The proportion of rehabilitation doctors and patients mismatch is very grim in the context of social aging. The Family Rehabilitation System captures the profound information of the trainer’s movements through the kinect bone tracing technique, allowing the doctor to remotely master the patient’s training progress. With the help of computers and the Internet, the patient can consult a physician, while the physician can remotely guide and launch the training “prescription” through the Internet according to the training effect. Patients can have rehabilitated training at home. The results of the test showed that the system has a positive effect on the rehabilitation of the patient.
Posts Tagged remote rehabilitation
Remote workers are particularly prone to mental health problems (Bowers et al., 2018). Unfortunately, it is often difficult for them to access the quality psychological help that they need. As a result, psychological treatment is increasingly being delivered to remote workers via telehealth (videoconferencing and telephone calls). However, the perceived remoteness of the therapist during such treatments can greatly hinder progress. This project examined the potential of virtual reality (VR) to deliver psychotherapy to workers located in remote locations (since it can make people separated by great distances feel that they are “present” in the same virtual space). The study compared the experiences of 30 ‘clients’ who participated in both VR and Skype-based mock counselling sessions (delivered by trained psychotherapists). Overall, VR was found to outperform Skype:
1) as a therapeutic tool,
2) in terms of the perceived realism of the session; and
3), in terms of the degree of presence it generated in the clients and the therapists.
Clients did not report feeling sick or stressed when using VR and found it as easy to use as Skype. These study findings (based on formal questionnaire data) were also confirmed by interviews with both the therapists and clients.
- This project examined the potential of virtual reality to deliver psychotherapy to workers located in remote locations.
- The study compares the experiences of 30 ‘clients’ who participated in both VR and Skype-based mock counselling.
- VR was found to outperform Skype: as a therapeutic tool, perceived realism of the session; and the degree of presence.
- Clients did not report feeling sick or stressed when using VR and found it as easy to use as Skype.
[Abstract] Effectiveness of Technology-Based Distance Physical Rehabilitation Interventions for Improving Physical Functioning in Stroke: A Systematic Review and Meta-analysis of Randomized Controlled Trials
To study the effectiveness of technology-based distance physical rehabilitation interventions on physical functioning in stroke.
A systematic literature search was conducted in 6 databases from January 2000 to May 2018.
Inclusion criteria applied the patient, intervention, comparison, outcome, study design framework as follows: (P) stroke; (I) technology-based distance physical rehabilitation interventions; (C) any comparison without the use of technology; (O) physical functioning; (S) randomized controlled trials (RCTs). The search identified in total 693 studies, and the screening of 162 full-text studies revealed 13 eligible studies.
The studies were screened using the Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines and assessed for methodological quality and quality of evidence. Meta-analysis was performed if applicable.
A total of 13 studies were included, and online video monitoring was the most used technology. Seven outcomes of physical functioning were identified-activities of daily living (ADL), upper extremity functioning, lower extremity functioning, balance, walking, physical activity, and participation. A meta-analysis of 6 RCTs indicated that technology-based distance physical rehabilitation had a similar effect on ADL (standard mean difference 0.06; 95% confidence interval: -0.22 to 0.35, P=.67) compared to the combination of traditional treatments (usual care, similar and other treatment). Similar results were obtained for other outcomes, except inconsistent findings were noted for walking. Methodological quality of the studies and quality of evidence were considered low.
The findings suggest that the effectiveness of technology-based distance physical rehabilitation interventions on physical functioning might be similar compared to traditional treatments in stroke. Further research should be performed to confirm the effectiveness of technology-based distance physical rehabilitation interventions for improving physical functioning of persons with stroke.
[Conference Paper] Design and Implementation study of Remote Home Rehabilitation Training Operating System based on Internet – Full Text PDF
The number of patients with motor dysfunction caused by hemiplegia and stroke increased. In order to promote better recovery of their body muscles, patients are still required to perform rehabilitation exercises in the community or family after the treatment of discharge. However, there are still some difficulties in community rehabilitation for patients with motor dysfunction:
- (1) The number of therapists on-site services is scarce and expensive;
- (2) In the absence of standard and systematic action guidance, the patients ‘ own training is not only the science is not high and the effect is limited.
- (3) Patients need to be trained in special environments such as rehabilitation centers, and wearing complex training equipment is inconvenient for them.
The family rehabilitation system collects the depth information of the trainer’s movements through the Kinect skeletal tracking technique; With the help of computers and the Internet, patients can consult physicians, and the doctor through the Internet remote guidance and open training action “prescription” according to the training effect so that patients at home can be rehabilitation training. This liberated the physician’s labour force and formed a network community that was closely linked to the hospital and regularly received “training prescriptions” to improve patient rehabilitation. […]
[Mini Review] No distance between disabled people and rehabilitation engineer in high-tech era – Full Text PDF
Traditional face to face diagnosis and treatment model has existed for thousands of years between doctors and patients. But now high technologies have brought people great convenience in many fields. When the disabled people concerned, many technologies such as internet, remote sensing, signal processing, Virtual Reality and so on, are already playing an important role in rehabilitation engineering. This paper introduces these emergency new technologies associated with the disabled people and engineers in recent years, which can eliminate the psychological and space distance between disabled people and rehabilitation engineer in high-tech era.
The rehabilitation strategies are needed to optimize function and
reduce disability of disabled people. Many public plans are developed
in some countries . And now lots of specialized institutions for the
rehabilitation of disabled people have been established . The disabled
people is widely distributed , so many scholars are committed to
provide a rehabilitation approach to them . Remote rehabilitation
is a combination of rehabilitation medicine, computer technology,
internet technology, sensor technology, information processing
technology, etc., it is a new rehabilitation resources with a new concept
of rehabilitation, which can provide space for the further development
of rehabilitation engineering technology . Based on the realization
of cross-regional rehabilitation services, remote rehabilitation is
the integrated use of communication technology, remote sensing
technology, remote control technology. Remote rehabilitation allows
people to achieve rehabilitation cross the geographical area via the
information exchange. The value of remote rehabilitation is also
reflected in the fact that it can optimize the configuration of manpower
and materials. In fact, for individuals with disabilities, rehabilitation
affected by many factors such as their family, their mood, social
environment , especially today’s high technologies.
Rehabilitation engineers can hear the voice of distant people through
the microphone and touch the distant people via embedded artificial
sensors into skin to get the signal such as the surface temperature,
moisture distribution of disabled people . Rehabilitation engineers
can also operate medical and rehabilitation equipment by the remote
control system . With the aid of a remote rehabilitation system,
information interaction between rehabilitation engineers and disabled
people can be more flexible, efficient and convenient . In addition,
other technologies, such as wearable technology , gait analysis
technology , synchronous audio-visual technology  and so
on have been already implicated in the field of remote rehabilitation
engineering. In the following paper, several important high technologies
for remote rehabilitation will be systematically analyzed via contacting
the traditional rehabilitation engineering. […]
[Abstract] Delivering Remote Rehabilitation at Home: An Integrated Physio-Neuro Approach to Effective and User Friendly Wearable Devices – SpringerLink
There is a global shortage of manpower and technology in rehabilitation to attend to the five million new patients who are left disabled every year with stroke. Neuroplasticity is increasingly recognized to be a primary mechanism to achieve significant motor recovery. However, most rehabilitation devices either limit themselves to mechanical repetitive movement practice at a limb level or focus only on cognitive tasks. This may result in improvements in impairment but seldom translates into effective limb and hand use in daily activities. This paper presents an easy-to-use, wearable upper limb system, SynPhNe (pronounced like “symphony”), which trains brain and muscle as one system employing neuroplasticity principles. A summary of clinical results with stroke patients is presented. A new, wireless, home-use version of the solution architecture has been proposed, which can make it possible for patients to do guided therapy at home and thus have access to more therapy hours.
In this paper we present the results of a two-year study aimed at developing a full-fledged computer environment supporting post-stroke rehabilitation. The system was designed by a team of computer scientists, psychologists and physiotherapists. It adopts a holistic approach to rehabilitation. In order to extend the rehabilitation process, the applied methods include a remote rehabilitation stage which can be carried out of at the patient’s home. The paper presents a distributed system architecture as well as results achieved by patients prior to and following a three-month therapy based on the presented system.
Stroke continues to be a major public health concern, with more than 790000 new cases per year in the USA . In Italy (180000 cases/year, 80% first episodes, 20% recurrent) it is the 3rd leading cause of death (following cardiovascular disease and cancer) and the leading neurological cause of disability. Throughout the 27 EU countries the total annual cost of stroke is estimated at 27 billion (68.5% direct and 31.5% indirect costs) .
Brain tissue damage caused by stroke is organic in character and usually results in impairment of basic brain functions controlling important biological processes. Common disabilities that result from a stroke include: decreased attention span, selective attention deficit, decline in logical thinking, difficulty in performing planning and reasoning tasks, poor comprehension, synthesis and analysis skills, weakened short-term and long-term memory (verbal and/or visual) as well as speech disorders (e.g. aphasia or dysarthria). This leads to accumulation of symptoms which require therapeutic care. Post-stroke patients are often unable to fulfill their social or professional obligations. Difficulties in adapting to everyday life frequently produce mood disorders such as anxiety, irritability and apathy. Lack of self-reliance and reduced intellectual abilities often prevent patients from achieving their life goals and contribute to depression. Due to its complexity, this type of medical condition calls for a holistic and individualized approach to each patient.
Rehabilitation plays a vital role as it helps stroke victims recover their mental faculties – partly or fully – following brain injury. The choice of exercise plays a vital role, as does its correct and systematic performance. In addition, the duration of rehabilitation is very important. Modern information technologies enable remote, individualized outpatient rehabilitation, with proper supervision by physiotherapists or medical doctors.
The multinational consultancy and technology firm has integrated Toyra into its In Cloud offering, the system developed with the National Paraplegics Hospital and the support of the Rafael del Pino Foundation based on virtual reality and movement capture for interactive and personalised therapy exercises – The “cloud” version is especially targeted to clinics and rehabilitation centres that lack the capacity to acquire a version with exclusive usage rights – It represents an important step towards treatment decentralisation that enables patients to continue with remote rehabilitation from their homes post-discharge Spain – The multinational consulting and technology firm will offer remote rehabilitation services with all the cost-reduction and efficiency benefits associated with cloud computing models. The company has placed the Toyra system in “the cloud”. Toyra was developed in collaboration with the National Paraplegics Hospital of Toledo with the support of the Rafael del Pino Foundation and combines virtual reality and real-time movement capture for motor rehabilitation of the upper limbs (shoulder, arm, forearm and hand)…