Development of the Home based Virtual Rehabilitation System (HoVRS) to remotely deliver an intense and customized upper extremity training

Background After stroke, sustained hand rehabilitation training is required for continuous improvement and maintenance of distal function. Methods In this paper, we present a system designed and implemented in our lab: the Home based Virtual Rehabilitation System (HoVRS). Fifteen subjects with chron...

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Bibliographic Details
Published in:Journal of neuroengineering and rehabilitation Vol. 17; no. 1; p. 155
Main Authors: Qiu, Qinyin, Cronce, Amanda, Patel, Jigna, Fluet, Gerard G., Mont, Ashley J., Merians, Alma S., Adamovich, Sergei V.
Format: Journal Article
Language:English
Published: London BioMed Central 23.11.2020
BioMed Central Ltd
Springer Nature B.V
Subjects:
Application programming interface
Arm
Biomedical and Life Sciences
Biomedical Engineering and Bioengineering
Biomedicine
Calibration
Care and treatment
Computer & video games
Continuous improvement
Design
Extremities, Upper
Home care
Kinematics
Methods
Neurology
Neurosciences
Physical therapy
Rehabilitation
Rehabilitation Medicine
Remote monitoring
Software
Stroke
Stroke patients
Technical services
Technology application
Telemedicine
Therapeutics, Physiological
Training
Virtual reality
United States
United States > US
Stroke
Telerehabilitation
Upper extremity
Serious gaming
Virtual reality
ISSN:1743-0003, 1743-0003
Online Access:Get full text
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Summary:Background After stroke, sustained hand rehabilitation training is required for continuous improvement and maintenance of distal function. Methods In this paper, we present a system designed and implemented in our lab: the Home based Virtual Rehabilitation System (HoVRS). Fifteen subjects with chronic stroke were recruited to test the feasibility of the system as well as to refine the design and training protocol to prepare for a future efficacy study. HoVRS was placed in subjects’ homes, and subjects were asked to use the system at least 15 min every weekday for 3 months (12 weeks) with limited technical support and remote clinical monitoring. Results All subjects completed the study without any adverse events. Subjects on average spent 13.5 h using the system. Clinical and kinematic data were collected pre and post study in the subject’s home. Subjects demonstrated a mean increase of 5.2 (SEM = 0.69) on the Upper Extremity Fugl-Meyer Assessment (UEFMA). They also demonstrated improvements in six measurements of hand kinematics. In addition, a combination of these kinematic measures was able to predict a substantial portion of the variability in the subjects’ UEFMA score. Conclusion Persons with chronic stroke were able to use the system safely and productively with minimal supervision resulting in measurable improvements in upper extremity function.
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ISSN:1743-0003
1743-0003
DOI:10.1186/s12984-020-00789-w