SHB: Small: Use of Gaming Peripherals in Acute Rehabilitation of Balance Following Stroke

平衡障碍是中风后的常见问题，平衡的恢复代表着关键的恢复正常，这可能会导致回家和继续接受长期护理之间的关键差异。然而，由于成本和时间的限制，目前恢复急性期的平衡康复实践往往是由主观反馈和经验驱动的，而不是由客观观察/分析驱动的。这项研究计划调查如何将游戏外围设备作为一种廉价的手段，通过向患者和治疗师提供实时、定量的视觉反馈来增强平衡康复。具体地说，该项目计划1)开发以任天堂Wii Balance Board为中心的低成本仪器和可视化平台，2)使用该平台量化平衡再培训期间患者和治疗师的视觉反馈效果，3)开发从典型康复活动期间收集的数据实时预测患者功能结果的能力。这项工作包括开发临床上合适的控制界面，以及量化由多个Wii平衡板、多个网络摄像头和其他设备组成的系统的性能，以提供基于来自所有这些来源的融合数据的实时视觉反馈。平衡恢复在接受反馈治疗和不接受反馈治疗的匹配组之间进行评估。采用同组自我意识比较的方法，考察反馈在患者S元认知知识发展中的作用。心理医生？比较不同小组之间的互动方式和治疗计划，以确定反馈对他们工作的影响。最后，研究人员计划确定哪些仪表化活动提供了最能预测患者的数据？S对已建立的功能评估工具进行了评分。最终，该项目寻求通过帮助优化急性期的治疗来提高中风后的生活质量，急性期是康复的最关键阶段。该结果还将直接适用于慢性中风和其他神经创伤的平衡康复，并更广泛地适用于截肢者和运动医学患者。最重要的是，仪器平台的低成本旨在消除财务采用障碍，使几乎任何康复机构都能利用研究结果。

Balance disorders are a common problem following stroke, and the restoration of balance represents a key return to normalcy that can make the critical difference between returning home and remaining in long-term care. Current balance rehabilitation practice in the acute phase of recovery, however, is often driven by subjective feedback and experience, rather than by objective observation/analysis because of cost and time constraints. This study plans to investigate how gaming peripherals can be used as an inexpensive means to enhance balance rehabilitation by providing real-time, quantitative visual feedback to both the patient and the therapist. Specifically, the project is planning to 1) develop a low-cost instrumentation and visualization platform centered around the Nintendo Wii Balance Board, 2) use this platform to quantify the effects of visual feedback on both patients and therapists during balance retraining, and 3) develop the ability to predict patient functional outcomes in real time from data collected during typical rehabilitation activities. The effort includes the development of a clinically appropriate control interface and quantification of the performance of a system consisting of multiple Wii Balance Boards, multiple web cams, and other devices to provide real-time visual feedback based on fused data from all of these sources. Balance recovery is assessed between matched groups who receive therapy with and without feedback. Comparisons of self-awareness in the same groups is used to examine the role of feedback in developing a patient?s metacognitive knowledge. Therapists? interaction styles and treatment plans are compared between the groups to identify the effects of the feedback on their work. Finally, the investigators plan to identify which instrumented activities provide data that best predict a patient?s score on established functional assessment tools. Ultimately, this project seeks to enhance quality of life post-stroke by helping to optimize therapy during the acute phase, which is the most critical stage of recovery. The results will also be directly applicable to balance rehabilitation in chronic stroke and other neurotrauma and more broadly applicable to amputees and sports medicine patients. Most critically, the low cost of the instrumentation platform is designed to remove financial adoption barriers, allowing virtually any rehabilitation facility to leverage the results of the research.