Enabling Stroke Rehabilitation in Home and Community Settings: A Wearable Sensor-Based Approach for Upper-Limb Motor Training.
Enabling Stroke Rehabilitation in Home and Community Settings: A Wearable Sensor-Based Approach for Upper-Limb Motor Training.
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DOI：
10.1109/jtehm.2018.2829208
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发表时间：
2018
影响因子：
3.4
通讯作者：
Gwin JT
中科院分区：
文献类型：
--
作者：
Lee SI;Adans-Dester CP;Grimaldi M;Dowling AV;Horak PC;Black-Schaffer RM;Bonato P;Gwin JT
高剂量的运动练习可以显著促进中风后的功能恢复。在日常生活活动（ADL）期间，在家中进行康复训练并使用或尝试使用卒中影响的上肢是实现卒中幸存者高剂量运动练习的有效方法。本文提出了一种新的技术方法，使1）检测目标导向的上肢运动在日常生活能力的表现，以便及时提供反馈，以鼓励使用受影响的肢体，和2）评估运动性能的质量在家庭康复锻炼，以便可以产生适当的反馈，以促进高质量的运动。本文呈现的结果表明，可以检测1）在ADL的表现期间目标导向的运动，具有87.0%的统计值，以及2）在所选康复练习中表现不佳的运动，具有84.3%的得分，从而能够生成适当的反馈。在一项调查中，收集初步数据的临床充分性的建议的方法，91.7%的职业治疗师表示愿意使用它在他们的实践中，88.2%的中风幸存者表示，他们会使用它，如果推荐他们的治疗师。用于家庭上肢康复的腕戴式传感器系统的概念表示。该系统包括两个可穿戴传感器，一个供患者在家使用的平板电脑，以及一个用于临床医生和护理人员数据访问的后端网络服务。
High-dosage motor practice can significantly contribute to achieving functional recovery after a stroke. Performing rehabilitation exercises at home and using, or attempting to use, the stroke-affected upper limb during Activities of Daily Living (ADL) are effective ways to achieve high-dosage motor practice in stroke survivors. This paper presents a novel technological approach that enables 1) detecting goal-directed upper limb movements during the performance of ADL, so that timely feedback can be provided to encourage the use of the affected limb, and 2) assessing the quality of motor performance during in-home rehabilitation exercises so that appropriate feedback can be generated to promote high-quality exercise. The results herein presented show that it is possible to detect 1) goal-directed movements during the performance of ADL with a -statistic of 87.0% and 2) poorly performed movements in selected rehabilitation exercises with an -score of 84.3%, thus enabling the generation of appropriate feedback. In a survey to gather preliminary data concerning the clinical adequacy of the proposed approach, 91.7% of occupational therapists demonstrated willingness to use it in their practice, and 88.2% of stroke survivors indicated that they would use it if recommended by their therapist. A conceptual representation of the wrist-worn sensor system for home-based upper-limb rehabilitation. The system consists of two wearable sensors, a tablet computer to be used by patients at home, and a backend web-service for clinician and caregiver data access.