STTR Phase I: A customized upper extremity telerehabilitation solution with remote therapist interaction and dynamic motor recovery feedback for individuals post stroke

这一小型企业创新研究（SBIR）第一阶段项目的更广泛影响/商业潜力是通过易于使用、吸引人和负担得起的家庭远程康复医疗设备，改善中风导致手臂和手部损伤的个人的生活质量。在美国，每年约有80万人中风，约65%的人患有长期上肢损伤。通常需要持续和广泛的治疗来改善和恢复手的功能。许多中风后患者由于交通、健康和流动性问题而难以获得康复。这种设备可以潜在地减少美国的长期残疾，减轻个人和社会的经济负担。通过将该产品集成到医生和治疗师的工作流程中，它扩大了可以获得康复的患者群，使其更具时间和劳动效率。它将为远程保健领域做出贡献，并促进分散式保健。这个小企业技术转让研究（STTR）第一阶段项目将开发一个远程康复系统，促进手部和手臂运动恢复的神经可塑性，用于神经系统疾病患者的家中。该提案的目的是创建一个测试原型，通过基于运动的游戏提供个性化的手部和手臂康复。建议项目包括：1。增强自适应算法，以根据个人需求动态调整游戏; 2.通过优化广泛的运动跟踪功能开发康复评估协议。这为临床医生调整康复计划、改进干预措施和更快地达到目标提供了重要信息; 3.为所述推荐系统开发符合HIPAA的数据平台，以促进加密的数据流和治疗师-患者实时或离线交互。这包括开发一个治疗师门户网站，生成自动进度报告，使他们能够有效地治疗更多的患者; 4.进行可用性研究，从处方治疗师的角度评估系统的功能。虚拟康复、远程临床医生监督和进度跟踪等功能为临床医生提供了一种经济有效的方式来改善患者的治疗效果以及财务可行性和盈利能力。该奖项反映了NSF的法定使命，并通过使用基金会的知识价值和更广泛的影响审查标准进行评估，被认为值得支持。

The broader impact/commercial potential of this Small Business Innovation Research (SBIR) Phase I project is to improve the quality of life for individuals suffering arm and hand impairments from stroke, through a medical device for in-home telerehabilitation that is easy to use, engaging, and affordable. Every year, ~800,000 people have a stroke in the United States, and about 65% suffer long-term upper extremity impairments. Sustained and extensive therapy is often needed to improve and regain the functions of the hand. Many individuals post-stroke have difficulty accessing rehabilitation due to transportation, health and mobility issues. This device can potentially reduce long-term disability in the United States and alleviate the financial burden on both individuals and society. By integrating the product into physicians’ and therapists’ workflow, it expands the patient pool that can access rehabilitation, making it more time- and labor-efficient. It will contribute to the field of telehealth and promote decentralized health care. This Small Business Technology Transfer Research (STTR) Phase I project will develop a telerehabilitation system that promotes neuroplasticity for hand and arm motor recovery, to be used in the homes of individuals with neurological disorders. The objective of this proposal is to create a beta prototype that provides personalized intense hand and arm rehabilitation via engaging motion based games. The proposed project includes: 1. enhancing the adaptive algorithms to dynamically adjust the games to an individual’s needs; 2. developing a Rehabilitation Assessment Protocol by optimizing the extensive motion tracking capabilities. This provides important information to clinicians for making rehabilitation plan adjustments, improving the interventions, and reaching goals faster; 3. developing a HIPAA compliant data platform for the recommendation system to facilitate encrypted data streaming and therapist-patient interaction in real-time or offline. This includes the development of a therapist portal that generates automated progress reports, allowing them to treat more patients efficiently; 4. conducting a usability study to evaluate the capabilities of the system from the perspective of the prescribing therapist. These capabilities of virtual rehabilitation, remote clinician supervision, and progress tracking offer a cost-effective way to improve patient outcomes as well as the fiscal viability and profitability for clinicians.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.