Abstract
Factors related to daily use of the hemiplegic upper limb after stroke
  
DOI:10.3870/zgkf.2026.03.002
EN KeyWords: stroke  hemiplegic upper limb  daily use  related factors
Fund Project:广东省医学科学技术研究基金项目(NO.B2024146)
作者单位
何爱群 1.广东省工伤康复医院作业治疗科,广州510440 
黎景波 1.广东省工伤康复医院作业治疗科,广州510440 
韩诗雨 2.郑州大学附属第五医院作业治疗区 
叶思媚 1.广东省工伤康复医院作业治疗科,广州510440 
何茂莉 1.广东省工伤康复医院作业治疗科,广州510440 
刘海鸥 1.广东省工伤康复医院作业治疗科,广州510440 
董安琴 2.郑州大学附属第五医院作业治疗区 
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EN Abstract:
  Objective: To explore the factors related to amount of daily use of the hemiplegic upper limb after stroke. Methods: The clinical data of 170 stroke patients from January 2023 to October 2023 were retrospectively analyzed, including age, gender, course of disease, paralyzed side, hemiplegic upper limb motor function (Fugl-Meyer Assessment-Upper Extremity, FMA-UE), hemiplegic upper limb activity function (Functional Test for the Hemiplegic Upper Extremity-Hong Kong, FTHUE-HK), Motor Activity Log-Amount of Use (MAL-AOU) and Motor Activity Log-Quality of Movement (MAL-QOM), Modified Barthel Index (MBI), Stroke Impact Scale-ADLs (SIS-ADLs) and Stroke Impact Scale-Hand (SIS-Hand). The MAL-AOU was used as the dependent variable, the relevant influencing factors of daily use of hemiplegic upper limb in stroke patients were filtered out by univariate analysis and linear stepwise regression analysis. Results: The result of univariate analysis showed that age, gender, course of disease, FMA-UE, FTHUE-HK, MAL-QOM, MBI, SIS-ADLs and SIS-Hand were correlated with the daily use of hemiplegic upper limb in stroke patients (P<0.05). Linear stepwise regression analysis showed that MAL-QOM was associated with the amount of daily use of the hemiplegic upper limb in stroke patients (P<0.05). Conclusion: Age, gender, course of disease, FMA-UE, FTHUE-HK, MAL-QOM, MBI, SIS-Hand and SIS-ADLs are factors associated with the daily use of hemiplegic upper limbs in stroke patients. Among these variables, MAL-QOM has been identified as an independent factor influencing the daily use of hemiplegic upper limbs in this population.
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