Arm Motor Rehabilitation, Entertainment and Cognition System for the Elderly

老年人手臂运动康复、娱乐及认知系统

• 批准号: 7924453
• 负责人: Grigore C BURDEA
• 金额: $ 10万
• 依托单位: BRIGHT CLOUD INTERNATIONAL CORPORATION
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-06-01 至 2011-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7924453
• 关键词: Activities of Daily Living; Acute; Adult; Affect; Age-Years; Articular Range of Motion; Asses; Caring; Certification; Chronic; Clinical; Clinical Research; Cognition; Cognitive; Cognitive Therapy; Computer software; Consult; Counseling; Custom; Data; Data Analyses; Data Collection; Databases; Development; Devices; Education; Elderly; Elements; Evaluation; Exertion; Feasibility Studies; Force of Gravity; Friction; Future; Goals; Graph; Hand; Health Care Costs; Health Services Accessibility; Healthcare; Hemiplegia; Hour; Human Pathology; Improve Access; International; Intervention; Investigation; Knowledge; Lead; Legal; Legal patent; Life; Literature; Long-Term Care; Measures; Medical; Memory; Mental Depression; Mental Health; Methods; Mind; Modification; Monitor; Moths; Motion; Motor; Muscle; Occupations; Patient Education; Patients; Physical therapy; Pilot Projects; Play; Psyche structure; Psychologist; Quality of life; Questionnaires; Reaction Time; Recruitment Activity; Rehabilitation therapy; Reporting; Resistance; Rights; Robot; Running; Sampling; Savings; Secure; Short-Term Memory; Shoulder; Small Business Innovation Research Grant; Solutions; Stroke; System; Technology; Testing; Therapeutic; Time; Training; Training Programs; United States National Institutes of Health; Universities; Upper Extremity; Video Games; Vision; Wechsler Scales; Weight-Bearing state; Work; age group; arm; base; cognitive function; cognitive training; computerized; design; disability; experience; flexibility; grasp; improved; motor control; older patient; patient population; point of care; post stroke; prototype; psychologic; public health relevance; research clinical testing; simulation; standardize measure; stem; time use; virtual; virtual reality; volunteer; web-accessible

DESCRIPTION (provided by applicant): It is hypothesized that for elderly post-stroke patients improving upper extremity coordination, as well as strengthening its muscles may be accomplished simultaneously with cognitive training, and done in an entertaining way. This objective implements "a healthy mind in a healthy body" single-point-of-care approach. The long-term objective of this project is to develop an improved combined therapy approach that is superior to the way physical therapy and cognitive training are done separately today on the same patient population. The purpose of this investigation is to develop and feasibility test the prototype BC 100 system integrated with custom game-like virtual reality simulations, gravity-gradated assistance/resistance and grasp exertion. This system should accommodate both high-functioning and low-functioning patients post-stroke, being superior to off-the-shelf gaming systems and safer than rehabilitation robots. SPECIFIC AIMS The first aim is to develop the BC 100 system for improving arm/shoulder motion, motor control, endurance, grasp strength, memory, anticipation and reaction time in elderly patients post-stroke (subacute or chronic). The second aim is to evaluate the functionality of the prototype for elderly adults more than 1 moth post-stroke by piloting a 4-week intensive and simultaneous physical therapy and cognitive training of the affected upper extremity. METHODS 1) Construct the BC 100 system by creating a low-friction, vision-tracked rehabilitation table that tilts automatically to allow assistance/resistance to either arm motion; 2) develop virtual rehabilitation software for elderly patients post-stroke with games training simultaneously the physical and the cognitive aspects their disability, while they are confined to log-term care; 3) Develop a secure web-accessible database for reporting and remote data analysis. Data from the BC 100 will be sampled transparently in real time during play and uploaded to Bright Cloud International bladed servers. 4) pilot study with 4 elderly subjects without disability to uncover technology problems; 5) Feasibility clinical study with 6 elderly subjects with hemiplegia following stroke participating in a 4-week training program of their affected upper extremity and cognition on the BC 100 systems. Subjects will be evaluated for physical and cognitive function using standardized tests at the start and end of training. Computerized non-standardized measures (arm reach, arm velocity, game scores, etc) will be compared to determine if there is a correlation with the standardized tests. NIH RELEVANCE This project will develop a new device and therapeutic method for training upper extremity and cognition in an integrated way providing a single-point-of-care solution. The same approach can be extended to other patient populations, and age groups. PUBLIC HEALTH RELEVANCE: A product that simultaneously augments the physical strength, cognition and well being of elderly patients confined to long-term care improves their quality of life/participation, and reduces health care costs by allowing them to work on rehabilitation games in their free time without the intervention of a therapist. By integrating rehabilitation for shoulder/arm/grasp control and strength with cognitive (memory, reasoning) training the product improves access to health care by facilitating a single-point team-care therapy. The ability of the product to also be used in the future in acute rehabilitation further reduces health care costs by accelerating return to productive life.

描述（由申请人提供）：假设对于老年卒中后患者，改善上肢协调性以及加强其肌肉可以与认知训练同时完成，并且以娱乐方式完成。这一目标实现了“健康的身体中健康的思想”的单点护理方法。该项目的长期目标是开发一种改进的联合治疗方法，该方法上级于今天在同一患者人群中单独进行物理治疗和认知训练的方式。本研究的目的是开发和可行性测试的原型BC 100系统集成自定义游戏般的虚拟现实模拟，重力梯度的援助/阻力和把握发挥。该系统应适应中风后高功能和低功能患者，上级现成的游戏系统，比康复机器人更安全。具体目标第一个目标是开发BC 100系统，用于改善中风后（亚急性或慢性）老年患者的手臂/肩部运动、运动控制、耐力、抓握强度、记忆、预期和反应时间。第二个目的是通过对受影响上肢进行为期4周的强化和同步物理治疗和认知训练，评估中风后1个月以上老年人原型的功能。方法：1）构建BC-100系统，制作一个低摩擦、视觉跟踪的康复床，可自动倾斜，以帮助/抵抗任何一个手臂的运动; 2）开发虚拟康复软件，用于老年脑卒中患者，在长期护理的同时，通过游戏训练他们的身体和认知方面的残疾; 3）建立一个安全的可上网查阅的数据库，用于报告和远程数据分析。来自BC 100的数据将在比赛期间以真实的时间透明地采样，并上传到Bright Cloud International刀片式服务器。4)对4名无残疾的老年受试者进行了初步研究，以发现技术问题; 5）对6名中风后偏瘫的老年受试者进行了可行性临床研究，他们参加了为期4周的关于他们患上肢和BC 100系统认知的训练计划。在培训开始和结束时，将使用标准化测试评估受试者的身体和认知功能。将比较计算机化的非标准化测量（手臂伸展、手臂速度、游戏分数等），以确定是否与标准化测试相关。NIH相关性该项目将开发一种新的设备和治疗方法，以综合方式训练上肢和认知，提供单点护理解决方案。同样的方法可以扩展到其他患者群体和年龄组。 公共卫生相关性： 一种同时增强长期护理老年患者的体力、认知和健康的产品，通过允许他们在空闲时间玩康复游戏而无需治疗师的干预，提高了他们的生活质量/参与度，并降低了医疗保健成本。通过将肩/臂/抓握控制和力量的康复与认知（记忆、推理）训练相结合，该产品通过促进单点团队护理治疗来改善获得医疗保健的机会。该产品在未来也可用于急性康复，通过加速恢复生产生活，进一步降低了医疗保健成本。