Virtual Occupational Therapy Assistant (VOTA)

虚拟职业治疗助理（VOTA）

• 批准号: 8313023
• 负责人: Richard J. Adams
• 金额: $ 19.88万
• 依托单位: BARRON ASSOCIATES, INC.
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-05-01 至 2014-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8313023
• 关键词: Activities of Daily Living; Address; Affect; Area; Articular Range of Motion; Automation; Awareness; Client; Clinical; Clinics and Hospitals; Cognitive; Communication; Computer Peripherals; Computer software; Continuity of Patient Care; Correlation Studies; Data; Development; Dimensions; Discipline of Nursing; Eating; Effectiveness; Elements; Environment; Exercise; Family; Fire - disasters; Foundations; Friends; Goals; Health; Health Professional; Healthcare; Home environment; Hospital Design; Human; Hygiene; Imagery; Individual; Internet; Intervention; Island; Marketing; Measures; Medication Management; Memory; Metric; Monitor; Motion; Motor; Occupational Therapy; Online Systems; Outcome; Outpatients; Participant; Patients; Performance; Peripheral; Personal Computers; Phase; Phase II Clinical Trials; Pilot Projects; Population; Preparation; Problem Solving; Protocols documentation; Provider; Public Health; Recovery; Rehabilitation Outcome; Rehabilitation therapy; Rewards; Safety; Sales; Services; Solid; Sterile coverings; Stroke; System; Technology; Telephone; Testing; Time; Training; Travel; United States; Universities; Update; Upper Extremity; Virginia; Voice; Wolves; Work; base; care delivery; computer generated; cost; cost effective; cost effectiveness; design; effectiveness trial; experience; flexibility; functional status; improved; kinematics; knowledge base; medical schools; mental imagery; programs; prototype; rehearsal; stroke rehabilitation; success; telerehabilitation; treatment planning; treatment program; usability; virtual; virtual reality

DESCRIPTION (provided by applicant): The Virtual Occupational Therapy Assistant (VOTA) leverages advances in human motion tracking, multi-user virtual environments, and Voice over Internet Protocol (VoIP) technology to provide cost effective clinical rehabilitation and teletherapy options for the approximately three quarters of a million individuals in the United States affected by stroke each year. The system, consisting of web browser-based software and a desktop USB computer peripheral, will enable patients to practice activities of daily living (ADLs) as part of an in-patient, skilled nursing, outpatient, or home health treatment program. At the core of the proposed application is a high-fidelity computer-generated environment in which a patient's real-world upper extremity (UE) pose is mirrored by their virtual character. In both therapist-supervised and independent practice, a desktop motion tracking system will permit realistic interactions in scenarios spanning personal hygiene, dressing, eating, meal preparation, shopping, laundry, cleaning, telephone use, medication management, fire safety, and dangerous situation awareness. In home health usage, the system will permit the therapist to work with a remotely located patient, promoting continuity of care and saving travel-associated time and cost. Problem to be addressed: By enabling at-home practice of virtual ADLs and remote interaction between therapist and patient, VOTA addresses critical challenges of (1) reducing cost through elimination of the time and expense associated with patient/therapist travel; (2) increasing access to remote and underserved areas; (3) enhancing cortical reorganization through physical practice and mental imagery. Long-Term Goal: Improve stroke rehabilitation outcomes through effective and efficient delivery of care. Phase I Summary: Barron Associates, in partnership with the University of Virginia (UVA) School of Medicine, UVA-HealthSouth Rehabilitation Hospital, and Designing Digitally, Inc., will develop and test a prototype desktop UE motion tracking USB computer peripheral and web-based virtual worlds application software based on ecologically valid environments and activities on an "OT Island." Design efforts will focus on system usability and the experience of providers and patients. In the latter half of the effort, UVA-HealthSouth therapists will conduct a pilot study to assess the correlation of VOTA-derived performance scores to clinically accepted measures of ADL functionality as well as system usability/likelihood of use by patients. These efforts will providea solid basis of knowledge for subsequent Phase II design of the VOTA commercial product and human participant trials of the effectiveness of VOTA therapy in both clinical and home health settings. Commercial Opportunity: Participation by HealthSouth, the nation's largest provider of rehabilitative healthcare services, provides a springboard for the introduction of subscription-based access to web-based VOTA software and sale of the desktop UE motion tracking computer peripheral. PUBLIC HEALTH RELEVANCE: The Virtual Occupational Therapy Assistant (VOTA) is a virtual reality-based telerehabilitation system enabling functional practice of activities of daily living through a conventional web browser and a desktop motion tracking USB computer peripheral. Proposed development addresses important public health concerns by (1) enabling remote interaction between patient and therapist during online functional training; (2) reducing cost through elimination of the time and expense associated with patient/therapist travel; (3) increasing access to remote and underserved areas; (4) enhancing cortical reorganization through physical practice and mental imagery; and (5) providing reliable tracking mechanisms for patient activity and functional status.

描述（由申请人提供）：虚拟职业治疗助理 (VOTA) 利用人体运动跟踪、多用户虚拟环境和互联网协议语音 (VoIP) 技术方面的进步，为大约三个人提供具有成本效益的临床康复和远程治疗选项。在美国，每年有四分之一的人受到中风的影响。该系统由基于网络浏览器的软件和桌面 USB 计算机外围设备组成，将使患者能够练习日常生活活动 (ADL)，作为住院患者、熟练护理人员、门诊患者或家庭健康治疗计划的一部分。所提出的应用程序的核心是高保真计算机生成的环境，在该环境中，患者的虚拟角色反映了患者真实世界的上肢 (UE) 姿势。在治疗师监督和独立实践中，桌面运动跟踪系统将允许在个人卫生、穿衣、饮食、备餐、购物、洗衣、清洁、电话使用、药物管理、消防安全和危险情况意识等场景中进行真实的交互。在家庭健康使用中，该系统将允许治疗师与远程患者一起工作，促进护理的连续性并节省与旅行相关的时间和成本。要解决的问题：通过实现虚拟 ADL 的在家练习以及治疗师和患者之间的远程互动，VOTA 解决了以下关键挑战：(1) 通过消除与患者/治疗师旅行相关的时间和费用来降低成本； (2) 增加进入偏远和服务欠缺地区的机会； (3)通过身体练习和心理意象增强皮质重组。长期目标：通过有效和高效的护理提供改善中风康复结果。第一阶段总结：Barron Associates 与弗吉尼亚大学 (UVA) 医学院、UVA-HealthSouth 康复医院和 Designing Digitally, Inc. 合作，将开发和测试桌面 UE 运动跟踪 USB 计算机外设和网络原型原型。基于“OT 岛”上的生态有效环境和活动的虚拟世界应用软件。设计工作将侧重于系统可用性以及提供者和患者的体验。在工作的后半部分，UVA-HealthSouth 治疗师将进行一项试点研究，以评估 VOTA 衍生的表现评分与临床公认的 ADL 功能指标以及系统可用性/患者使用可能性的相关性。这些努力将为后续 VOTA 商业产品的 II 期设计以及 VOTA 疗法在临床和家庭健康环境中有效性的人体参与者试验提供坚实的知识基础。商业机会：美国最大的康复医疗服务提供商 HealthSouth 的参与，为引入基于网络的 VOTA 软件的订阅访问和桌面 UE 运动跟踪计算机外围设备的销售提供了一个跳板。 公共健康相关性：虚拟职业治疗助理 (VOTA) 是一种基于虚拟现实的远程康复系统，可实现日常活动的功能练习 通过传统的网络浏览器和桌面运动跟踪 USB 计算机外围设备来生活。拟议的开发通过以下方式解决重要的公共卫生问题：（1）在在线功能训练期间实现患者和治疗师之间的远程互动； (2) 通过消除与患者/治疗师旅行相关的时间和费用来降低成本； (3) 增加偏远和服务欠缺地区的准入； (4)通过身体练习和心理意象增强皮质重组； (5) 为患者活动和功能状态提供可靠的跟踪机制。

项目成果

Behavioral intention to use a virtual instrumental activities of daily living system among people with stroke.

中风患者日常生活系统中使用虚拟仪器活动的行为意图。

• 发表时间: 2015
• 作者: Ellington, Allison;Adams, Richard;White, Marga;Diamond, Paul
• 通讯作者: Diamond, Paul

Assessing upper extremity motor function in practice of virtual activities of daily living.

在日常生活虚拟活动的实践中评估上肢运动功能。

• 发表时间: 2015-03
• 作者: Adams, Richard J;Lichter, Matthew D;Krepkovich, Eileen T;Ellington, Allison;White, Marga;Diamond, Paul T
• 通讯作者: Diamond, Paul T