Knee-Biofeedback Rehabilitation Interface for Game-based Home Therapy (KneeBRIGHT)

用于基于游戏的家庭治疗的膝关节生物反馈康复接口 (KneeBRIGHT)

• 批准号: 8978103
• 负责人: Eileen T. Krepkovich
• 金额: $ 22.49万
• 依托单位: BARRON ASSOCIATES, INC.
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-01 至 2017-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8978103
• 关键词: Address; Adherence; Area; Award; Biofeedback; Clinic; Clinical; Computer software; Cost Control; Degenerative polyarthritis; Development; Disease; Electrodes; Electromyography; Environment; Evaluation; Evidence based practice; Exercise; Exhibits; Feedback; Foundations; Generations; Goals; Health Care Costs; Health Services Accessibility; Home environment; Individual; Knee; Knee Osteoarthritis; Laboratories; Left; Medical; Motivation; Muscle; Outcome; Pain; Patients; Performance; Phase; Physical Function; Pilot Projects; Play; Population; Protocols documentation; Public Health; Quality of life; Questionnaires; Recovery of Function; Rehabilitation Centers; Rehabilitation Outcome; Rehabilitation therapy; Research; Resistance; Small Business Technology Transfer Research; Symptoms; System; Technology; Testing; Time; Training; Universities; Video Games; Virginia; Wireless Technology; arthropathies; base; care delivery; clinical efficacy; compliance behavior; cost; disability; experience; functional improvement; functional status; improved; innovation; pressure; programs; prototype; public health relevance; quadriceps muscle; sensor; success; tool; usability

 DESCRIPTION (provided by applicant): The Knee Biofeedback Rehabilitation Interface for Game-based Home Therapy ("KneeBRIGHT") system combines electromyography (EMG) biofeedback with video game therapy (VGT) to provide knee osteoarthritis (OA) patients with an engaging, effective tool for conducting rehabilitation exercises at home. KneeBRIGHT aims to motivate patients with knee OA to conduct regular muscle strengthening exercise through an engaging, EMG-driven video game therapy. The system combines wireless EMG electrodes that are convenient for patients to use in a home setting with software that provides automated guidance through targeted and progressive exercise routines. Importantly, these exercises are presented to the patient in the form of fun and engaging games to promote a positive experience and encourage continued adherence. Problem to be Addressed: OA is the leading cause of disability in the U.S. Rehabilitation through quadriceps strengthening is a well-established treatment for patients with OA of the knee, but necessities of cost containment and lack of access to rehabilitation centers result in many patients being advised to perform these exercises at home. When left unsupervised, patients are faced with two challenges: (1) lack of guidance of trained clinicians who, in the clinic, optimally adjust protocols and resistance levels for functional improvement, and (2) lack of engagement during repetitive exercises that most individuals find boring. Long-Term Goal: Improve knee OA rehabilitation outcomes through effective and efficient delivery of care. Phase I Hypotheses: The STTR Phase I program will test the hypotheses that patients performing exercise routines using KneeBRIGHT will: (1) achieve equivalent muscle activations compared to a conventional EMG biofeedback system; and (2) exhibit increased engagement compared to the conventional system. Phase I Summary: Barron Associates, Inc. (award-winning innovators in video game therapy) has partnered with the University of Virginia for this STTR Phase I program to demonstrate feasibility and usability of the KneeBRIGHT system. The specific objectives of the Phase I program are to: (1) develop the Phase I prototype KneeBRIGHT EMG modules; (2) develop the Phase I KneeBRIGHT game software; (3) perform pilot testing of muscle activation and engagement levels (when compared to a conventional system) with knee OA patients in a laboratory environment; and (4) analyze the results of the pilot study. Successful prototype development along with the pilot study in Phase I will lay the foundation for the Phase II effort, which will include development of a commercial product including an interactive patient-clinician interface and formal evaluation of the KneeBRIGHT system's efficacy for improving adherence and clinical outcomes. Impact: The system will have a significant overall impact on public health by increasing patient adherence to home exercise routines and thereby reducing pain symptoms, restoring physical function, and ultimately improving quality of life for patients with knee OA.

 描述（由申请人提供）：用于基于游戏的家庭治疗的膝关节生物反馈康复接口（“KneeBRIGHT”）系统将肌电图（EMG）生物反馈与视频游戏疗法（VGT）相结合，为膝骨关节炎（OA）患者提供引人入胜的有效治疗KneeBRIGHT 旨在通过一种引人入胜的、肌电图驱动的视频游戏疗法，激励膝关节骨关节炎患者进行定期的肌肉强化锻炼。方便患者在家庭环境中使用的肌电图电极，软件可通过有针对性的渐进式锻炼程序提供自动指导。重要的是，这些练习以有趣且引人入胜的游戏形式呈现给患者，以促进积极的体验并鼓励患者。需要解决的问题：骨关节炎是美国残疾的主要原因。通过股四头肌强化进行康复是膝骨关节炎患者的一种行之有效的治疗方法，但需要控制成本且无法进入康复中心。结果，许多患者被建议在家中进行这些练习，如果无人监督，患者将面临两个挑战：（1）缺乏训练有素的人群的指导，他们在诊所中可以最佳地调整方案和阻力水平。 功能改善，以及（2）大多数人认为无聊的重复练习缺乏参与。 长期目标：通过有效和高效的护理来改善膝关节骨关节炎的康复结果：STTR 第一阶段计划将测试假设使用 KneeBRIGHT 进行锻炼的患者将：(1) 与传统的肌电图生物反馈系统相比，实现同等的肌肉激活；(2) 与传统的系统相比，表现出更高的参与度。 （视频游戏治疗领域屡获殊荣的创新者）与弗吉尼亚大学合作开展 STTR 第一阶段计划，以展示 KneeBRIGHT 系统的可行性和可用性。第一阶段计划的具体目标是：(1) 开发第一阶段。我制作 KneeBRIGHT EMG 模块；(2) 开发第一阶段 KneeBRIGHT 游戏软件；(3) 在实验室环境中对膝关节 OA 患者进行肌肉激活和参与水平的试点测试；分析试点研究的成功原型开发以及第一阶段的试点研究将为第二阶段的工作奠定基础，其中包括开发包含交互式患者-临床医生界面的商业产品以及对 KneeBRIGHT 系统的正式评估。改善依从性和临床结果的功效：该系统将通过提高患者对家庭锻炼的依从性，从而减少疼痛症状，恢复身体功能，并最终改善膝骨关节炎患者的生活质量，从而对公共健康产生重大的整体影响。 。