Instrumented i-GRASP for the assessment and treatment of upper extremity function after neurological injury

仪器化 i-GRASP 用于神经损伤后上肢功能的评估和治疗

• 批准号: 549589-2020
• 负责人: Eng, JaniceJJ
• 金额: $ 6.64万
• 依托单位: University of British Columbia
• 依托单位国家: 加拿大
• 项目类别: Collaborative Health Research Projects
• 财政年份: 2022
• 资助国家: 加拿大
• 起止时间: 2022-01-01 至 2023-12-31
• 项目状态: 已结题
• 来源: https://www.nserc-crsng.gc.ca/ase-oro/Details-Detailles_eng.asp?id=762195
• 关键词: Instrumented; GRASP; assessment; treatment; upper

Neurological conditions such as stroke and traumatic brain injury can seriously impair onesability to use their arm and hands for essential activities of daily living. We have previouslydeveloped the Graded Repetitive Arm Supplementary Program (GRASP) which has beenshown in a multi-site randomized controlled trial to improve upper extremity function afterstroke through hundreds of repetitions of the arm, hand and fingers, as well as strengtheningexercises. It is utilized in over 3000 sites and is part of the Canadian Stroke Best PracticeRecommendations. Under ideal supervisory conditions, the program is effective, butadherence is problematic as it is difficult to keep track of the many repetitions, can bechallenging to know how to continually make the tasks harder, and lacks feedback to motivateindividuals to do the exercise. I-GRASP will solve these issues by developing an instrumentedplatform derived from the evidence-based GRASP program where patients will be able to 1)measure their own upper extremity function, 2) improve their function through progressiveexercises and 3) and receive feedback to help motivate their progress. Our team is acollaboration between engineer and health care researchers and our partners include awearable sensor company, a public sector rehabilitation hospital, and a private rehabilitationclinic to ensure the relevance of our product. The proposed technology to measure, motivateand enhance hand function will improve the lives of individuals with stroke and will beapplicable to other populations with hand problems. The project will also advancetechnologies related to smart materials and wearable sensors. Lastly, the research has greatpotential for commercialization by the industry partner Texavie and to potentially open newmarkets for rehabilitation technology that can be accessed by health providers and strokesurvivors.

神经系统疾病，如中风和创伤性脑损伤，会严重损害一个人使用手臂和手进行日常生活基本活动的能力。我们之前已经开发了分级重复手臂补充计划（GRASP），该计划已在一项多地点随机对照试验中显示，通过数百次手臂，手和手指的重复以及强化练习来改善中风后的上肢功能。它在3000多个地点使用，是加拿大中风最佳实践建议的一部分。在理想的监督条件下，该计划是有效的，但坚持是有问题的，因为很难跟踪多次重复的情况，很难知道如何不断增加任务的难度，并且缺乏激励个人进行锻炼的反馈。I-GRASP将通过开发一个仪器平台来解决这些问题，该平台源自基于证据的GRASP项目，患者将能够1)测量自己的上肢功能，2)通过渐进式锻炼改善其功能，3)并接收反馈以帮助激励他们的进步。我们的团队由工程师和医疗保健研究人员组成，我们的合作伙伴包括一家可穿戴传感器公司、一家公共康复医院和一家私人康复诊所，以确保我们产品的相关性。这项测量、激励和增强手部功能的拟议技术将改善中风患者的生活，并将适用于其他有手部问题的人群。该项目还将推进与智能材料和可穿戴传感器相关的技术。最后，这项研究在行业合作伙伴Texavie的商业化方面具有巨大的潜力，并有可能为医疗服务提供者和中风幸存者打开康复技术的新市场。