An Innovative Home Stroke Rehabilitation and Monitoring System

创新的家庭中风康复和监测系统

• 批准号: 7926283
• 负责人: JAY L. ALBERTS
• 金额: $ 274.6万
• 依托单位: KINETIC MUSCLES, INC.
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-06-01 至 2013-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7926283
• 关键词: Acceleration; Action Research; Activities of Daily Living; Address; Adoption; American; Art Therapy; Arts; Biomedical Research; Biomedical Technology; Caring; Cessation of life; Chronic; Clinic; Clinical; Clinical Trials; Communication; Communities; Cost Savings; Data; Databases; Development; Devices; Effectiveness; Enrollment; Fostering; Foundations; Frequencies; Funding; Future; Goals; Grant; Growth; Hand; Hand functions; Health; Healthcare Systems; Home environment; Human; Human Resources; Impairment; Injury; Investments; Kinetics; Limb structure; Link; Location; Marketing; Measures; Medical; Medical Device; Medical center; Methods; Modeling; Monitor; Motor; Movement; Muscle; Nature; Neurologic; Nursing Homes; Occupations; Online Systems; Outcome; Participant; Patient Monitoring; Patients; Protocols documentation; Public Health; Quality of life; Randomized; Randomized Controlled Trials; Rehabilitation device; Rehabilitation therapy; Research; Research Ethics Committees; Residual state; Resources; Retrieval; Robot; Robotics; Rural; Rural Community; Secure; Self-Administered; Services; Site; Staging; Stimulus; Stroke; Survivors; System; Technology; Telemedicine; Testing; Therapeutic Intervention; Time; Traumatic Brain Injury; Universities; Upper Extremity; Wolves; arm; base; care delivery; clinical research site; cost; design; economic value; evidence base; experience; functional improvement; group intervention; health care delivery; health care quality; health related quality of life; improved; innovation; metropolitan; monitoring device; motor impairment; nervous system disorder; new technology; novel; post stroke; primary outcome; programs; prospective; public health relevance; research and development; response; robot assistance; robotic device; secondary outcome; stroke recovery; stroke rehabilitation; stroke therapy; telehealth; telerehabilitation; treatment effect; underserved rural area; user-friendly; volunteer; web site

DESCRIPTION (provided by applicant): This proposal demonstrates a novel healthcare delivery system that has the potential to significantly advance stroke rehabilitation monitoring and therapy. The broad, long-term objective is to provide accessible, affordable stroke care for people in rural and underserved areas. A major public health issue is the variability in the quality and quantity of treatment that stroke survivors receive based on their proximity to major metropolitan medical centers. This proposal evaluates a system of stroke patient monitoring and delivery of state-of-the-art stroke therapy for that is accessible for rural residents. This comprehensive rehabilitation delivery system utilizes Web-based platforms for storage and retrieval of patient information in conjunction with easy-to-use robot therapy devices that can be remotely monitored. Collected data are automatically entered into the system and sent to a data center (transparent to the user), where the information is monitored by a clinician through a secure website. To demonstrate the functionality of the system, an existing user-friendly home-compatible stroke therapy robotic device is utilized. A randomized, controlled, multisite clinical trial is designed to evaluate this combination of controlled rehabilitation therapy for stroke survivors with telehealth components. The model can be generalized in the future with the use of other home-based therapy and monitoring devices as needed for a specific patient. Fostering effective home treatments through the use of these devices will help determine the difference between functional independence and nursing home placement. The clinical trial will enroll 96 stroke patients and treat them at home for three months. These important considerations combine contemporary technology for service delivery and the potential for cost-savings. In a relatively short time, these advances will have a major beneficial impact on the delivery of stroke therapy to millions of rural stroke survivors. Kinetic Muscles, Inc. is an emerging company developing state-of-the-art therapy devices to fundamentally improve rehabilitation for people with neurologic injury such as stroke or traumatic brain injury (TBI). As an early stage medical device company, we regularly seek private funding to support growth objectives. Funding of this proposal would not only allow KMI to retain and add four full-time research and development personnel but would also facilitate additional funding from the private investment community to accelerate market deployment of innovative telerehabilitation therapy. This strategy has the realistic capability to provide a new level of accessible, affordable rehabilitative care for stroke patients. It is estimated that this current proposal will also create or retain four jobs between the Cleveland Clinic and Emory University. PUBLIC HEALTH RELEVANCE: The purpose of this research is to evaluate a therapy delivery system for stroke patients that provide accessible, affordable stroke care. User-friendly home therapy robots and a telerehabilitation system are combined to monitor and provide therapy that is accessible for patients in rural and underserved locations.

描述（由申请人提供）：该提案展示了一种新型的医疗保健提供系统，有可能大大提高中风康复监测和治疗。广泛的长期目标是为农村和服务不足的地区的人们提供可访问的，负担得起的中风护理。一个主要的公共卫生问题是，中风幸存者基于其与主要大都市医疗中心的质量和数量的质量和数量。该提案评估了中风患者监测和最先进的中风治疗的系统，这对于农村居民来说是可以使用的。这个全面的康复输送系统利用基于Web的平台与可以远程监控的易于使用的机器人治疗设备一起存储和检索患者信息。收集的数据将自动输入系统并发送到数据中心（透明到用户），在该中心，该信息由临床医生通过安全网站监视信息。为了证明系统的功能，使用了现有的用户友好的家庭中风疗法机器人设备。一项随机，受控的多站点临床试验旨在评估与远程医疗组件的中风幸存者受控康复疗法的组合。该模型将来可以通过特定患者的其他基于家庭的治疗和监测设备的使用来推广。通过使用这些设备来促进有效的家庭治疗将有助于确定功能独立性和疗养院安置之间的差异。临床试验将招募96名中风患者，并在家中治疗三个月。这些重要的考虑因素结合了当代技术的服务提供和节省成本的潜力。在相对较短的时间内，这些进步将对数百万乡村中风幸存者的中风疗法产生重大的有益影响。 Kinetic Muscles，Inc。是一家新兴公司，开发了最先进的治疗装置，可从根本上改善中风或创伤性脑损伤（TBI）的神经系统损伤患者的康复。作为一家早期医疗设备公司，我们定期寻求私人资金来支持增长目标。该提案的资金不仅允许KMI保留并增加四名全日制研发人员，而且还将促进私人投资界的额外资金，以加速市场部署创新的远程居住疗法。该策略具有现实的能力，可以为中风患者提供新的可访问，负担得起的康复护理。据估计，当前的提案还将在克利夫兰诊所和埃默里大学之间创造或保留四个工作。 公共卫生相关性：这项研究的目的是评估中风患者的治疗递送系统，以提供可及可及性的中风护理。将用户友好的家庭治疗机器人和远程居民系统组合在一起，以监测和提供治疗，可用于农村和服务不足的患者可以使用的治疗。