Home stroke telerehabilitation system to train recovery of hand function william durfee 1, samantha weinstein, james carey 2, ela bhatt, ashima nagpal2 1department of mechanical engineering, 2program in physical therapy, university of minnesota, minneapolis, usa. Supinates and pronates forearm elbow flexed at 90 keeping your elbow bent and close to your side, turn your forearm over so that your palm faces up, then turn. Moreover, the effectiveness of the system was verified by analysis of the recovery of these patients. A telerehabilitation approach for chronic aphasia following stroke yoonhee choi, md, ms,1,2 hae kyung park, md, bs,1 and namjong paik, md, phd1 1department of rehabilitation medicine, seoul national university college of medicine, seoul national university. Using a holistic and multidisciplinary approach, this text remains the only comprehensive, evidencebased stroke rehabilitation resource for occupational therapists. An innovative method for the assessment of poststroke. Understanding the implementation of telerehabilitation at pre. Abstract background telerehabilitation is an alternative way of delivering rehabilitation services. Therapy inclinic for patients with stroke trial will determine if a homebased telerehabilitation therapy system is as good as inclinic rehabilitation in helping people recover from stroke. The focus is on the impact of telerehabilitation for post stroke on both outcomes and cost of care. An author is entitled to 25 % discount on ios press books. Learn to confidently manage the growing number of stroke rehabilitation clients with gillens stroke rehabilitation.
Medline, embase, darenhseedhta inahta and the cochrane library. Lo, md, phd st r o k e kinematic analysis and feedback for i s a m a oj r c a u s e o f until recently the prospect of being n e u r o l o g i c a l impairment. Telerehabilitation is a method to provide rehabilitation services to patients who cannot easily receive it at a rehabilitation hospital due to distance, lack of trained physicians nearby, or patient mobility difficulties. Improving quality of life and depression after stroke.
Pdf telerehabilitation services for stroke researchgate. This trial also will discover if providing educational materials improves understanding of stroke prevention and risk factor control. Understanding the implementation of telerehabilitation at. Telerehabilitation, as a subset of telehealth, is the use of telecommunications to deliver rehabilitation services at a distance and can bridge the gaps created by personnel shortages that exist in underserved and remote areas, as well as serve persons in urban settings who cannot easily leave their homes or offices to seek care. The new edition has been extensively updated with the latest. The increasing number of survivors following stroke events are. Randomised controlled trials rcts of telerehabilitation in stroke. The present study explored the feasibility of telerehabilitation as compared to a conventional facetoface treatment of naming, in patients with poststroke anomia.
We included studies that compared telerehabilitation with in. Beginning with detailed information on risk factors, epidemiology, prevention, and neurophysiology, the book details the acute and longterm treatment of all strokerelated impairments and complications. Improving quality of life and depression after stroke through. Telerehab allows you to do therapy 7 days per week without having to leave your home. Effectiveness of telerehabilitation in the management of adults with. Development and evaluation of a new telerehabilitation system.
Information and communication technologies are used to facilitate communication between the healthcare professional and the patient in a remote location. Lessons learned telerehabilitation tr is the use of telehealth technologies to provide distance support, rehabilitation services and information exchange between people with disabilities and their clinical providers. Concept of the diagnostic tool for balance telerehabilitation of subjects with stroke imre cikajlo university rehabilitation institute, ljubljana, republic of slovenia received 12 nov 2012. Clinical consequences of stroke robert teasell md, norhayati hussein mbbs mrehabmed, ricardo viana md, sarah donaldson bhsc, mona madady msc cerebrovascular disorders represent the third leading cause of mortality and the second major cause of longterm disability in north america delaney and potter 1993. People with stroke who have depression exhibit greater utilization of health care services jia et. Clinical study telerehabilitation in poststroke anomia michelaagostini, 1 martinagarzon, 1 silviabenavidesvarela, 1,2 serenadepellegrin, 2 giuliabencini, 1 giuliarossi, 3 sararosadoni, 3 mauromancuso, 3 andreaturolla, 1 francescameneghello, 1 andpaolotonin 1 foundation irccs san camillo hospital, laboratory of kinematics and robotics. Taking together these remarks, it is possible to hypothesize a future development of telerehabilitation towards more complex applications able to supply poststroke patients, early discharged at home, with a complete telerehabilitation program motor, speech, and cognitive, similar to that received during the hospitalization. Telerehabilitation will be evaluated using an assessorblind, randomized, noninferiority study design. Implementing telerehabilitation research for stroke. Telerehabilitation position paper you will receive an email whenever this article is corrected, updated, or cited in the literature. Telerehabilitation health informatics kindle edition.
Purpose the purpose of this study was to develop a new telerehabilitation system based on vr technology for training of paralyzed upper and lower extremities and poor balance in patients with stroke. Telerehabilitation to improve outcomes for people with stroke. Listing a study does not mean it has been evaluated by the u. Telerehabilitation services for stroke national library of. To meet the specific needs created by the implementation of telerehabilitation sessions, it was necessary to develop specialized software. Home arm assistance progression initiative haapi trial. Databases searched were pubmed, scopus, and web of science. After you order, you will get instant access to download the ebook onto your computer. Telemedicine applications have been increasing due to the. A telerehabilitation approach for chronic aphasia following stroke yoonhee choi, md, ms,1,2 hae kyung park, md, bs,1 and namjong paik, md, phd1 1department of rehabilitation medicine, seoul national university college of medicine, seoul national university bundang hospital, seongnam, south korea. This system uses a microsoft kinect and a texas instruments ez430 chronos watch to measure range of motion in poststroke patients in the upper limb. Home stroke telerehabilitation system to train recovery of. The feasibility of a telehealth exercise program aimed at.
Gamebased stroke telerehabilitation is rapidly evolving and large opportunity area for research that translates into clinical practice. Moreover, we selected and examined 45 books and other online materials. Mar 27, 2019 the telerehabilitation in the home vs. This software has been developed on the vigil platform developed by. A telerehabilitation approach for chronic aphasia following. Stroke resources northeast rehabilitation hospital. Telerehabilitation in chronic stroke 219 a year post stroke. International journal of telerehabilitation telerehab.
Home stroke telerehabilitation system to train recovery of hand function william durfee 1, samantha weinstein, james carey 2, ela bhatt, ashima nagpal2 1department of mechanical engineering, 2program in physical therapy, university of minnesota, minneapolis, usa acknowledgement this project is supported by national institute on disability. Telerehabilitation is an alternative way of delivering. Homebased telerehabilitation is relatively easy to access and can provide feedback based on either onetoone supervision or data acquired during training. Popular stroke books showing 150 of 127 my stroke of insight. Telerehab, short for telerehabilitation, is a way to receive occupational or physical therapy in your home, while having remote access to an occupational or physical therapist. Telerehabilitation services for stroke national library. Home stroke telerehabilitation system to train recovery of hand function william k. Lo, md, phd st r o k e kinematic analysis and feedback for i s a m a oj r c a u s e o f until recently the prospect of being n e u r o l o g i c a l. Telerehabilitation can be considered as a branch of telemedicine. My biggest concern when i hear telerehabilitation is a pendulum swing to where rehabilitation professionals are no longer valued. Stroke telerehabilitation system and environment are. Beginning with detailed information on risk factors, epidemiology, prevention, and neurophysiology, the book details the acute and longterm treatment of all stroke related impairments and complications. Telerehabilitation tr is the use of telehealth technologies to provide distance support, rehabilitation services and information exchange between people with. The current study will be among the first to assess the benefits and costs of an intervention that uses telerehabilitation as part of the package.
Focus to date is stroke, but can extended to other chronic disease management. Implementing telerehabilitation research for stroke rehabilitation with community dwelling veterans. Telerehabilitation to improve outcomes for people with. You can manage this and all other alerts in my account. The scope of telerehabilitation is vast, since it faces challenges related to both medical and community care settings3. Telerehabilitation health informatics kindle edition by. Telerehabilitation has been promoted as a more efficient means of delivering rehabilitation services to stroke patients. Procedia computer science 124 2017 452a460 18770509 a 2018 the authors.
Clinical study telerehabilitation in poststroke anomia. Some studies 5, 6 have confirmed the advantage of home rehabilitation after stroke and showed that telerehabilitation received high. Implementing telerehabilitation research for stroke rehabilitation. Telerehabilitation is a relatively new mode of delivery of interventions, with limited evidence concerning the net costs, the effectiveness and the costeffectiveness compared with standard care. Studies are presently being completed with real patients to provide rehab to stroke survivors when one arm andor hand has been affected. Independent exercise program are often prematurely discontinued 14, placing the individual at risk for losing function. Development and evaluation of a new telerehabilitation. Easter lane, suite b centennial, co 80112 1800strokes 18007876537. Autonomic dysreflexia ad is a spasm of the autonomic nervous system due to noxious stimulation below the level of the spinal cord injury, resulting in hypertension with relative bradycardia in a patient with a spinal cord injury sci at or above the t6 neurological level.
Telerehabilitation in the home versus therapy inclinic. Effect of virtual reality on postural and balance control. Clinical study telerehabilitation in poststroke anomia michelaagostini, 1 martinagarzon, 1 silviabenavidesvarela, 1,2 serenadepellegrin, 2 giuliabencini, 1 giuliarossi, 3 sararosadoni, 3 mauromancuso, 3 andreaturolla, 1 francescameneghello, 1 andpaolotonin 1 foundation irccs san camillo hospital, laboratory of kinematics and robotics, neurorehabilitation department. The ebook format is adobe acrobat pdf, which can be viewed on mac or pc. Cases involving the t8 neurologic level have been reported. Anomia, a wordfinding difficulty, is a frequent consequence of poststroke linguistic disturbance, associated with fluent and nonfluent aphasia that needs longterm specific and intensive speech rehabilitation. Lessons learned telerehabilitation tr is the use of telehealth technologies to provide distance support, rehabilitation services and information exchange between. Stroke recovery and rehabilitation is the new gold standard comprehensive guide to the management of stroke patients. After a stroke, it is common for the individual to have difficulty managing everyday activities such as walking, showering, dressing and participating in community activities. The aim of telerehabilitation is to provide rehabilitation services at a distance to help people to regain their psychophysical functions through the use of new technologies1,2. Telerehabilitation can deliver rehabilitation services with the use of.
Telerehabilitation in the home versus therapy inclinic for. Concept of the diagnostic tool for balance telerehabilitation. Taking together these remarks, it is possible to hypothesize a future development of telerehabilitation towards more complex applications able to supply poststroke patients, early discharged at home, with a complete telerehabilitation program motor, speech, and cognitive, similar to. You will receive an email whenever this article is corrected, updated, or cited in the literature. He is board certified in internal medicine, neurology, and vascular neurology. The aim of the current protocol is to study 40 patients, each for 12 weeks, to address hypotheses related to the ability of a telerehabilitation system to a improve motor status and disability, b collect various forms of patient data from the home, c improve risk factor knowledge and control, and d assess patient compliance with homebased telerehabilitation. Usercentered design of a patients work station for haptic robot. It provides you access to therapists via webcam and includes. Longterm telerehabilitation for patients with stroke full.
This study seeks to establish comparable efficacy between the two treatment arms based upon a noninferiority margin of 2. This abstract is a heads up for an upcoming clinical trial. To critically evaluate the studies that were conducted over the past 10 years and to assess the impact of virtual reality on static and dynamic balance control in the stroke population. Jill bolte taylor shelved 31 times as stroke avg rating 3. Mar 09, 2018 longterm telerehabilitation for patients with stroke the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. An order form for reprints, additional journal copies or a pdf file will be provided along with the pdf proof. Studies are presently being completed with real patients to provide rehab to stroke survivors when one arm andor hand has.