Glove Rehabilitation Application for Stroke Patients (GRASP)

中风患者手套康复应用 (GRASP)

• 批准号: 9254255
• 负责人: Richard J. Adams
• 金额: $ 22.5万
• 依托单位: BARRON ASSOCIATES, INC.
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-20 至 2018-05-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9254255
• 关键词: Accelerometer; Activities of Daily Living; Address; Adherence; American; Area; Award; Brain Injuries; Calibration; Case Study; Chronic; Clinical; Computer software; Control Groups; Cost Control; Development; Discipline of Nursing; Feedback; Fingers; Frequencies; Generations; Goals; Hand; Hand functions; Health; Healthcare; Home Health Agency; Home environment; Hospitals; Individual; Legal patent; Manuals; Marketing; Measures; Monitor; Motion; Motivation; Motor; Movement; Orthotic Devices; Outcome; Outpatients; Patients; Performance; Personal Computers; Phase; Pilot Projects; Positioning Attribute; Provider; Public Health; Randomized Controlled Trials; Recovery of Function; Rehabilitation therapy; Research; Services; Small Business Innovation Research Grant; Space Suits; Stroke; System; Technology; Time; Travel; United States National Aeronautics and Space Administration; Universities; User-Computer Interface; Video Games; Virginia; Work; Wrist; abstracting; arm function; base; cost; design; dexterity; dosage; efficacy trial; evidence base; experience; functional outcomes; functional status; grasp; hand rehabilitation; hand therapy; improved; improved outcome; individual patient; innovation; instrument; mental imagery; motor recovery; programs; prototype; psychologic; satisfaction; sensor; standard care; stroke therapy; tool; usability; virtual; virtual reality

PROJECT SUMMARY/ABSTRACT Introduction: The Glove Rehabilitation Application for Stroke Patients (GRASP) Fast-Track SBIR program will promote recovery of hand function following stroke through an instrumented orthosis that enables functional practice of manual tasks in fun and engaging activities within a virtual environment. The effort combines patented sensor glove technology developed under the NASA space suit program with a commercial hand orthosis and modern game engine technology. GRASP will automatically assess a patient's functional level and adapt the challenge to his/her capabilities. In each session, the system will automatically produce valid metrics of hand function, providing both patients and providers with immediate feedback on status and progress. The low-cost product will support independent home use as well as serve as part of a therapist- guided in-patient, skilled nursing, outpatient, home health, or teletherapy rehabilitation program. Problem to be addressed: GRASP addresses the critical challenges of: (1) improving outcomes in hand therapy through task-directed practice and mental imagery that promote functional recovery; (2) enabling increased dosage, intensity, and duration through independent home use and teletherapy; (3) minimizing total cost of rehabilitation by reducing patient/therapist travel; and (4) improving services in underserved areas. Long-Term Goal: Improved outcomes and functional independence for patients with acquired brain injury. Phase I Summary: Phase I of the Fast-Track will produce a prototype system that consists of a sensor package and software application that permits a commercial glove orthosis to be used for practice of virtual activities of daily living (ADLs) in a compelling virtual world. A pilot study conducted by the University of Virginia (UVa), UVa HealthSouth Rehabilitation Hospital, and Continuum Home Health will investigate the primary Phase I hypothesis, which states that GRASP-generated metrics correlate significantly with accepted measures of hand function. Two Phase I case studies led by home health therapists will explore usability in the home environment and serve as pathfinders for Phase II efficacy trials. Phase II Summary: Phase II of the Fast-Track will include: (1) development of a commercial system; (2) extension of the range of hand therapy activities and expansion of virtual environments to provide an engaging and motivating experience across 8 weeks of treatment; (3) provider tools for prescribing and monitoring status/progress; and (4) teletherapy interfaces. A Phase II efficacy study will investigate improvement in standardized assessment scores and adherence for GRASP at-home therapy vs. standard care. Randomized, controlled trials will be led by UVa in partnership with HealthSouth and Continuum Home Health. Commercial Opportunity: Approximately 50% of the 800,000 individuals hospitalized due to stroke each year in the U.S. suffer from chronic deficits in hand and/or arm function [1], [2]. GRASP is poised to rapidly transition evidence-based research to market by leveraging an existing brand with well-defined distribution channels.

项目摘要/摘要 简介：中风患者的手套康复申请（GRASP）快速轨道SBIR计划将 通过仪器的矫形器促进中风后手功能的恢复 在虚拟环境中进行娱乐和参与活动的手动任务实践。努力结合在一起 专利的传感器手套技术在NASA太空套装计划下开发了商业手 矫形器和现代游戏引擎技术。掌握将自动评估患者的功能水平 并将挑战适应他/她的能力。在每个会话中，系统将自动产生有效的 手部功能指标，为患者和提供者提供有关状态和状态的立即反馈 进步。低成本产品将支持独立的家庭用途，并作为治疗师的一部分服务 - 指导住院，熟练的护理，门诊，家庭健康或远程疗法康复计划。 要解决的问题：掌握解决：（1）改善手头结果的关键挑战 通过任务指导的实践和心理图像进行治疗，以促进功能恢复； （2）启用 通过独立的家庭使用和远程疗法增加剂量，强度和持续时间； （3）最小化总数 减少患者/治疗师旅行的康复成本； （4）改善服务不足的地区的服务。 长期目标：获得性脑损伤患者的结果和功能独立性的改善和功能独立性。 第一阶段摘要：快速轨道的第一阶段将产生由传感器组成的原型系统 允许商业手套矫形器用于虚拟练习的包装和软件应用程序 在一个引人入胜的虚拟世界中的日常生活活动（ADL）。弗吉尼亚大学进行的试点研究 （UVA），UVA HealthSouth康复医院和Continuum Home Health将调查主要 第一阶段假设，该假设指出，抓地力的指标与接受的指标显着相关 手部功能的度量。由家庭健康治疗师领导的两个I期案例研究将探索 家庭环境并充当II期功效试验的探路。 II阶段摘要：快速轨道的II阶段将包括：（1）开发商业系统； （2） 手动治疗活动范围的扩展和虚拟环境扩展以提供引人入胜 以及在8周的治疗中激励经验； （3）提供和监视的提供者工具 状态/进度； （4）远程疗法界面。 II期疗效研究将调查改善 标准化评估评分和遵守掌握家庭治疗与标准护理的遵守。随机， 对照试验将由UVA与HealthSouth和Continuum Home Health合作领导。 商业机会：每年因中风而住院的80万个人中约有50％ 在美国，手中的慢性缺陷和/或手臂功能[1]，[2]。掌握有望快速过渡 通过利用具有明确定义的分销渠道的现有品牌，基于证据的研究。