation:ShinS,ParkE,LeeDH,LeeK-J,HeoJH,etal.(2012)AnObjectivePronatorDriftTestApplication(iPronator)UsingHandheldDevice.PLoSONE7(7): e41544.doi:10.1371/journal.pone.004