CAREER: Aquatic Therapy Assist-Tool Using a Real-Time Underwater Physiological and Musculokinetic Monitoring in Personalized Stroke Rehabilitation

职业：在个性化中风康复中使用实时水下生理和肌肉运动监测的水生治疗辅助工具

• 批准号: 2237230
• 负责人: Yeonsik Noh
• 金额: $ 55万
• 依托单位: University of Massachusetts Amherst
• 依托单位国家: 美国
• 项目类别: Continuing Grant
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-06-15 至 2028-05-31
• 项目状态: 未结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=2237230&HistoricalAwards=false
• 关键词: CAREER; Aquatic; Therapy; Assist; Tool

Aquatic therapy is a type of physical therapy that takes place in water and is widely used to help stroke patients recover. Water has benefits that make it easier and less painful for patients to perform rehabilitation exercises. In aquatic therapy and rehabilitation, it is essential for therapists to understand how the therapy affects each patient's performance to create a personalized program that will be most effective for them. However, current research has not focused enough on this aspect, and instead mainly compares patients' progress before and after therapy. Therapists rely on their observations, intuitions, experience, and expertise in their practice since there is no technology available for them to accurately measure and analyze their patients' physical and muscle movements when they exercise in water. This means that therapists are not able to adjust their instructions in real-time to ensure that their patients are doing the exercises correctly and getting the most benefit from them. Continuous monitoring and analysis of the patients' performance during aquatic therapy can provide valuable insights into how the therapy is affecting their physical abilities. This can lead to the development of an optimized training program that is tailored to each individual's needs, resulting in more efficient and effective rehabilitation. This project aims to understand how the human body works underwater and how it responds to different movements and exercises in aquatic therapy. This knowledge will be used to develop more personalized and effective aquatic rehabilitation programs, particularly for people with neurological disorders and diseases. This research has the potential to lead to new and improved ways of treating these conditions.This project will design an assist-tool for therapists to investigate physiological and motor improvements during aquatic therapy using a wearable system designed for the water environment and utilizing hydrophobic bio-signal sensors, and to allow them to create new evaluation metrics for individual physical assessment and personalized aquatic therapy in stroke rehabilitation based on transformative approach. This project will (1) design and evaluate an ergonomic wearable system for underwater physiological and musculokinetic monitoring, (2) investigate evaluation metrics for aquatic therapy in stroke rehabilitation, and (3) develop a systematic personalized aquatic therapy assist-tool based on the outcomes. The project will evaluate the proposed wearable system and evaluation metrics in terms of wearability, functionality, usability, and effectiveness with clinical aquatic therapists. Along with three research aims, interdisciplinary research framework for personalized healthcare and rehabilitation will be integrated into the educational goal of broadening the participation of pre-college, undergraduate, and graduate students in healthcare engineering, fostering an interdisciplinary research group and inclusive training, and integrating the research into multidisciplinary course development. Eventually, this project will yield a paradigm shift in aquatic therapy.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.

水疗是一种在水中进行的物理疗法，广泛用于帮助中风患者康复。水的好处是，使患者更容易和更少的痛苦进行康复锻炼。在水疗和康复中，治疗师必须了解治疗如何影响每个患者的表现，以创建对他们最有效的个性化计划。然而，目前的研究对这方面的关注还不够，而是主要比较患者治疗前后的进展。治疗师在实践中依赖于他们的观察，直觉，经验和专业知识，因为他们没有技术可以准确测量和分析患者在水中运动时的身体和肌肉运动。这意味着治疗师无法实时调整他们的指导，以确保他们的患者正确地进行练习并从中获得最大的好处。在水疗期间对患者表现的持续监测和分析可以为治疗如何影响他们的身体能力提供有价值的见解。这可以导致开发一个优化的训练计划，根据每个人的需求量身定制，从而实现更高效和有效的康复。该项目旨在了解人体如何在水下工作，以及它如何对水疗中的不同运动和练习做出反应。这些知识将用于制定更个性化和更有效的水上康复计划，特别是针对患有神经系统疾病和疾病的人。这项研究有可能导致新的和改进的方法来治疗这些条件。这个项目将设计一个辅助工具，为治疗师研究生理和运动的改善，在水治疗使用的可穿戴系统设计的水环境和利用疏水生物信号传感器，并允许他们创建新的评估指标，用于中风康复中的个人身体评估和个性化水疗，变革的方法。本计画将（1）设计并评估一个人体工学可穿戴系统，以进行水下生理与肌肉运动监测;（2）探讨水中治疗在中风复健中的评估指标;以及（3）根据研究结果，开发一个系统化的个人化水中治疗辅助工具。该项目将评估拟议的可穿戴系统和评估指标的可穿戴性，功能性，可用性和有效性与临床水产治疗师。沿着三个研究目标，个性化医疗保健和康复的跨学科研究框架将被整合到教育目标中，即扩大大学预科生、本科生和研究生对医疗保健工程的参与，培养跨学科研究小组和包容性培训，并将研究融入多学科课程开发。最终，这个项目将产生一个范式转变的水疗。这个奖项反映了NSF的法定使命，并已被认为是值得通过评估使用基金会的知识价值和更广泛的影响审查标准的支持。