Interdisciplinary Concepts for Design and Implementation of Mixed Reality Interactive Neurorehabilitation Systems for Stroke
Interdisciplinary Concepts for Design and Implementation of Mixed Reality Interactive Neurorehabilitation Systems for Stroke
复制标题
DOI：
10.2522/ptj.20130581
复制
发表时间：
2015-03-01
期刊：
影响因子：
3.2
通讯作者：
Rikakis, Thanassis
中科院分区：
文献类型：
--
作者：
Baran, Michael;Lehrer, Nicole;Rikakis, Thanassis
交互式神经康复(INR)系统提供了一种治疗方法，可以通过计算评估并提供对患者运动的反馈。目前有许多方法来设计和实施INR，但没有明确指出哪种方法是最好的。这篇文章介绍了一个跨学科小组利用交互计算、运动学习和媒体艺术的关键概念来开发适用于中风患者上肢治疗的自适应、混合现实INR系统。以两个INR系统为例，展示了这些概念如何应用于：(1)通过持续监督治疗实现运动质量和功能的综合改善的小规模INR临床研究，以及(2)在最小监督下实现临床评分改善的先导性研究。有人提出，在这些系统中开发和测试的一些成功的方法可以形成其他INR系统的可扩展设计方法的基础。需要一致的INR设计方法来促进物理治疗师使用这些系统，增加成功的INR研究的数量，并生成丰富的临床数据，这些数据可以为在物理治疗中使用INR的最佳实践的开发提供信息。
Interactive neurorehabilitation (INR) systems provide therapy that can evaluate and deliver feedback on a patient's movement computationally There are currently many approaches to INR design and implementation, without a clear indication of which methods to utilize best. This article presents key interactive computing, motor learning, and media arts concepts utilized by an interdisciplinary group to develop adaptive, mixed reality INR systems for upper extremity therapy of patients with stroke. Two INR systems are used as examples to show how the concepts can be applied within: (1) a small-scale INR clinical study that achieved integrated improvement of movement quality and functionality through continuously supervised therapy and (2) a pilot study that achieved improvement of clinical scores with minimal supervision. The notion is proposed that some of the successful approaches developed and tested within these systems can form the basis of a scalable design methodology for other INR systems A coherent approach to INR design is needed to facilitate the use of the systems by physical therapists, increase the number of successful INR studies, and generate rich clinical data that can inform the development of best practices for use of INR in physical therapy.