TELEREHABILITATION FOR MOTOR RETRAINING IN STROKE

中风时运动再训练的远程康复

• 批准号: 6594927
• 负责人: EMILIO BIZZI
• 金额: $ 2.09万
• 依托单位: MASSACHUSETTS INSTITUTE OF TECHNOLOGY
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-08-01 至 2004-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6594927
• 关键词: behavior test; clinical trials; computer human interaction; computer simulation; exercise; functional ability; human subject; human therapy evaluation; medical rehabilitation related tag; online computer; patient oriented research; psychomotor function; rehabilitation; stroke therapy; technology /technique development; telemedicine

DESCRIPTION (provided by applicant): This proposal describes a TeleRehabilitation system developed to provide motor retraining for stroke patients. The system allows a therapist in a remote location to conduct treatment sessions with a patient who is located at home. The patient and therapist are connected in real time via a network connection on a computer. Thus, the patient and therapist can see and hear each other in real time during the remotely operated treatment session. A special feature of the TeleRehabilitation system is the use of a virtual environment (VE) to provide augmented feedback to the patient during the motor retraining exercises which are displayed on the computer screen in the patient's home. The novel rehabilitation system includes training scenes (3-D "pictures" that are designed to elicit movements in a natural way by creating an environmental context and task goal for that movement), a "teacher" who shows the correct movement by representing the trajectory of the limb's end point (or entire arm), a scoring system, and multiple features which provide augmented feedback and knowledge of results. A therapeutic framework has been devised to group training tasks into functionally oriented movement categories. Treatment sessions will be tailored to each patient s motor recovery state and particular motor control problems through the selection of particular scenes (tasks) and difficulty levels within each category. Goals for this proposed project are: 1) to further develop the TeleRehabilitation prototype system, and to asses the feasibility of using it with stroke patients in their homes. Specifically, to conduct a pilot study with stroke patients in which to test the feasibility of using the system to provide instructions and motor training, to record the arm movements of patients, and to monitor patients' progress in their home, and 2) after feasibility has been established, to test the value of the system by conducting a single-blind, randomized controlled clinical trial with 44 stroke patients.

描述（申请人提供）：该提案描述了 开发了远离居民系统，以提供中风的电动机再培训 患者。该系统允许在远程位置进行治疗师进行操作 与位于家里的患者的治疗课程。病人和 治疗师通过计算机上的网络连接实时连接。 因此，患者和治疗师可以实时看到和聆听 在远程操作的治疗课程中。一个特殊的特征 Telerehabilitation System是使用虚拟环境（VE）提供的 在电动机再培训练习期间向患者增强反馈 显示在患者家中的计算机屏幕上。小说 康复系统包括训练场景（3-D“图片” 旨在通过创建环境来自然地引起运动 该运动的上下文和任务目标），一个“老师”，显示正确的 通过表示肢体终点的轨迹（或整个 ARM），一个评分系统以及提供增强反馈的多个功能 和结果知识。已经设计了一个治疗框架 将任务培训为以功能为导向的运动类别。治疗 会议将针对每个患者的运动恢复状态和 特定的电动机控制问题通过选择特定场景 （任务）和每个类别的难度级别。该提议的目标 项目是：1）进一步开发远离居民原型系统， 并评估与家里中风患者一起使用它的可行性。 具体而言，要对中风患者进行试验研究 使用系统提供指令和电动机的可行性 训练，记录患者的手臂运动，并监测患者 在他们的家中进展，以及2）建立可行性后进行测试 通过进行单盲，随机控制的系统值 44例中风患者的临床试验。