RehabTouch: A mixed-reality gym for rehabilitating the hands, arms, trunk, and legs after stroke

RehabTouch：混合现实健身房，用于中风后手、手臂、躯干和腿的康复

• 批准号: 9409324
• 负责人: Justin Rowe
• 金额: $ 77.55万
• 依托单位: FLINT REHABILITATION DEVICES
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-15 至 2019-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9409324
• 关键词: Activities of Daily Living; Adopted; Adoption; Books; Cardiopulmonary; Chronic; Clinical; Communities; Complex; Computer software; Computers; Data; Dose; Effectiveness; Ensure; Event; Exercise; Feedback; Goals; Grant; Hand; Home environment; Impairment; Individual; Interview; Leg; Libraries; Life; Limb structure; Living Standards; Location; Measures; Monitor; Motivation; Movement; Nervous System Trauma; Outcome; Outcome Measure; Pain; Participant; Pathway interactions; Patients; Phase; Population; Process; Public Health; Randomized Controlled Trials; Rehabilitation Centers; Rehabilitation therapy; Reporting; Research; Rotation; Safety; Shoulder; Small Business Innovation Research Grant; Societies; Spastic; Specific qualifier value; Stroke; Structure; System; Technology; Testing; Time; Touch sensation; Training; Translations; Upper Extremity; Wireless Technology; Work; arm; base; cognitive ability; conventional therapy; cost; disability; exercise intensity; exercise regimen; exercise rehabilitation; experience; fitness; follow-up; haptics; improved; input device; motor function improvement; motor impairment; movement practice; patient home care; post stroke; programs; prototype; rehabilitation technology; sensor; spasticity; standard of care; stroke rehabilitation; subluxation; tool; vibration

Over 50% of the 700,000 individuals who survive a stroke each year have persistent movement impairments. Intensive rehabilitation could reduce their impairments, but access to such therapy is limited. Home therapy could supplement time with a therapist, but the current standard of care is simply providing individuals printed sheets of exercises, an approach that is not motivating and often not effective. Technological solutions do exist, but they are either too expensive or are only intended to treat a small subset of the broad range of movement impairments individuals with stroke experience, which has limited their wide spread adoption. The goal of this Phase II SBIR is to develop and test RehabTouch, a mixed-reality gym for motivating and monitoring hand, arm, trunk, and leg exercises after stroke. RehabTouch is an affordable rehabilitation tool consisting of two wireless input devices called pucks that each contain an array of sensors. The pucks connect to a software application that can direct users to perform exercises that are appropriate for their specific impairments and then detect when repetitions of those exercises are completed. We have shown that RehabTouch can detect the completion of 40 different exercises, and that individuals with even severe motor impairment after stroke are able to complete hundreds of repetitions with RehabTouch and find the system to be motivating, valuable, and easy to use. We thus hypothesize that home therapy with RehabTouch will be feasible for individuals with a broad range of impairments, and more motivating and effective than the current standard of practice, printed sheets of exercises. The aims of this Phase II grant are to: 1) Implement a comprehensive library of hand, arm, trunk, and leg exercises appropriate for individuals with mild, moderate, and severe motor impairments by partnering with experienced PTs and OTs; 2) Develop a data-driven exercise personalization system for RehabTouch that recommends appropriate exercises and intensity levels for individual users; and 3) Determine the safety and effectiveness of home-based movement training with RehabTouch for improving motor function in a randomized controlled trial with individuals with subacute stroke (N = 50). We hypothesize that individuals who exercise with RehabTouch will exercise for a longer duration, and have significantly greater increases in Fugl- Meyer score and other impairment- and function-related outcomes than individuals who perform conventional therapy. We will also analyze the data from this study to determine if RehabTouch is appropriate for individuals with a broad range of impairments. If successful, this project will result in a commercially-ready, clinically validated home therapy tool that could become widely adopted in actual practice, thus reducing long term movement impairments after stroke.

每年 700,000 名中风幸存者中，超过 50% 患有持续性运动 损伤。强化康复可以减少他们的损伤，但获得这种治疗的机会 有限的。家庭治疗可以补充治疗师的时间，但目前的护理标准是 简单地为个人提供打印的练习单，这种方法没有激励作用，而且 往往没有效果。技术解决方案确实存在，但它们要么太昂贵，要么只是 旨在治疗广泛的运动障碍患者中的​​一小部分 中风的经验限制了其广泛采用。第二阶段 SBIR 的目标是 开发和测试 RehabTouch，这是一个混合现实健身房，用于激励和监控手部、手臂、 中风后的躯干和腿部锻炼。 RehabTouch 是一种经济实惠的康复工具，包括 两个称为冰球的无线输入设备，每个设备都包含一组传感器。冰球连接起来 一个软件应用程序可以指导用户进行适合他们的练习 特定的损伤，然后检测这些练习的重复何时完成。我们有 表明 RehabTouch 可以检测 40 种不同练习的完成情况，并且个人 中风后即使有严重的运动障碍，也能够完成数百次重复 RehabTouch 发现该系统具有激励性、有价值且易于使用。因此我们假设 RehabTouch 的家庭治疗对于患有多种疾病的个人来说是可行的 损伤，并且比当前的实践标准更具激励性和有效性，印刷 练习表。第二阶段拨款的目的是： 1) 建立一个综合图书馆 适合轻度、中度和重度患者的手、手臂、躯干和腿部锻炼 通过与经验丰富的 PT 和 OT 合作来治疗运动障碍； 2）制定数据驱动的练习 RehabTouch 个性化系统，建议适当的锻炼和强度 个人用户级别； 3) 确定居家治疗的安全性和有效性 在随机对照试验中使用 RehabTouch 进​​行运动训练以改善运动功能 亚急性中风患者 (N = 50)。我们假设锻炼的人 RehabTouch 将锻炼更长时间，并且 Fugl- 的增加显着更大 与执行者相比，迈耶评分和其他损伤和功能相关结果 常规疗法。我们还将分析本研究的数据，以确定 RehabTouch 是否 适用于患有多种障碍的个人。如果成功，该项目将带来 一种商业化、经过临床验证的家庭治疗工具，可能会被广泛采用 实际练习，从而减少中风后的长期运动障碍。