Integrative rehabilitation of elderly stroke survivors: The design and evaluation of the BrightArm™
| Autor: | Grigore C. Burdea, Jasdeep Hundal, Frank Damiani, Bryan A. Rabin, Simcha Pollack, Doru Roll |
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| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Engineering medicine.medical_treatment Biomedical Engineering Physical Therapy Sports Therapy and Rehabilitation Hemiplegia Article Speech and Hearing Physical medicine and rehabilitation Cognition Hand strength medicine Humans Orthopedics and Sports Medicine Stroke survivor Stroke Aged Aged 80 and over Rehabilitation Hand Strength business.industry GRASP Stroke Rehabilitation Reproducibility of Results Equipment Design Robotics Middle Aged medicine.disease Personal computer Physical therapy Arm Feasibility Studies Female business Psychosocial |
| Popis: | To describe the development of the BrightArm upper extremity rehabilitation system, and to determine its clinical feasibility with older hemiplegic patients.The BrightArm adjusted arm gravity loading through table tilting. Patients wore an arm support that sensed grasp strength and communicated wirelessly with a personal computer. Games were written to improve cognitive, psychosocial and the upper extremity motor function and adapted automatically to each patient. The system underwent feasibility trials spanning 6 weeks. Participants were evaluated pre-therapy, post-therapy, and at 6 weeks follow-up using standardized clinical measures. Computerized measures of supported arm reach and game performance were stored on a remote server.Five participants had clinically significant improvements in their active range of shoulder movement, shoulder strength, grasp strength, and their ability to focus. Several participants demonstrated substantially higher arm function (measured with the Fugl-Meyer test) and two were less-depressed (measured with the Becks Depression Inventory, Second Edition). The BrightArm technology was well-accepted by the participants, who gave it an overall subjective rating of 4.1 on a 5 point Likert scale.Given these preliminary findings, it will be beneficial to evaluate the BrightArm through controlled clinical trials and to investigate its application to other clinical populations. |
| Databáze: | OpenAIRE |
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