Rehabilitation Engagement at Home with a socially Assistive roBot for Pediatric Adherence (REHAB-PAL)

使用社交辅助机器人在家进行儿科依从性康复 (REHAB-PAL)

• 批准号: 10325476
• 负责人: Leonard Eusebi
• 金额: $ 25.96万
• 依托单位: CHARLES RIVER ANALYTICS, INC.
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-23 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10325476
• 关键词: Address; Adherence; Artificial Intelligence; Balance training; Behavioral; Caregivers; Caring; Cerebral Palsy; Child; Childhood; Clinic; Clinic Visits; Clinical; Companions; Computer software; Contracts; Equilibrium; Evaluation; Exercise; Feedback; Gait; Government; Healthcare; Home; Hospitals; Human; Institutional Review Boards; Libraries; Licensing; Measures; Monitor; Motivation; Movement; Outcome; Paper; Patient Monitoring; Patient Self-Report; Patients; Performance; Persons; Phase; Physical Rehabilitation; Physical therapy; Prevalence; Progress Reports; Proxy; Regimen; Rehabilitation therapy; Research; Rivers; Robot; Role; Small Business Innovation Research Grant; Social Behavior; Testing; Therapeutic; Time; Treatment Efficacy; United States; Video Games; Weight; animation; base; commercialization; design; disability; dosage; flexibility; gait rehabilitation; home test; improved; individual patient; innovation; motor disorder; patient home care; pediatric patients; peer; prototype; response; social; social assistive robot; success; tool; virtual; visual motor

Project Summary/Abstract Cerebral Palsy (CP) is the most common motor disorder and cause of disability in children, with a prevalence of roughly half a million children in the United States. Nearly all children with CP undergo physical therapy to improve gait, strength, balance, or flexibility. This therapy depends on dosage far in excess of available clinical session time, making adherence to an at-home therapy regimen critical to success. As therapy may be difficult, repetitive, or just not fun, maintaining engagement, adherence, and exercise relevance and quality in pediatric rehabilitation patients are critical barriers to an effective at-home rehabilitative physical therapy regimen. To promote engagement and adherence, a solution must be attractive and fun, build rapport with the patient, and promote focus within a session as well as longitudinal motivation. Active video games have proven to be an improvement over typical practice but leave room for innovation; recent research suggests a promising complementary approach based on an artificially intelligent, physically embodied social agent. By activating humans’ natural social responses, socially assistive robots have been shown to enhance engagement and adherence in related settings. Charles River Analytics and our partners at Spaulding Rehabilitation Hospital propose a Phase I SBIR to prototype and demonstrate the feasibility of “Rehabilitation Engagement at Home with a socially Assistive roBot for Pediatric Adherence” (REHAB-PAL). REHAB-PAL is a socially assistive robot for children undergoing rehabilitative physical therapy that provides companionship and engagement during therapy. REHAB-PAL improves adherence to the home-care regimen by encouraging the prescribed therapeutic exercises with fun and supportive interaction. To rigorously isolate its effects, we will compare the robot to a behaviorally analogous screen-based virtual agent. We will prototype and demonstrate REHAB-PAL’s feasibility via three Specific Aims: (1) Design and develop socially assistive application software for a commercially available small humanoid robot and a screen-based virtual agent. (2) Integrate with a visuo-motor integration task. (3) Evaluate clinical suitability of REHAB-PAL for gait and balance training in children with CP. Ultimately, we aim to show that REHAB-PAL offers patients an engaging and encouraging companion throughout a potentially dreary treatment, while offering clinicians a superior tool to keep pediatric patients motivated and focused on their treatment and a valuable proxy to provide continuity, consistency and monitoring during home care. By enhancing the efficacy of therapeutic dosage outside the clinic, REHAB-PAL has the potential to extend and improve care, with less frequent clinic visits and improved adherence.

项目概要/摘要 脑瘫（CP）是儿童最常见的运动障碍和残疾原因，患病率很高 美国大约有 50 万儿童，几乎所有患有脑瘫的儿童都接受了物理治疗。 改善步态、力量、平衡或灵活性。这种疗法取决于远远超过临床可用的剂量。 由于治疗可能很困难，因此坚持家庭治疗方案对于成功至关重要。 重复性的，或者只是不有趣的，保持儿科的参与、坚持和运动的相关性和质量 康复患者是有效的家庭康复物理治疗方案的关键障碍。 为了促进参与和坚持，解决方案必须有吸引力且有趣，与患者建立融洽的关系， 事实证明，活跃的视频游戏可以促进会议中的注意力和纵向动机。 对典型实践的改进，但为创新留有空间；最近的研究表明，这是一种有前途的方法； 基于人工智能、物理体现的社交代理的补充方法通过激活。 人类自然的社交反应、社交辅助机器人已被证明可以增强参与度和 遵守相关设置。 Charles River Analytics 和我们在斯波尔丁康复医院的合作伙伴提出了第一阶段 SBIR 原型并展示“使用社交辅助机器人在家进行康复参与”的可行性 for Pediatric Adherence”（REHAB-PAL）是一款针对儿童的社交辅助机器人。 康复物理治疗，在治疗期间提供陪伴和参与。 通过鼓励有趣的规定治疗练习来提高对家庭护理方案的依从性 为了严格隔离其影响，我们将机器人与行为类似的机器人进行比较。 基于屏幕的虚拟代理。 我们将通过三个具体目标进行原型设计并演示 REHAB-PAL 的可行性：(1) 设计和开发 用于市售小型人形机器人和基于屏幕的社交辅助应用软件 (2) 与视觉运动整合任务集成。 (3) 评估 REHAB-PAL 的临床适用性。 脑瘫儿童的步态和平衡训练。 最终，我们的目标是向患者展示 REHAB-PAL 为患者提供一个有吸引力且令人鼓舞的伴侣 整个可能沉闷的治疗过程，同时提供了一个更好的工具来保持儿科患者的健康 积极主动并专注于他们的治疗，是提供连续性、一致性和监测的宝贵代理 通过增强诊所外治疗剂量的功效，REHAB-PAL 具有以下特点： 扩大和改善护理的潜力，减少就诊频率并提高依从性。