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[Abstract] An Analysis of Wrist and Forearm Range of Motion using the Dartfish Motion Analysis System

Abstract

Introduction

Wrist range of motion (ROM) is considered the universal measurement of success for both surgical and non-surgical treatments. A goniometer can be challenging for an individual; to use by themselves, whereas the Dartfish app can analyze and provide immediate feedback to monitor and evaluate patients’ kinematic changes during recovery.

Purpose

of Study: To establish the validity and reliability of the Dartfish app measuring ROM in order for it to be used in clinical applications.

Methods

Twelve healthy participants, ages 18 to 25, with no previous history of wrist injuries were recruited for this study. The ROM measurements collected were flexion/extension, radial/ulnar deviation, and supination/pronation for both goniometer and Dartfish measurements.Goniometer measurements were performed using a plastic universal two-arm goniometer. Dartfish measurements were performed by two observers on an iPad Pro for three trials. Statistical analyses such as t-tests, and the Pearson correlation coefficient, as well as reliability analyses, such as intraclass correlation coefficient (ICC), and Bland-Altman plots were performed.

Results

There was no significant difference between the goniometer and Dartfish ROM measurements except for the ulnar deviation measurement. The concurrent validity showed nearly; perfect correlations between examiners using Dartfish with r-values that ranged from 0.904 to 0.997, and between ADK and the goniometer showed medium, large, and very large correlations since the values ranged from 0.418 to 0.829. The ICC for test-retest reliability had excellent agreement which ranged from 0.993 to 0.999 and the ICC values for inter-observer reliability had good and excellent agreement which ranged from 0.893 to 0.997.

Conclusion

Overall, the results demonstrated that the Dartfish app was a reliable and valid method to measure wrist and forearm ROM. A patient would be able to easily record their own ROM measurements videos and track their progress during their recovery without the need to visit their physician.

Source: https://www.sciencedirect.com/science/article/abs/pii/S0894113020301575?dgcid=rss_sd_all

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[News] Scientists develop a prosthetic hand that is able to restore over 90 per cent of functionality to people with upper-limb amputations| Daily Mail Online

  • The hand has been designed to be customised by the wearer through software
  • It accurately replicates the size, weight, appearance and grasp of a human hand 
  • Volunteers learnt to use the hand for every day tasks within a week of training 
  • Named Hannes, it has naturally adaptable levels of force, speed and grasp 

By RYAN MORRISON FOR MAILONLINE 

PUBLISHED: 19:00 BST, 23 September 2020 | UPDATED: 19:22 BST, 23 September 2020

A prosthetic hand that can grip and move like a normal hand could restore over 90 per cent of functionality to people with upper-limb amputations, developers claim.  

A team of orthopedists, industrial designers and patients worked with scientists from the Istituto Italiano di Tecnologia, Italy, on the artificial hand named Hannes.

The limb was designed to accurately replicate the size, weight, appearance, and natural grasping motion of a human hand to help people gain near normal control.

Researchers claim Hannes is ready for market and has been given regulatory approval. The team are now working to find investors to make it a reality. 

Hannes has the ability to replicate the key biological properties of the human hand – natural and adaptable movement, levels of force and speed and grasp robustness.  A prosthetic hand that can grip and move like a normal hand could restore over 90 per cent of functionality to people with upper-limb amputations, developers claimA prosthetic hand that can grip and move like a normal hand could restore over 90 per cent of functionality to people with upper-limb amputations, developers claim The limb was designed to accurately replicate the size, weight, appearance, and natural grasping motion of a human hand to help people gain near normal controlThe limb was designed to accurately replicate the size, weight, appearance, and natural grasping motion of a human hand to help people gain near normal controlResearchers claim Hannes is ready for market and has been given regulatory approval. The team are now working to find investors to make it a realityResearchers claim Hannes is ready for market and has been given regulatory approval. The team are now working to find investors to make it a reality

It has been designed to resemble a human hand and wrist, is soft and has the ability to dynamically adapt itself to the shape of objects the wearer wants to grasp. 

‘It is uniquely similar to a human hand and, being developed directly with patients, it is of practical use,’ according to its developers.

A pilot trial involved amputees found that the volunteers could autonomously use Hannes to perform activities linked to daily living after less than a week of training. 

It can be worn all day and is adjustable to different upper limb impairments, according to the development team. 

Hannes includes an array of sensors placed with a custom socket that detects the activity of any residual limb muscles in the lower or higher part of the arm.

These are actively contracted by the user to perform multiple movements.  

A mobile phone app and bluetooth connection can also be used to adjust the operating parameters of the hand – including precision and speed of movement. 

This allows the wearer to optimise the experience to suit their own requirements rather than have a single ‘one size fits all’ system. 

Hannes has been tested for durability and robustness in a setting that simulated more than one year of usage of a so called ‘pro-user’.  

‘The true intelligence of Hannes lies in the mechanical design, which is completely unique in its market sector, and it gives to the prosthesis the versatility and the movement of a natural hand,’ the researchers explained.

‘The underlying mechanism of the hand is a mechanical differential system that allows Hannes to adapt to the object being grasped by using just a single motor.’Hannes has the ability to replicate the key biological properties of the human hand - natural and adaptable movement, levels of force and speed and grasp robustnessHannes has the ability to replicate the key biological properties of the human hand – natural and adaptable movement, levels of force and speed and grasp robustnessA mobile phone app and bluetooth connection can also be used to adjust the operating parameters of the hand - including precision and speed of movementA mobile phone app and bluetooth connection can also be used to adjust the operating parameters of the hand – including precision and speed of movement

It comes in two different sizes and has been designed to work for both the right and left hand, as well as for men and women.

The aim was to create a hand that was as close to a human hand as possible, the developers said, adding that fingers on the hand can flex and be positioned in a natural manner, even at rest. 

The thumb can be oriented in three different positions to replicate a wide variety of grips – including a fine grip to pick up small objects.

It also includes a lateral grip allowing the person to grasp thin objects, and a power grip capable of grasping and moving heavy loads.  

The aim was to create a hand that was as close to a human hand as possible, the developers said, adding that fingers on the hand can flex and be positioned in a natural manner, even at restThe aim was to create a hand that was as close to a human hand as possible, the developers said, adding that fingers on the hand can flex and be positioned in a natural manner, even at rest

‘The overall grasp is efficient, robust against external conditions and natural,’ according to the developers.

Hannes can perform a full closed grasp in less than one second and, at the same time, it can exert a maximum grasp force of 150N.

That is level of force well beyond other commercial and research hands, and it has an autonomy of a whole day of standard use – based on battery life. 

The name is a tribute to Professor Johannes ‘Hannes’ Schmidl, technical director of the Centro Protesi Inail in the 1960s and pioneer in upper limb prosthetics. 

The findings have been published in the journal Science Robotics

Read more: dx.doi.org/10.11…

Source: https://www.dailymail.co.uk/sciencetech/article-8764667/Scientists-develop-prosthetic-hand-able-restore-90-cent-functionality.html

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[Abstract] A new tablet-based program to support leisure and video calls in people with intellectual and motor disabilities

Abstract

BACKGROUND: People with intellectual disability and motor impairment have reduced opportunities to participate in recreational and communication activities.

OBJECTIVE: This study reports on the evaluation of a new tablet-based program to help seven participants with mild/moderate or moderate intellectual disability, motor impairment, and limited communication skills to access leisure events and video calls independently.

METHODOLOGY: The program relied on the use of a tablet fitted with the WhatsApp Messenger and MacroDroid applications. The leisure and communication options (i.e., music, films, and video calls) were presented in sequences of three. The participant could choose the first, second or third element of the sequence by touching/covering the tablet’s proximity sensor once, twice or three times. The program was evaluated according to a non-concurrent multiple baseline design across participants.

RESULTS: During the baseline (i.e., when the program was not in use), the participants failed to access leisure events or video calls independently. During the post-intervention (i.e., with the program), their mean percentages of session time spent with the two types of engagement were within the 80–90 range.

CONCLUSION: We conclude that the new tablet-based program can be a fairly efficient and beneficial tool to enable people with intellectual disability and motor impairments to access leisure events and video calls independently.

Source: https://content.iospress.com/articles/technology-and-disability/tad200268

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[Guide] Easy to access assistive technology and apps for individual success – PDF file

Abstract: The COVID-19 pandemic presents an opportunity to spend time with individuals exploring and learning to use different assistive technology (AT) and apps that can be used now and in the future. For individuals who are working during the pandemic, at a time when in-person supports from a job coach may be limited or not available, AT and apps can increase their ability to self-manage on the job. This brief focuses on the various AT options that can be accessed through smartphones and tablets, often for free, to support employment, personal, and independent-living goals. Much of the technology discussed in this publication can also be accessed via desktop and laptop computers.

Get this Document: https://covid19.communityinclusion.org/pdf/TO39_COVID_F.pdf.

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[Abstract] Impact of mHealth technology on adherence to healthy PA after stroke: a randomized study

ABSTRACT

Background

Physical activity (PA) is a key health behavior in people with stroke including risk reduction of recurrent stroke. Despite the beneficial effects of PA, many community-dwelling stroke survivors are physically inactive. Information and communication technologies are emerging as a possible method to promote adherence to PA.

Objective

The aim of this study is to investigate the effectiveness of a mobile-health (mHealth) App in improving levels of PA.

Methods

Forty-one chronic stroke survivors were randomized into an intervention group (IG) n=24 and a control group (CG) n=17. Participants in the IG were engaged in the Multimodal Rehabilitation Program (MMRP) that consisted on supervising adherence to PA through a mHealth app, participating in an 8-week rehabilitation program that included: aerobic, task-oriented, balance and stretching exercises. Participants also performed an ambulation program at home. The CG received a conventional rehabilitation program. Outcome variables were: adherence to PA, (walking and sitting time/day), walking speed (10MWT); walking endurance (6MWT); risk of falling (TUG); ADLs (Barthel); QoL (Eq-5D5L) and participant’s satisfaction.

Results

At the end of the intervention, community ambulation increased more in IG (38.95 min; SD: 20.37) than in the CG (9.47 min; SD: 12.11) (p≤.05). Sitting time was reduced by 2.96 (SD 2.0) hours/day in the IG and by 0.53 (SD 0.24) hours in the CG (p≤.05).

Conclusions

The results suggest that mHealth technology provides a novel way to promote adherence to home exercise programs post stroke. However, frequent support and guidance of caregiver is required to ensure the use of mobile devices.

Source: https://www.tandfonline.com/doi/full/10.1080/10749357.2019.1691816?scroll=top&needAccess=true

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[BLOG POST] United Spinal and University of Pittsburgh Launch ‘My Wheelchair Guide’ Mobile App

United Spinal Association and the Department of Rehabilitation Science and Technology at the University of Pittsburgh have co-developed a new app that informs and encourages consumers and their families to play an active role in acquiring, using, and maintaining their manual wheelchairs and handling health issues related to wheelchair use.

“As a national nonprofit serving people with spinal cord injuries and disorders, we know how important having a properly fitted manual wheelchair is in pursuing a healthy, active and independent lifestyle,” said James Weisman, president & CEO of United Spinal Association.

The ‘My Wheelchair Guide’ manual wheelchair mobile app (MWG Manual) includes tools and resources to guide consumers through the wheelchair selection, delivery and maintenance process. The app also provides practical information to evaluate each individual’s unique medical and functional needs, whether they are a beginner or advanced wheelchair user.

The MWG Manual wheelchair mobile app features:

• Self-assessment & maintenance checklists
• Customizable to-do lists
• Wheelchair skills videos
• Illustrations on wheelchair types, parts, & accessories
• Critical health considerations
• Organized hub that integrates the contacts essential to getting a wheelchair
• Ability to take notes within the app using text, pictures, or voice recordings
• Q&A section

The MWG Manual wheelchair mobile app is supported through a grant (#90DP0056) from the National Institute on Disability, Independent Living, and Rehabilitation Research. It is available for download from Google Play and Apple app store by searching “MWG Manual”.

The app is being distributed with support from the Clinician Task Force; the National Coalition for Assistive and Rehab Technology; the National Registry of Rehabilitation Technology Suppliers; and the Rehabilitation Engineering and Assistive Technology Society of North America.

For more information, visit www.unitedspinal.org/my-wheelchair-guide.

via United Spinal and University of Pittsburgh Launch ‘My Wheelchair Guide’ Mobile App – United Spinal Association

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[WEB PAGE] 11 Brain Training Apps to Train Your Mind and Improve Memory – iPhone

Whether at work or at school, people these days are under tremendous pressure to perform, perform and perform! Stress and pressure can have adverse affects on the well-being of a person, and need to be controlled.

Now, this doesn’t mean you make a dash to your nearest therapist. There are a number of wonderful and smart apps that you can use on your phone. These brain training apps have been scientifically designed to target specific areas of the human mind and control harmful emotions such as anxiety, as well as to improve memory and sharpness of the brain.

Here are 11 iPhone apps that you will not only enjoy but also find useful in keeping your mental health balanced at all times.

1. Lumosity

This app consists of games that focus on improving the user’s memory, problem-solving capability, attention span, and thinking. There are three games in each session, and they challenge the brain by changing every time. The user has to complete the games while playing against a clock.

Free of trial. $15 per month for the full version.

Luminosity Mind training apps-Lifehack

2. Fit Brains Trainer

This brain training app has 10 sets of games that work on different areas of the brain and improve memory as well as concentration. A user is required to finish a particular task from each category on a daily basis and the app tracks the progress by a color coded graph.

Free.

Fit Brains Trainer Mind training apps-Lifehack

3. CogniFit Brain Fitness

Developed with the help of neuroscientists, this fun app improves a person’s cognitive abilities, which includes memory and concentration. The progress made by the user over a period of time can be tracked. Users can also play challenge rounds with their friends. The app also modifies the difficulty level to suit the profile of the user and provide recommendations based on the results. Spending 20–30 minutes a few times every week can give measurable improvement in the performance of a user.

First four games free, then $13 a month.

cognifit-Mind Training Apps-Lifehack

4. Brain Fitness Pro

The makers of this app claim that it can improve the IQ of a user, and improve intelligence and memory. The app is fun and is user friendly, and 30 minutes a day can fetch you results in less than three weeks.

Buy for $3.99.

5. Happify

If nothing else makes you happy in life, this app will. Well, this is what the developers claim at least. This app comes loaded with lots of quizzes, polls and gratitude journals, which work on the fundamentals of positive psychology. The app also helps to control stress and emotions to make you feel better.

Free to use.

Happify-Mind Training Apps-Lifehack

6. Clockwork Brain

You will like the little gold robot that comes in every time to explain the next game you are going to play. While the games are not much different to those offered in apps such as Luminosity, the look and feel reminds me of a workshop from old times.

Free.

Clockwork Trsin-Mind Training Apps-Lifehack

7. ReliefLink

Initially created as an app for suicide prevention, it has found its use as a great app for tracking the mood of the user by taking measure of all things relevant to the user’s mental health. In case the user experiences high emotional stress, the app has a coping mechanism that includes voice-recorded mindfulness, exercises and music for relaxation. There is also a map that informs the user of the nearest therapist and medical facilities for mental health treatment.

Relief Link - Mind Training Apps - Lifehack

8. Eidetic

Eidetic is a memory enhancement app and uses a ‘spaced repetition’ technique to help users memorize information such as important phone numbers, words, credit card details or passwords. It also notifies you when it’s time to take a test to see what you remember, so that you retain information in your long-term memory.

Eidetic - Mind Training Apps - Lifehack

9. Braingle

Braingle helps to maintain the sharpness of the brain and improve the reasoning ability of a person through riddles and optical illusions. It is different from other brain training apps that employ memory and reaction based tests. You can also compete with your friends and family members in figuring out the fun riddles.

Free.

Briangle- Mind Training Apps-LIfehack

10. Not The Hole Story

If you have a penchant for solving hard riddles, then this app is a must-have for you. Filled with exclusive riddles along with a simple-to-use interface, the app gives you riddles that you have to solve through a book. You will be given hints along the way, and when you give up, the answers will be revealed. This app will encourage you to broaden your thinking and put your mind to a challenging test.

Free.

Not the hole story - Mind Training Apps - Lifehack

11. Personal Zen

This fun brain training app follows the journey of two animated characters who travel through a field of grass. Personal Zen is a nice app meant for reducing anxiety and trains the brain to focus on the positive aspects. The developer’s advice is to use the app for 10 minutes a day to see the best results.

Free.

personal zen- mind training apps - lifehack

via 11 Brain Training Apps to Train Your Mind and Improve Memory

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[WEB PAGE] Stay Mobile with the New myRehabMedical App

Stay Mobile with the New myRehabMedical App

 

Rehab Medical, Indianapolis, launches myRehabMedical. Available on both Android and Apple devices, the app provides customers with instant access to order updates, service requests, contact information, live chats, and product tutorials.

“Rehab Medical has a mission to improve lives, and one way we intend to accomplish this is through innovation and the use of technology,” President Kevin Gearheart says, in a media release. “This app provides our patients with a number of tools and options that will make the patient experience second to none.”

Additional app features such as live chats, virtual service support, and mobility-focused content designed to connect those within the complex rehab community will be introduced in the coming months. The app is also HIPPA compliant, requiring multi-factor identification to protect customer information.

“This organization has made a strong commitment to be our industry leader in technology, and this app is proof of that commitment,” Chief Technology Officer Kenny Hicks comments. “We’ve implemented a robust road map for improving our technology. Soon we will be launching additional features to this app, as well as adding new technology to help both our patients and partners.”

Related Content:
Rehab Medical Acquires Mobility Specialists
Rehab Medical Rises to No 12 Among Indiana’s Top 25
Rehab Medical Named One of Indiana’s Best Places to Work

From the initial launch, customers will have a complete listing of all their orders along with a brief overview of the order once they complete registration. A comprehensive library of training videos will also provide tips and tricks on how to get the most out of their equipment.

The myRehabMedical app is now available for download in both the Google Play Store and the Apple Store, as well as online via the web.

For more information, visit Rehab Medical.

[Source: Rehab Medical]

via Stay Mobile with the New myRehabMedical App – Rehab Managment

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[WEB PAGE] Get ‘Connect’-ed to Rehab the Hands and Arms Post-Stroke

Get ‘Connect’-ed to Rehab the Hands and Arms Post-Stroke

Neofect announces the launch of its new app, Neofect Connect, developed to deliver customized exercises, educational tools, and motivation to guide patients at home as they work to regain the use of their hands and arms after experiencing a stroke.

The app provides reminders, daily exercises, and educational resources to help patients recovering from stroke stay engaged with their rehabilitation. For current users of Neofect’s Smart Rehabilitation Solutions — including the Neofect Smart Glove, the Neofect Smart Board, and the Neofect Smart Kids — the app also serves as a library to store and access activity summaries and progress reports, according to Neofect in a media release.

“Neofect Connect is designed to support, inspire, and empower stroke survivors through rehabilitation at home. Rehabilitation is a time-consuming and tedious process, and it can be hard for patients to stay motivated, especially without the benefit of in-person therapy. Connect is meant to help patients establish regular rehabilitation practices and reinforce lifelong behavioral changes that are essential to their health and wellness.”

— Scott Kim, co-founder and CEO of Neofect USA

The app first walks users through a detailed stroke evaluation to determine the affected side and user mobility, then encourages them to set goals that serve as the foundation for recommended exercises and educational resources.

With a user’s needs and ability level in mind, Connect then suggests daily activities — such as using a toothbrush with the affected hand, writing a name five times, or trying to operate scissors without assistance — best suited for their recovery. Most importantly, Connect sends users daily reminders and push notifications so that patients never miss an exercise and maintain an active rehabilitation schedule, the release continues.

“Consistency is critical to recovery,” Kim adds. “Connect keeps daily exercises and rehabilitation top of mind, so stroke survivors don’t miss a session and derail their progress.”

Connect also delivers educational materials and videos developed by Neofect’s licensed therapists to prepare patients for what to expect during rehabilitation. It offers advice, inspirational messages, and tips to establish better lifestyle habits, boost mental health, and improve a user’s overall well-being. Additionally, a diary function enables users to log personal notes about their activities and achievements.

Connect is now available on the Apple App Store and on Google Play.

[Source(s): Neofect, Business Wire]

via Get ‘Connect’-ed to Rehab the Hands and Arms Post-Stroke – Rehab Managment

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[WEB PAGE] Physiopedia App Update – Physiospot


Posted on by Scott Buxton

The awesome Physiopedia App has been update to include some exciting new features.

New and exciting features have been added to the Physiopedia App making it even easier to access CPD on the go. New additions will transform your commute by using the narrate feature which makes the app read the content to you! Additionally sharing pages is easier with the additon of a share button  and QR codes.

The Physiopedia app is free and brings all of Physiopedia’s articles, which have been beautifully optimised for mobile, to your fingertips.  The app is free however there is an optional, but worthwhile, low cost monthly subscription which allows you to add unlimited articles to your own personal list of favorites within the app. These bookmarked articles are then just one tap away and are also downloaded for offline viewing. Ideal for the busy clinical environment where time is short and internet access cannot be guaranteed.

Some of the great free features include ‘Article of the Day’ where there is a new exciting high quality page for you to read daily. Perfect for a small dose of CPD or great for that inspirational spark when on the go or when waiting for patients to arrive.

The Premium Update

The new updates are for premium members and include some seriously useful additions such as:

  • Play icon – narrates article text – great for using your commute as an opportunity to get some quick CPD in
  • Share icon – reveals iOS share panel to share article URL by social media, email etc
  • QR code icon – reveals a QR code that shares the article URL that can be scanned by other device cameras
  • Settings page accessed by the app menu – Allows the selection of the narration voice used and narration speed.

Don’t just take our word for how good the app is! Below are some reviews of the app written by the physiotherapy community which explain why it is a must have for physiotherapists working in any setting.

Reviews

What an amazing app. All the information you could ever want at your fingertips and more. Each topic has links so if you want to you can investigate further. This is the best source of physio information I have come across in my quest for knowledge and answers!

I recognise this as an incredibly powerful resource. This changes how in a Low-and-Middle-Income-Countries (LAMIC) we can access current, best-practice knowledge. This allows the development of the profession globally in a consistent and reliable way… I can see this will become a regular go-to resource. Great job Physiopedia!

Clinically useful and based in science! I have been waiting for an App like this for a long time. I work both in a clinic and as a researcher and Physiopedia meets my needs in both worlds. Easy to use, cutting-edge scientific information and connects me to other health care providers around the world. Great App, highly recommend it!

OMG this is amazing, everything I need. Thanks for the app very very helpful….

The app is really easy to download from both the App Store and Google Play in fact just follow the links to the relevant store below. Once you’ve downloaded the app and had a look around don’t forget to like and leave a review.

Get it on Google Play
Download on the App Store

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