Creating digital, interactive, smart home exercise environments for older adults with stroke

中风对身体有衰弱的影响，可以阻碍身体和认知功能。中风后的恢复取决于参加有组织的有意义的运动项目。然而，患有中风的老年人发现，由于身体和认知障碍、缺乏动力以及与年龄相关的因素（如虚弱、肌肉量减少和抑郁），维持大脑恢复的最佳体力活动水平是一项挑战。为了鼓励参与体育活动，运动计划应该是有组织的、家庭/社区的、简单、有效的、病人主导的，并且最少的监督，以增加运动的坚持性，特别是对于严重肢体损伤的病人。在这项研究中，我们的目标是为社区居住的上肢中度至重度损伤的老年中风幸存者共同设计一种交互式数字抗阻运动解决方案。我们将通过测试橡皮筋和杠铃等方便和负担得起的健身设备来共同设计它，并将让患有慢性中风的老年人（50 - 65岁）（中风后6个月）参与整个研究过程，分享他们的观点。首先，我们将共同开发一个多媒体运动包，与上肢、下肢和躯干的健身器材一起使用，即使上肢瘫痪的人也可以在最大限度的安全、最少的脑力劳动和监督下在家进行锻炼，然后我们将共同设计解决方案（应用程序和硬件设计），使健身器材具有互动性、数字化和以患者为中心，以增加身体活动和肢体活动。

Stroke has debilitative effects on the body and can hinder physical and cognitive function. Recovery after stroke depends on participating in a structured exercise program of meaningful activities. However, older adults with stroke find it challenging to maintain an optimal level of physical activity for brain recovery due to physical and cognitive impairments, lack of motivation and age-related factors such as frailty, losing muscle mass and depression. To encourage participation in physical activity, the exercise programme should be structured, home/community-based, simple, efficient, patient-led and with minimum supervision to increase exercise adherence, especially for the patients with severe limb impairments. In this study, we aim to co-design an interactive and digital resistance exercise solution for community-dwelling older stroke survivors with moderate to severe impairments in upper limbs. We will co-design it by testing accessible and affordable fitness equipment such as rubber bands and barbells and will involve older adults (>65 years) with chronic stroke (6 months after stroke) to take part in this process throughout the study period to share their viewpoints. First, we will co-develop a multimedia exercise package to use with fitness equipment for upper limbs, lower limbs and trunk that would be feasible even for people with upper limb paralysis to perform at home with maximum safety and minimum mental efforts and supervision, then we will co-design the solutions (app and hardware design) that make the fitness equipment interactive, digital and patient-centred to increase physical activity and limbs mobility.