Reducing Gait Asymmetry in Lower-LImb Amputees Using Real-Time Rehab to Train-to-

描述（由申请人提供）：该小型企业创新研究第一阶段项目旨在通过使用无线仪器和智能手机技术向截肢者反馈他们在原位的实时性能，来证明一种新型设备在家庭环境中康复的可行性。Veristride的使命是改善行动不便者（占美国18-64岁成年人的5.2%）的行动能力和生活质量。“实时康复”提供了一个新的模式，康复发生在整个病人的日常生活。这与目前的康复技术相反，这些技术期望患者继续自己学习练习，这是一种有效性和可持续性值得怀疑的开环程序，因为诊所的访问受到医疗保健成本增加的限制。替代方法是基于临床的，能力有限，和/或过于昂贵。该I期提案针对下肢截肢者人群，因为在解决截肢者步态不对称方面几乎没有做任何工作，现有的改善步态对称性的干预措施通常是定性的和/或基于临床的。现代康复过程在移除肢体后立即开始，并使用各种活动来提高肌肉力量和运动技能，恢复日常活动，并提高独立性，但未能定量地解决肢体功能障碍。 典型的力和时间不对称性，一旦发生，则超出症状缓解和状况（例如关节炎）的治疗。失去肢体会导致本体感觉下降，本体感觉是肢体在空间中的感觉。我们假设，截肢者可以更容易地改善他们的步态和流动性与接入技术能够本体感受反馈随时随地，以提高残疾受损。Veristride，Inc.是一家由犹他州大学成立的新公司。它是最近成立的，以明确解决行动不便者对负担得起的个人康复设备的需求。的 PI和CSO斯泰西班贝格在麻省理工学院获得机械工程学士和硕士学位。随后，她通过医学院课程和临床经验扩大了她的培训，获得了哈佛/麻省理工学院医学工程博士学位。健康科学和技术。她的专业知识包括设计、验证和使用传感器和仪器来评估人体生理状况，特别是步态和运动分析，十多年来她一直在鞋子中使用传感器。

DESCRIPTION (provided by applicant): This Small Business Innovation Research Phase I project seeks to demonstrate the feasibility of a novel device for rehabilitation in the home environment, by using wireless instrumentation and smartphone technology for feedback to amputees about their real-time performance in situ. The mission of Veristride is to improve the mobility and quality of life of persons with ambulatory disabilities (5.2% of U.S. adults ages 18-64). "Real-Time Rehab" provides a new paradigm for rehabilitation that occurs throughout the patient's daily life. This is in contrast to current rehabilitation techniques that expect patientsto continue learned exercises on their own, an open-loop procedure of questionable efficacy and sustainability, as visits to the clinic are limited by increasing costs of healthcare. Alternative approaches are clinic-based, limited in capability, and/or prohibitively expensive. This Phase I proposal targets the lower-limb amputee population because little has been done to address gait asymmetry in amputees, with existing interventions to improve gait symmetry generally qualitative and/or clinic-based. The modern rehabilitation process begins immediately following the removal of the limb and uses a variety of activities to improve muscle strength and motor skills, restore daily activities, and improve independence, but fails to quantitatively address the typical force and timing asymmetries beyond symptom relief and treatment of conditions (e.g. arthritis) once they occur. Loss of a limb results in decreased proprioception, which is the sense of where limbs are in space. We hypothesize that amputees can more readily make improvements in their gait and mobility with access technology capable of proprioceptive feedback anytime and anywhere to enhance the impaired by disability. Veristride, Inc. is a new company formed out of the University of Utah. It was recently formed to explicitly address the need for affordable and personal rehabilitative devices for persons with mobility disabilities. The PI and CSO Stacy Bamberg received her bachelor's and master's degrees in mechanical engineering at MIT. She subsequently expanded her training through medical school courses and clinical experiences, receiving her doctorate in medical engineering from the Harvard/MIT Div. of Health Sciences and Technology. Her expertise includes designing, validating, and using sensors and instrumentation to evaluate human physiological conditions, specifically for gait and movement analysis, and she has been implementing sensors in shoes for more than a decade.