Satisfaction with care in post-stroke patients undergoing a telerehabilitation programme at home

Satisfaction with care in post-stroke patients undergoing a telerehabilitation programme at home
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DOI:
10.1258/jtt.2008.080304
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发表时间:
2008-01-01
影响因子:
4.7
通讯作者:
Dam, Mauro
Dam, Mauro
中科院分区:
医学3区
文献类型:
--
作者:
Piron, Lamberto;Turolla, Andrea;Dam, Mauro

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我们对中风后手臂运动障碍患者进行了一项试点远程康复研究。我们比较了在家接受虚拟现实(VR)治疗方案的患者(远程VR组)与在医院接受相同VR治疗的患者(VR组)的满意度。康复设备使用3D运动跟踪系统来创建一个虚拟环境,在其中表示患者的运动。在远距离治疗中,病人的设备安装在家中,通过四条ISDN线路与医院相连,总带宽为512 kbit/s。康复数据通过一条线路传输,视频会议通过其他三条线路传输。将10例因缺血性卒中导致轻度至中度手臂运动障碍的患者随机分为VR组或Tele-VR组。在治疗结束时使用问卷来测量每个患者的满意度。Tele-VR治疗的患者在所有12个研究项目中的中位值均等于或高于VIR组患者,只有一个项目除外。在运动表现方面,Tele-VR组显著改善(P
We conducted a pilot telerehabilitation study with post-stroke patients with arm motor impairment. We compared the degree of satisfaction of patients undergoing a virtual reality (VR) therapy programme at home (Tele-VR group) to satisfaction experienced by those undergoing the same VR therapy in a hospital setting (VR-group). The rehabilitation equipment used a 3D motion tracking system to create a virtual environment in which the patient's movement was represented. In tele-therapy, the patient equipment was installed in their homes, connected to the hospital by four ISDN lines at a total bandwidth of 512 kbit/s. Rehabilitation data were transmitted via one line and videoconferencing via the other three. Ten patients with mild to intermediate arm motor impairment due to an ischaemic stroke, were randomized into VR or Tele-VR groups. A questionnaire was used at the end of treatment to measure each patient's degree of satisfaction. Tele-VR treated patients showed median values equal to or higher than the VIR group patients in all 12 items investigated, except one. In motor performance, the Tele-VR group improved significantly (P