Integrative rehabilitation of residents chronic post-stroke in skilled nursing facilities: the design and evaluation of the BrightArm Duo
| Autor: | Grigore C. Burdea, J. Kim, Namrata Grampurohit, Gregory House, Jasdeep Hundal, S. Keeler, Frank Damiani, Kevin Polistico, Doru Roll, Simcha Pollack |
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| Rok vydání: | 2015 |
| Předmět: |
Male
030506 rehabilitation medicine.medical_specialty medicine.medical_treatment Emotions Biomedical Engineering Physical Therapy Sports Therapy and Rehabilitation Shoulder movement Skilled Nursing Wrist Upper Extremity 03 medical and health sciences Speech and Hearing Cognition 0302 clinical medicine Physical medicine and rehabilitation medicine Humans Orthopedics and Sports Medicine Muscle Strength Range of Motion Articular Stroke Physical Therapy Modalities Aged Skilled Nursing Facilities Aged 80 and over Rehabilitation Depression business.industry GRASP Stroke Rehabilitation Middle Aged medicine.disease medicine.anatomical_structure Video Games Post stroke Physical therapy Female 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Disability and Rehabilitation: Assistive Technology. 11:683-694 |
| ISSN: | 1748-3115 1748-3107 |
| Popis: | To describe the novel BrightArm Duo bimanual upper extremity (UE) rehabilitation system; to determine its technology acceptance and clinical benefit for older hemiplegic participants.The system table tilted to adjust arm gravity loading. Participants wore arm supports that sensed grasp strength and wrist position on the table. Wrist weights further increased shoulder exertion. Games were designed to improve UE strength, motor function, cognition and emotive state and adapted automatically to each participant. The system underwent feasibility trials spanning 8 weeks in two skilled nursing facilities (SNFs). Participants were evaluated pre-therapy and post-therapy using standardized clinical measures. Computerized measures of supported arm reach, table tilt and number of arm repetitions were stored on a remote server.Seven participants had significant improvements in their active range of shoulder movement, supported arm reach, shoulder strength, grasp strength and their ability to focus. The group demonstrated higher arm function measured with FMA (p = 0.01) and CAHAI (p = 0.05), and had an improvement in depression (Becks Depression Inventory, II). BrightArm Duo technology was well accepted by participants with a rating of 4.4 out of 5 points.Given these findings, it will be beneficial to evaluate the BrightArm Duo application in SNF maintenance programs. Implications for Rehabilitation Integrative rehabilitation that addresses both physical and cognitive domains is promising for post-stroke maintenance in skilled nursing facilities. Simultaneous bilateral arm exercise may improve arm function in older hemiplegic patients several years after stroke. Virtual reality games that adapt to the patient can increase attention and working memory while decreasing depression in elderly. |
| Databáze: | OpenAIRE |
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