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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| Veröffentlicht in: | Journal of neuroengineering and rehabilitation Jg. 17; H. 1; S. 155 |
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| Format: | Journal Article |
| Sprache: | Englisch |
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BioMed Central
23.11.2020
BioMed Central Ltd Springer Nature B.V |
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| Abstract | 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. |
|---|---|
| AbstractList | After stroke, sustained hand rehabilitation training is required for continuous improvement and maintenance of distal function.
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.
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.
Persons with chronic stroke were able to use the system safely and productively with minimal supervision resulting in measurable improvements in upper extremity function. 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. 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. Keywords: Stroke, Upper extremity, Virtual reality, Telerehabilitation, Serious gaming 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. After stroke, sustained hand rehabilitation training is required for continuous improvement and maintenance of distal function.BACKGROUNDAfter stroke, sustained hand rehabilitation training is required for continuous improvement and maintenance of distal function.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.METHODSIn 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.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.RESULTSAll 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.Persons with chronic stroke were able to use the system safely and productively with minimal supervision resulting in measurable improvements in upper extremity function.CONCLUSIONPersons with chronic stroke were able to use the system safely and productively with minimal supervision resulting in measurable improvements in upper extremity function. After stroke, sustained hand rehabilitation training is required for continuous improvement and maintenance of distal function. 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. 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. Persons with chronic stroke were able to use the system safely and productively with minimal supervision resulting in measurable improvements in upper extremity function. |
| ArticleNumber | 155 |
| Audience | Academic |
| Author | Cronce, Amanda Fluet, Gerard G. Qiu, Qinyin Merians, Alma S. Adamovich, Sergei V. Mont, Ashley J. Patel, Jigna |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33228709$$D View this record in MEDLINE/PubMed |
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| Keywords | Stroke Telerehabilitation Upper extremity Serious gaming Virtual reality |
| Language | English |
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| PublicationTitle | Journal of neuroengineering and rehabilitation |
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| References_xml | – volume: 21 start-page: 1 issue: 1 year: 2012 ident: 789_CR12 publication-title: Presence Teleoperators Virtual Environ doi: 10.1162/PRES_a_00078 – volume: 11 start-page: 35 year: 2014 ident: 789_CR25 publication-title: J Neuroeng Rehabil doi: 10.1186/1743-0003-11-35 – volume: 50 start-page: 718 issue: 3 year: 2019 ident: 789_CR28 publication-title: Stroke doi: 10.1161/STROKEAHA.118.023531 – volume: 60 start-page: 2184 year: 2013 ident: 789_CR17 publication-title: IEEE Trans Biomed Eng doi: 10.1109/TBME.2013.2250286 – volume: 16 start-page: 423 year: 2013 ident: 789_CR31 publication-title: Cyberpsychol Behav Soc Netw doi: 10.1089/cyber.2012.0384 – volume: 28 start-page: 733 issue: 8 year: 2014 ident: 789_CR14 publication-title: Neurorehabil Neural Repair doi: 10.1177/1545968314521008 – volume: 14 start-page: 161 year: 2005 ident: 789_CR18 publication-title: Presence doi: 10.1162/1054746053966996 – volume: 11 start-page: 163 issue: 1 year: 2014 ident: 789_CR23 publication-title: J Neuroeng Rehabil doi: 10.1186/1743-0003-11-163 – volume: 352 start-page: 1677 issue: 16 year: 2005 ident: 789_CR2 publication-title: N Engl J Med doi: 10.1056/NEJMcp043511 – volume: 90 start-page: 1692 issue: 10 year: 2009 ident: 789_CR13 publication-title: Arch Phys Med Rehabil doi: 10.1016/j.apmr.2009.04.005 – volume: 13 start-page: 75 issue: 1 year: 2016 ident: 789_CR26 publication-title: J Neuroeng Rehabil doi: 10.1186/s12984-016-0182-1 – volume: 14 start-page: 385 year: 2020 ident: 789_CR32 publication-title: Front Hum Neurosci doi: 10.3389/fnhum.2020.575403 – volume: 26 start-page: 528 issue: 9 year: 2004 ident: 789_CR4 publication-title: Disabil Rehabil doi: 10.1080/09638280410001672490 – volume: 92 start-page: 791 issue: 6 year: 2012 ident: 789_CR27 publication-title: Phys Ther doi: 10.2522/ptj.20110009 – volume: 18 start-page: 277 issue: 3 year: 2011 ident: 789_CR7 publication-title: Top Stroke Rehabil doi: 10.1310/tsr1803-277 – volume-title: Computer methods, imaging and visualization in biomechanics and biomedical engineering CMBBE 2019 Lecture notes in computational vision and biomechanics year: 2020 ident: 789_CR29 – volume: 17 start-page: 512 issue: 5 year: 2009 ident: 789_CR21 publication-title: IEEE Trans Neural Syst Rehabil Eng doi: 10.1109/tnsre.2009.2028830 – volume: 14 start-page: 23 issue: 1 year: 2017 ident: 789_CR30 publication-title: J Neuroeng Rehabil doi: 10.1186/s12984-017-0231-4 – ident: 789_CR1 doi: 10.1161/STR.0b013e31829734f2 – volume: 24 start-page: 142 issue: 2 year: 2017 ident: 789_CR8 publication-title: Top Stroke Rehabil doi: 10.1080/10749357.2016.1200292 – volume: 10 start-page: 442 year: 2016 ident: 789_CR11 publication-title: Front Hum Neurosci doi: 10.3389/fnhum.2016.00442 – volume: 45 start-page: 315 issue: 2 year: 2008 ident: 789_CR9 publication-title: J Rehabil Res Dev doi: 10.1682/JRRD.2007.02.0042 – volume: 37 start-page: 105 issue: 3 year: 2013 ident: 789_CR15 publication-title: J Neurol Phys Ther doi: 10.1097/NPT.0b013e31829ee9bc – volume: 49 start-page: 1742 issue: 9 year: 2016 ident: 789_CR20 publication-title: J Biomech doi: 10.1016/j.jbiomech.2016.04.006 – volume: 273 start-page: 483 issue: 6 year: 1995 ident: 789_CR16 publication-title: JAMA doi: 10.1001/jama.1995.03520300057037 – year: 2013 ident: 789_CR19 publication-title: Comput Math Methods Med doi: 10.1155/2013/895492 – volume: 53 start-page: 695 issue: 4 year: 2005 ident: 789_CR22 publication-title: J Am Geriatr Soc doi: 10.1111/j.1532-5415.2005.53221.x – volume: 18 start-page: 520 issue: 9 year: 2011 ident: 789_CR10 publication-title: Int J Ther Rehabil doi: 10.12968/ijtr.2011.18.9.520 – volume: 28 start-page: 549 issue: 6 year: 2015 ident: 789_CR5 publication-title: Curr Opin Neurol doi: 10.1097/wco.0000000000000256 – ident: 789_CR6 – volume: 95 start-page: 350 issue: 3 year: 2015 ident: 789_CR24 publication-title: Phys Ther doi: 10.2522/ptj.20130564 – volume: 68 start-page: 206 issue: 4 year: 1987 ident: 789_CR3 publication-title: Arch Phys Med Rehabil |
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| Snippet | Background
After stroke, sustained hand rehabilitation training is required for continuous improvement and maintenance of distal function.
Methods
In this... After stroke, sustained hand rehabilitation training is required for continuous improvement and maintenance of distal function. In this paper, we present a... Background After stroke, sustained hand rehabilitation training is required for continuous improvement and maintenance of distal function. Methods In this... After stroke, sustained hand rehabilitation training is required for continuous improvement and maintenance of distal function. In this paper, we present a... After stroke, sustained hand rehabilitation training is required for continuous improvement and maintenance of distal function.BACKGROUNDAfter stroke,... |
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| SubjectTerms | 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 |
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| Title | Development of the Home based Virtual Rehabilitation System (HoVRS) to remotely deliver an intense and customized upper extremity training |
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