SCH: EXP: Collaborative Research: Cognitive Haptic Based Rehabilitation System for Patient-Centric Home

SCH：EXP：协作研究：基于认知触觉的康复系统，用于以患者为中心的家庭

• 批准号: 1502287
• 负责人: Ehsan Esfahani
• 金额: $ 27.11万
• 依托单位: SUNY at Buffalo
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-01 至 2019-08-31
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=1502287&HistoricalAwards=false
• 关键词: SCH; EXP; Collaborative; Research; Cognitive

This project is funded under a joint solicitation between the National Science Foundation and the National Institutes of Health, named "Smart and Connected Health" (SCH), which aims to accelerate the development and use of innovative approaches that would support the much needed transformation of healthcare across the entire population. Stroke is the leading cause of disability among older adults in the United States. More than 800,000 strokes occur each year and nearly one third of all stroke survivors have significant residual disability, with older individuals generally experiencing slower functional recovery. Current physical rehabilitation of such patients is primarily hospital centric. However, due to economic pressures on the U.S. health care system, stroke patients are receiving less therapy and going home after few months of acute therapy without regaining the whole functionality of their body. Moreover, many patients who have completed their acute in-patient rehabilitation following a stroke or other injury may have limited access to out-patient rehabilitation upon their return home. These patients can benefit from access and quality of care through home-based rehabilitations. The success of the home-based therapy is highly dependent on monitoring the patient compliance and designing the home-based rehabilitation that can mentally engaged the subjects. The proposed research approaches the above stated problem with two novel propositions by developing a haptic-based rehabilitation system that can be used at home. The project is carried out as follows: First, a haptic home-based system is developed to rehabilitate Activity of Daily Living (ADL) skills in both the affected and the non-dominant/unaffected upper limb of a patient whose dominant upper limbs has been affected by some disability. Second, the research investigates the use of home centered cognitive haptic therapy by monitoring the patient's brain activity. The proposed system uses cognitive and haptic feedbacks to monitor the progress of patient and his or her engagement and adapts itself accordingly. Patient's recovery progress is evaluated through combination of 1) scores related to accuracy and completion of task and 2) subject's level of mental engagement during treatment at home. This evaluation empowers the physician to monitor the subject's performance during in-home therapy and allow him/her to adjust the haptic and simulation in an appropriate fashion. This research hypothesizes that by using haptics the effectiveness of home-centered rehabilitation therapy is effective in empowering the patient. Moreover, it is contemplated that by cognitive monitoring of subjects, it is possible to evaluate and improve patient engagement during the therapy sessions.

该项目由美国国家科学基金会和美国国立卫生研究院联合发起，名为“智能与互联健康”（SCH），旨在加速创新方法的开发和使用，以支持全民医疗保健急需的转型。中风是美国老年人残疾的主要原因。每年发生超过80万次中风，近三分之一的中风幸存者有明显的残余残疾，老年人的功能恢复通常较慢。目前，此类患者的身体康复主要以医院为中心。然而，由于美国医疗保健系统的经济压力，中风患者接受的治疗越来越少，并且在几个月的急性治疗后回家，而没有恢复身体的整体功能。此外，许多在中风或其他损伤后完成急性住院康复的患者在回家后可能难以获得门诊康复。这些病人可以通过家庭康复获得高质量的护理。家庭康复治疗的成功与否，取决于对患者依从性的监控和对家庭康复治疗方案的设计。提出的研究方法，通过开发一个基于触觉的康复系统，可以在家里使用的两个新的命题，上述问题。该项目进行如下：首先，触觉家庭为基础的系统开发，以恢复日常生活活动（ADL）的能力，在患者的影响和非优势/未受影响的上肢的优势上肢已受到某种残疾。第二，研究通过监测患者的大脑活动来调查以家庭为中心的认知触觉治疗的使用。所提出的系统使用认知和触觉反馈来监测病人的进展和他或她的参与，并相应地调整自己。通过结合1）与任务准确性和完成相关的评分和2）受试者在家治疗期间的精神投入水平来评估患者的恢复进展。该评估使医生能够在家庭治疗期间监测受试者的表现，并允许他/她以适当的方式调整触觉和模拟。这项研究假设，通过使用触觉的有效性，以家庭为中心的康复治疗是有效的授权病人。此外，预期通过受试者的认知监测，可以评估和改善治疗会话期间的患者参与。