Posts Tagged home-based therapy
The rehabilitation after wrist surgery is extremely important. An instructed therapy in hospital is widely practiced. However, a dependent aging society and rush life style in younger generation have precluded patients to access to the frequent formal therapy. With the advancement in telecommunication technology, we have invented an application for smartphone for home-based wrist motion rehabilitation.
Twenty participants were included in four-week wrist motion rehabilitation programme after wrist surgery. Participants were instructed to use the application by physical therapist and informed details of home-based wrist rehabilitation. The feasibility of application was evaluated by satisfaction level in various aspects and the adherence to the therapy was monitored by function provided in the application. The degrees of motion were compared at the end of prescribed programme.
Patient satisfaction was consistently high in every aspects. Also, the adherence to the therapy was high (90.42%). Ranges of motion significantly gained in every plane of wrist motion ([Formula: see text]).
This novel smartphone application seems to be a promising and convenient alternative for patients who need to gain wrist motion without formal rehabilitation in the hospital. Adherence to the therapy is also easily traced with this application.
[WEB SITE] New electrical stimulation therapy improves hand function for stroke survivors – News on Heart.org
By AMERICAN HEART ASSOCIATION NEWS
A new electrical stimulation therapy improved hand dexterity for stroke survivors more than an existing technique, in a study released today.
Strokes, which strike about in 800,000 people in the United States each year, usually result in some degree of paralysis on one side of the body that can make it hard for survivors to open a hand.
A common therapy in stroke rehabilitation uses low levels of electric current to stimulate paralyzed muscles to open the hand, improve muscle strength and possibly restore hand function. A therapist sets stimulation intensity, cycle timing and repetitions.
In the new experimental therapy developed by researchers at the MetroHealth System, Case Western Reserve University and the Cleveland Functional Electrical Stimulation Center, patients control the stimulation to their weak hand by wearing a glove with sensors on the opposite, unaffected hand. When patients open their unaffected hand, they receive a corresponding amount of stimulation that opens their weak stroke-affected hand. This puts patients back in control of their hand and enables them to participate in therapy with the assistance of electrical stimulation.
For the study, 40 stroke survivors received therapy using the new glove for 12 weeks and 40 received the common therapy. Both groups used an electrical stimulator on their own at home for 10 hours a week, plus 3 hours per week practicing hand tasks with an occupational therapist in the lab.
Hand function was measured before and after therapy with a standard dexterity test that determined the number of blocks participants can pick up, lift over a barrier and release in another area on a table within 60 seconds.
- Patients who received the new therapy had greater improvement on the dexterity test (4.6 blocks) than the common group (1.8 blocks).
- Patients who had the greatest improvements in hand dexterity following the new therapy were less than two years post-stroke and had at least some finger movement when they started the study. These patients saw an improvement of 9.6 blocks on the dexterity test, compared to 4.1 blocks in the common group.
- Patients with no finger movement also saw improvements in arm movement after the new therapy.
- At treatment end, 97 percent of the participants who received the new therapy agreed that they could use their hand better than at the start of the study.
Researchers plan to perform a multi-site study to confirm their results, as well as measure quality of life improvements for patients.
While the researchers speculate that the new therapy may be changing neural connections in the brain that control hand dexterity, additional studies are needed to determine what effects it may have on the central nervous system.
The study also demonstrates that stroke patients can effectively use technology for self-administered therapy at home, said Jayme S. Knutson, Ph.D., an assistant professor of physical medicine and rehabilitation at Case Western Reserve University School of Medicine in Cleveland, Ohio.
“Home-based therapy is becoming increasingly important to offset increasing healthcare costs and to meet the need for high doses of therapy that are critical for attaining the best outcomes,” he said. “The more therapy a patient can get, the better potential outcome they will get.”
The study is published in in the American Heart Association journal Stroke.
…One way to improve the stroke rehabilitation process is through human interactive system, which can be achieved by augmented reality technology. This development draws from the work currently being pursued in the gaming industry to make the augmented reality technology more accessible to the medical industry for the improvement of stroke rehabilitation. In this paper, two augmented reality games: Pong Game and Goal Keeper Game were developed. These games have been designed for rehabilitation with consideration to human interactive systems and have features such as on-screen feedbacks and high immersive value to keep stroke victims motivated in the rehabilitation process. The developed games were aimed to replace boring and repetitive traditional rehabilitation exercises. This paper details the success of implementing augmented reality into the rehabilitation process, which will in turn contribute to society by minimizing the number of people living at home with stroke related disabilities and the requirement for direct supervision from therapist…