Monitoring game-based motor rehabilitation of patients at home for better plans of care and quality of life

Ponte, Serena; Gabrielli, Silvia; Jonsdottir, Johanna; Morando, Matteo; Dellepiane, S.

doi:10.1109/embc.2015.7319256

Cited by 12 publications

(4 citation statements)

References 14 publications

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“…Several studies (66–68) have showed that continuing rehabilitation activities at home contributes to the maintenance of benefits obtained. Accordingly, we are developing a low-end VR tool to promote physical rehabilitation at home.…”

Section: Discussionmentioning

confidence: 99%

An Immersive Motor Protocol for Frailty Rehabilitation

et al. 2019

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Frailty is a pre-clinical condition that worsens physical health and quality of life. One of the most frequent symptoms of frailty is an increased risk of falling. In order to reduce this risk, we propose an innovative virtual reality motor rehabilitation program based on an immersive tool. All exercises will take place in the CAVE, a four-screen room with a stationary bike. The protocol will include two types of exercises for the improvement of balance: “Positive Bike” and “Avoid the Rocks.” We will choose evaluation scales related to the functional aspects and subjective perception of balance. Our aim is to prove that our innovative motor rehabilitation protocol is as effective as or more effective than classical rehabilitation.

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Section: Discussionmentioning

confidence: 99%

An Immersive Motor Protocol for Frailty Rehabilitation

et al. 2019

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“…We can see that a diverse range of studies/systems have been conducted/built. Some are for the upper extremity including those for arms [10,12,13,16,17,20,21,23,25,27,30,[37][38][39], hands/fingers [10, 11, 14, 17, 20, 23, 25-28, 30-33, 38], and shoulders [10-14, 16, 20-23, 27, 29, 30, 35, 38, 39], while the others are on the lower extremity including those for ankles [18,19,36], gait [15,19,24,36], balance [15,19,23,24,36], and postural [19,23,24]. However, most of these studies are conducted in laboratory setting and thus are less feasible in real clinical scenarios [1] .…”

Section: Introductionmentioning

confidence: 99%

Augmented Reality For Stroke Rehabilitation During COVID-19

Yang

Wei

et al. 2022

Preprint

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Background: The lack of the rehabilitation professionals is a global issue and it is becoming more serious during COVID-19. An Augmented Reality Rehabilitation System (AR Rehab) was developed for virtual training delivery. The virtual training was integrated into the participants’ usual care to reduce the human trainers’ effort so that the manpower scarcity can be eased. This also resulted in the reduction of the contact rate in pandemics. Objective: To investigate the feasibility of the AR Rehab-based virtual training when integrated into the usual care in a real-world pandemic setting. Methods: Chronic stroke participants were randomly assigned to either a centre-based group (AR-Centre) or a home-based group (AR-Home) for a trial consisting of 20 sessions delivered in a human-machine integrated intervention. The trial of the AR-Centre was human training intensive with 3/4 of each session delivered by human trainers (PTs/OTs/Assistants) and 1/4 delivered by the virtual trainer (AR Rehab). The trial of the AR-Home was virtual training intensive with 1/4 and 3/4 of each session delivered by human and virtual trainers, respectively. Functional assessments including Fugl-Meyer Assessment for Upper Extremity (FMA-UE) and Lower Extremity (FMA-LE), Functional Ambulation Category (FAC), Berg Balance Scale (BBS), Barthel Index (BI) of Activities of Daily Living (ADL), and Physical Component Summary (SF-12v2 PCS) and Mental Component Summary (SF-12v2 MCS) of the 12-Item Short Form Health Survey (SF-12v2), were conducted before and after the intervention. User experience (UX) using questionnaires were collected after the intervention. Results: There were 129 patients from 10 rehabilitation centres enrolled in the integrated program with 39 of them were selected for investigation. Significant functional improvement in FMA-UE (AR-Centre: p = 0.0022, AR-Home: p = 0.0043), FMA-LE (AR-Centre: p = 0.0007, AR-Home: p = 0.0052), SF-12v2 PCS (AR-Centre: p = 0.027, AR-Home: p = 0.036) were observed in both groups. Significant improvement in balance ability (BBS: p = 0.0438), and mental components (SF-12v2 MCS: p = 0.017) were found in AR-Centre group, while activities of daily living (BI: p = 0.0007) was found in AR-Home group. Contact rate was reduced by 30.75% − 72.30% within AR-All, 0.00% − 60.00% within AR-Centre, and 75.00% − 90.00% within AR-Home. Conclusion: The human-machine integrated mode was effective and efficient to reduce the human rehabilitation professionals’ effort while fulfilling the training goals. It eased the scarcity of manpower and reduced the contact rate during the pandemics.

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“…[ 3 5 6 ] Telemedicine services encompass a variety of services such as patient consultation, education and training of families and professionals in the area, follow-up of the patients, and monitoring of tele-services. [ 4 5 6 8 13 14 ] Recent reviews on clinical effectiveness and applications of technology in delivering effective tele-rehabilitation service and alternative interventions are limited. [ 13 15 16 ] Hence, there is a need for more trials and comprehensive studies on same issue.…”

Section: Introductionmentioning

confidence: 99%

Feasibility and Utility of Tele-Neurorehabilitation Service in India: Experience from a Quaternary Center

Khanna

Gowda

Bagevadi

et al. 2018

Journal of Neurosciences in Rural Practice

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Background:Neurological rehabilitation service in developing countries like India is a great challenge in view of limited resources and manpower. Currently, neurological rehabilitation with a multidisciplinary team is limited to a few major cities in the country. Tele-neurorehabilitation (TNR) is considered as an alternative and innovative approach in health care. It connects the needy patients with the health-care providers with minimum inconvenience and yields cost-effective health care.Aim:The aim of this study was to study the socioclinical parameters, feasibility, and utility of TNR services in India.Methodology:A retrospective file review of TNR consultations provided through Telemedicine Center at a quaternary hospital-based research center in south India between August 2012 and January 2016.Results:A total of 37 consultations were provided to the patients belonging to four districts of Karnataka. The mean age of the patients was 34.7 (±19.5) years, 23 (62.1%) were aged between 19 and 60 years, and 31 (83.8%) were male. Thirty-one patients (83.8%) had central nervous system-related disorders such as stroke, cerebral palsy, and tubercular meningitis with sequelae or neuromuscular disorders such as Guillain–Barre Syndrome and Duchenne muscular dystrophy. Twelve patients (32.4%) were advised to consult higher centers in the vicinity, and the rest was referred to the district hospital.Conclusion:The findings suggest that TNR services are feasible, effective, and less resource intensive in delivering quality telemedicine care in India. More clinical studies are required to elucidate its full utility at different levels and in different parts of the country.

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Monitoring game-based motor rehabilitation of patients at home for better plans of care and quality of life

Cited by 12 publications

References 14 publications

An Immersive Motor Protocol for Frailty Rehabilitation

An Immersive Motor Protocol for Frailty Rehabilitation

Augmented Reality For Stroke Rehabilitation During COVID-19

Feasibility and Utility of Tele-Neurorehabilitation Service in India: Experience from a Quaternary Center

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