FitMi Plus: Smart Functional Modules for Practicing Activities of Daily Living after Stroke

在每年70万中风幸存者中，超过50%的人有持续的运动 损伤强化康复可以减少他们的损伤，但获得这种治疗是不可能的。 有限公司家庭治疗可以补充治疗师的时间，但目前的护理标准是 简单地提供个人打印的练习单，这种方法并不激励， 往往是无效的。技术解决方案确实存在，但没有一个提供有效的手段， 鼓励个人在家中以激励的方式直接练习日常生活活动。的 这个快速通道SBIR的目标是开发和测试FitMi Plus，这是Flint Rehab的改进版本 商业上成功的FitMi系统，用于激励家庭治疗锻炼。原始 FitMi系统由两个名为Pucks的无线输入设备组成，每个设备都包含一个 传感器并连接到软件应用程序，该软件应用程序检测简单练习何时完成。 FitMi Plus将通过以下方式扩展FitMi检测日常生活活动完成情况的功能： 通过不同的功能模块将公共对象耦合到圆盘。这种方法的关键在于 允许重复使用系统中最昂贵和最复杂的组件的优点 与每个功能模块，从而最大限度地降低成本和最大限度地提高系统的灵活性。我们 假设FitMi Plus家庭治疗对运动障碍患者可行 由于中风和更激励和有效的比目前的标准的做法，印刷 一张张练习纸。这个快速通道项目的目的是：1）建立FitMi的可行性 再加上通过试点测试一套最初的4个功能模块，可以检测转动门把手， 拉上拉链，打开电灯开关，将液体倒入玻璃杯中; 2）扩展 基于PT和OT反馈的功能模块;以及3）比较家庭- 在一项随机对照试验中，使用FitMi Plus进行基于功能训练的非功能性运动 与慢性中风患者进行比较。我们假设使用FitMi Plus锻炼的人 将有显着更大的增加，在功能能力比个人谁不执行 在家庭治疗期间进行功能锻炼。如果成功，该项目将导致 商业化的，临床验证的家庭治疗工具，可以成为广泛采用， 实际练习，从而改善中风后的长期功能恢复。

Over 50% of the 700,000 individuals who survive a stroke each year have persistent movement impairments. Intensive rehabilitation could reduce their impairments, but access to such therapy is limited. Home therapy could supplement time with a therapist, but the current standard of care is simply providing individuals printed sheets of exercises, an approach that is not motivating and often not effective. Technological solutions do exist, but none provide an effective means for individuals to directly practice activities of daily living in a motivating way on their own at home. The goal of this Fast Track SBIR is to develop and test FitMi Plus, an improved version of Flint Rehab’s commercially successful FitMi system for motivating at-home therapeutic exercise. The original FitMi system consists of two wireless input devices called Pucks that each contain an array of sensors and connect to a software application that detects when simple exercises are completed. FitMi Plus will expand the capabilities of FitMi to detect the completion of activities of daily living by coupling common objects to the Pucks via distinct Functional Modules. This approach has the key advantage of allowing the most expensive and complex components of the system to be reused with each Functional Module, thus minimizing cost and maximizing system flexibility. We hypothesize that home therapy with FitMi Plus will be feasible for individuals with motor impairment due to stroke and more motivating and effective than the current standard of practice, printed sheets of exercises. The aims of this Fast Track project are to: 1) Establish the feasibility of FitMi Plus by pilot testing an initial set of 4 Functional Modules that can detect turning a doorknob, zipping a zipper, turning on a light switch, and pouring liquid into a glass; 2) Expand the library of Functional Modules based on feedback from PTs and OTs; and 3) Compare the efficacy of home- based functional training with FitMi Plus to non-functional exercise in a randomized controlled trial with individuals with chronic stroke. We hypothesize that individuals who exercise with FitMi Plus will have significantly greater increases in functional ability than individuals who do not perform functional exercises during their home therapy. If successful, this project will result in a commercially-ready, clinically validated home therapy tool that could become widely adopted in actual practice, thus improving long-term functional recovery after stroke.