StrokeWear: A Novel Wrist Wearable Sensor System to Promote Hemiparetic Upper Extremity Use in Home Daily Life.

StrokeWear：一种新型腕部可穿戴传感器系统，可促进偏瘫上肢在家庭日常生活中的使用。

• 批准号: 10707104
• 负责人: Paolo Bonato
• 金额: $ 98.32万
• 依托单位: BIOSENSICS, LLC
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-08 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10707104
• 关键词: Accelerometer; Achievement; Activities of Daily Living; Advanced Development; Affect; Algorithms; Behavior; Behavior Therapy; Behavioral; Bilateral; Chronic; Classification; Clinical; Clinical Trials; Collection; Communities; Companions; Computer software; Consultations; Control Groups; Data; Data Storage and Retrieval; Databases; Development; Disasters; Elements; Environment; Feedback; Fostering; Goals; Health Insurance Portability and Accountability Act; Home; Home environment; Hospitals; Human Resources; Impairment; Intervention; Learning; Legal patent; Life; Limb structure; Monitor; Motivation; Motor; Motor Activity; Movement; Neuronal Plasticity; Patient Monitoring System; Patients; Pattern; Performance; Phase; Portal System; Recovery; Rehabilitation therapy; Secure; Self Efficacy; Services; Side; Small Business Innovation Research Grant; Stimulus; Stroke; System; Techniques; Technology; Testing; Therapeutic; Time; Training; Upper Extremity; Visit; Work; Wrist; arm; behavior change; chronic stroke; commercialization; commercialization readiness; community setting; design; efficacy evaluation; efficacy testing; empowerment; experience; flexibility; functional improvement; group intervention; hemiparesis; improved; motor control; motor function recovery; motor recovery; novel; novel strategies; patient engagement; primary endpoint; programs; prototype; randomized, clinical trials; remote monitoring; sensor; smartphone application; stroke survivor; telehealth; treatment as usual; wearable sensor technology; web portal

Abstract Stroke survivors often experience a debilitating loss of motor control typically affecting one side of the body. When performing upper-extremity (UE) movements during activities of daily living (ADLs), stroke survivors naturally favor using the more functional UE, thus leading to restricted use of the hemiparetic UE thereby hindering motor recovery. While therapists use conventional techniques to target the hemiparetic UE during clinical visits, patients receive limited direct training on the use of their hemiparetic UE in their home environment. The lack of therapeutic training in the home environment negatively impacts the recovery of UE motor function. Yet, motor improvements are achievable with sufficient motor practice. Based on this body of evidence, through our completed SBIR Fast-Track study, we developed a patented sensor-based technology, called StrokeWearTM. StrokeWearTM consists of a proprietary software and bilateral wrist-worn sensors to continuously monitor UE movements performed by patients in their home and community environments. The system also generates real- time feedback on the performance of goal directed movements (GDM). The objective of this Phase IIB is to further develop StrokeWearTM for commercialization by enhancing the platform with features that will empower and encourage patients to engage in GDM with their hemiparetic UE in the home and to support expert clinicians to foster increased activity in a telehealth environment. The system promotes behavior changes that optimize UE movement patterns for neuro-recovery. In this project, we will integrate goal setting, self-efficacy, behavioral achievements, and movement feedback into StrokeWearTM. To better engage the users, we will develop a companion smartphone application that will encourage patients to be active in monitoring their progress. Finally, we will develop a web-portal that will allow patients and clinicians to be more engaged and interactive during the rehabilitation program through on-demand goal setting and consultation. We will conduct two 6-month randomized clinical trials to assess the efficacy of this integrated platform in both chronic and subacute stroke survivors. The control group will receive usual care, while the intervention group will receive the StrokeWearTM platform in addition to a motor and behavioral home-based intervention.

摘要 中风幸存者经常会经历运动控制能力丧失，通常影响身体的一侧。 在日常生活活动（ADL）期间进行上肢（UE）运动时， 自然地倾向于使用功能更强的UE，从而导致偏瘫UE的使用受限， 阻碍运动恢复虽然治疗师使用常规技术来针对轻偏瘫UE， 在临床访问中，患者接受关于在其家庭环境中使用其轻偏瘫UE的有限的直接培训。 在家庭环境中缺乏治疗性训练对UE运动功能的恢复产生负面影响。 然而，运动的改善是可以通过足够的运动练习来实现的。根据这些证据，通过 在完成SBIR快速通道研究后，我们开发了一种基于传感器的专利技术，称为StrokeWearTM。 StrokeWearTM由专有软件和双侧腕戴式传感器组成，可持续监测UE 患者在家庭和社区环境中进行的运动。该系统还生成真实的- 目标导向运动（GDM）的时间反馈。 本阶段IIB的目标是通过增强 平台的功能，将授权和鼓励患者参与GDM与他们的偏瘫UE， 家庭，并支持专家临床医生，以促进在远程保健环境中增加活动。系统 促进行为改变，优化UE运动模式以促进神经恢复。在这个项目中，我们将 将目标设定、自我效能、行为成就和运动反馈整合到StrokeWearTM中。到 为了更好地吸引用户，我们将开发一个配套的智能手机应用程序，鼓励患者 积极监测其进展。最后，我们将开发一个门户网站，让患者和临床医生， 通过按需目标设定，在康复计划期间更加参与和互动， 协商我们将进行两项为期6个月的随机临床试验，以评估这种综合治疗的疗效。 在慢性和亚急性卒中幸存者中的平台。对照组将接受常规护理， 干预组将收到中风WearTM平台除了运动和行为的家庭为基础的 干预

项目成果

A deep learning wearable-based solution for continuous at-home monitoring of upper limb goal-directed movements.

• DOI: 10.3389/fneur.2023.1295132
• 发表时间: 2023
• 期刊: Frontiers in neurology
• 影响因子: 3.4
• 作者: Nunes AS;Yildiz Potter İ;Mishra RK;Bonato P;Vaziri A
• 通讯作者: Vaziri A

Enabling Stroke Rehabilitation in Home and Community Settings: A Wearable Sensor-Based Approach for Upper-Limb Motor Training.

• DOI: 10.1109/jtehm.2018.2829208
• 发表时间: 2018
• 期刊: IEEE journal of translational engineering in health and medicine
• 影响因子: 3.4
• 作者: Lee SI;Adans-Dester CP;Grimaldi M;Dowling AV;Horak PC;Black-Schaffer RM;Bonato P;Gwin JT
• 通讯作者: Gwin JT