Knee-Biofeedback Rehabilitation Interface for Game-based Home Therapy (KneeBRIGHT)

用于基于游戏的家庭治疗的膝关节生物反馈康复接口 (KneeBRIGHT)

• 批准号: 8978103
• 负责人: Eileen T. Krepkovich
• 金额: $ 22.49万
• 依托单位: BARRON ASSOCIATES, INC.
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-01 至 2017-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8978103
• 关键词: Address; Adherence; Area; Award; Biofeedback; Clinic; Clinical; Computer software; Cost Control; Degenerative polyarthritis; Development; Disease; Electrodes; Electromyography; Environment; Evaluation; Evidence based practice; Exercise; Exhibits; Feedback; Foundations; Generations; Goals; Health Care Costs; Health Services Accessibility; Home environment; Individual; Knee; Knee Osteoarthritis; Laboratories; Left; Medical; Motivation; Muscle; Outcome; Pain; Patients; Performance; Phase; Physical Function; Pilot Projects; Play; Population; Protocols documentation; Public Health; Quality of life; Questionnaires; Recovery of Function; Rehabilitation Centers; Rehabilitation Outcome; Rehabilitation therapy; Research; Resistance; Small Business Technology Transfer Research; Symptoms; System; Technology; Testing; Time; Training; Universities; Video Games; Virginia; Wireless Technology; arthropathies; base; care delivery; clinical efficacy; compliance behavior; cost; disability; experience; functional improvement; functional status; improved; innovation; pressure; programs; prototype; public health relevance; quadriceps muscle; sensor; success; tool; usability

 DESCRIPTION (provided by applicant): The Knee Biofeedback Rehabilitation Interface for Game-based Home Therapy ("KneeBRIGHT") system combines electromyography (EMG) biofeedback with video game therapy (VGT) to provide knee osteoarthritis (OA) patients with an engaging, effective tool for conducting rehabilitation exercises at home. KneeBRIGHT aims to motivate patients with knee OA to conduct regular muscle strengthening exercise through an engaging, EMG-driven video game therapy. The system combines wireless EMG electrodes that are convenient for patients to use in a home setting with software that provides automated guidance through targeted and progressive exercise routines. Importantly, these exercises are presented to the patient in the form of fun and engaging games to promote a positive experience and encourage continued adherence. Problem to be Addressed: OA is the leading cause of disability in the U.S. Rehabilitation through quadriceps strengthening is a well-established treatment for patients with OA of the knee, but necessities of cost containment and lack of access to rehabilitation centers result in many patients being advised to perform these exercises at home. When left unsupervised, patients are faced with two challenges: (1) lack of guidance of trained clinicians who, in the clinic, optimally adjust protocols and resistance levels for functional improvement, and (2) lack of engagement during repetitive exercises that most individuals find boring. Long-Term Goal: Improve knee OA rehabilitation outcomes through effective and efficient delivery of care. Phase I Hypotheses: The STTR Phase I program will test the hypotheses that patients performing exercise routines using KneeBRIGHT will: (1) achieve equivalent muscle activations compared to a conventional EMG biofeedback system; and (2) exhibit increased engagement compared to the conventional system. Phase I Summary: Barron Associates, Inc. (award-winning innovators in video game therapy) has partnered with the University of Virginia for this STTR Phase I program to demonstrate feasibility and usability of the KneeBRIGHT system. The specific objectives of the Phase I program are to: (1) develop the Phase I prototype KneeBRIGHT EMG modules; (2) develop the Phase I KneeBRIGHT game software; (3) perform pilot testing of muscle activation and engagement levels (when compared to a conventional system) with knee OA patients in a laboratory environment; and (4) analyze the results of the pilot study. Successful prototype development along with the pilot study in Phase I will lay the foundation for the Phase II effort, which will include development of a commercial product including an interactive patient-clinician interface and formal evaluation of the KneeBRIGHT system's efficacy for improving adherence and clinical outcomes. Impact: The system will have a significant overall impact on public health by increasing patient adherence to home exercise routines and thereby reducing pain symptoms, restoring physical function, and ultimately improving quality of life for patients with knee OA.

 描述（由申请人提供）：用于基于游戏的家庭治疗的膝关节生物反馈康复界面（“KneeBRIGHT”）系统将肌电图（EMG）生物反馈与视频游戏治疗（VGT）相结合，为膝关节骨关节炎（OA）患者提供了一种在家中进行康复锻炼的有效工具。KneeBRIGHT旨在激励膝关节OA患者通过引人入胜的肌电驱动的视频游戏疗法定期进行肌肉强化锻炼。该系统将方便患者在家庭环境中使用的无线EMG电极与通过有针对性的渐进式锻炼程序提供自动指导的软件相结合。重要的是，这些练习以有趣和引人入胜的游戏形式呈现给患者，以促进积极的体验并鼓励继续坚持。需要解决的问题：在美国，OA是导致残疾的主要原因。通过股四头肌强化进行康复是膝关节OA患者的一种成熟治疗方法，但由于成本控制的需要和无法进入康复中心，许多患者被建议在家中进行这些锻炼。在无人监督的情况下，患者面临两个挑战：（1）缺乏训练有素的临床医生的指导，这些临床医生在临床上最佳地调整方案和阻力水平 功能改善，以及（2）在大多数人认为无聊的重复练习中缺乏参与。长期目标：通过提供有效和高效的护理，改善膝关节骨性关节炎康复结果。第一阶段假设：STTR第一阶段项目将测试以下假设：使用KneeBRIGHT进行日常锻炼的患者将：（1）与传统EMG生物反馈系统相比，实现等同的肌肉激活;（2）与传统系统相比，表现出更高的参与度。I期总结：巴伦联合公司（屡获殊荣的视频游戏治疗创新者）已与弗吉尼亚大学合作进行STTR第一阶段计划，以证明KneeBright系统的可行性和可用性。I期项目的具体目标是：（1）开发I期原型KneeBRIGHT EMG模块;（2）开发I期KneeBRIGHT游戏软件;（3）在实验室环境中对膝关节骨性关节炎患者进行肌肉激活和参与水平的试点测试（与传统系统相比）;以及（4）分析试点研究的结果。成功的原型开发沿着第一阶段的试点研究将为第二阶段的工作奠定基础，第二阶段的工作将包括开发一种商业产品，包括一个交互式患者-临床医生界面和对KneeBright系统改善依从性和临床结局的有效性的正式评价。影响：该系统将通过增加患者对家庭锻炼常规的依从性，从而减少疼痛症状，恢复身体功能，并最终改善膝关节OA患者的生活质量，对公共卫生产生重大的整体影响。