DocumentCode :
1228648
Title :
Telerehabilitation Using a Virtual Environment Improves Upper Extremity Function in Patients With Stroke
Author :
Holden, Maureen K. ; Dyar, Thomas A. ; Dayan-Cimadoro, Lilian
Author_Institution :
Dept. of Phys. Therapy, Northeastern Univ., Boston, MA
Volume :
15
Issue :
1
fYear :
2007
fDate :
3/1/2007 12:00:00 AM
Firstpage :
36
Lastpage :
42
Abstract :
In this paper, we describe our experience in designing a virtual environment-based (VE) telerehabilitation system, and the results of a clinical study of the first 11 subjects with stroke to use the system. Our telerehabilitation system allows a therapist to conduct interactive VE treatment sessions remotely with a patient who is located at home. The system, software architecture, and development experience are described. Results of the clinical study on subjects with stroke showed significant improvements in upper extremity function following 30 1-h VE treatment sessions as measured by three standard clinical tests: Fugl-Meyer test of motor recovery (FM) (p<0.0001), Wolf motor test (WMT) (p=0.0097, and shoulder strength (ShS) (p=0.0027). Grip strength (GS) showed a trend toward improvement (p=0.025). These changes were maintained, for the most part, at four-months follow-up (FM +7.6, WMT -18.4 s, ShS, +169%, GS, +53%)
Keywords :
biomechanics; patient rehabilitation; teleconferencing; telemedicine; 1 h; Fugl-Meyer test; Wolf motor test; motor recovery; shoulder strength; stroke; telerehabilitation; upper extremity function; virtual environment; Extremities; Hospitals; Measurement standards; Medical treatment; Software architecture; Teleconferencing; Testing; Transportation; Virtual environment; Virtual reality; Motor learning; stroke; virtual reality; Diagnosis, Computer-Assisted; Feasibility Studies; Female; Humans; Male; Middle Aged; Physical Therapy Modalities; Pilot Projects; Stroke; Task Performance and Analysis; Telemedicine; Therapy, Computer-Assisted; Treatment Outcome; Upper Extremity; User-Computer Interface;
fLanguage :
English
Journal_Title :
Neural Systems and Rehabilitation Engineering, IEEE Transactions on
Publisher :
ieee
ISSN :
1534-4320
Type :
jour
DOI :
10.1109/TNSRE.2007.891388
Filename :
4126538
Link To Document :
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