Sugarman Heidi, Dayan Ehud, Weisel-Eichler Aviva, Tiran Joseph
Ono Academic College, Kiryat Ono, Israel.
Cyberpsychol Behav. 2006 Apr;9(2):178-82. doi: 10.1089/cpb.2006.9.178.
Survivors of brain injury or stroke can improve movement ability with intensive, supervised practice. Since the hours of supervised therapy with a physical or occupational therapist are limited, telerehabilitation will enable patients to greatly expand the hours that they practice therapeutic exercises. The Jerusalem TeleRehabilitation System (JTRS) consists of patient and therapist systems plus a central server and database connected via the internet. The system can work in two modes: (1) a cooperative mode in which the therapist and patient are online at the same time, and (2) a stand-alone mode in which the patient uses the system on his own. In both cases, the system will monitor the status and progress of the patient and various parameters of his movement abilities, and prepare reports for the patient and for the therapist. From the clinic, the therapist will be able to change the screen seen by the patient and change the level and types of tasks, as needed. Compared to existing systems, our system will have the following advantages: (1) inexpensive and easy to use; (2) remote monitoring and control of the patient's computer by the therapist in the clinic; (3) more detailed analysis of patient status and progress; (4) a "smart" system which self-adapts to the patient's capabilities in real time, increasing or decreasing the difficulty of the exercise as needed; and (5) a central, international database which, by gathering data on many patients over time, will provide the basis for "smart" therapy and will also facilitate coordinated multicenter research studies.
脑损伤或中风幸存者可通过强化的、有监督的练习来提高运动能力。由于与物理治疗师或职业治疗师进行监督治疗的时间有限，远程康复将使患者能够大幅增加进行治疗性锻炼的时间。耶路撒冷远程康复系统（JTRS）由患者系统、治疗师系统以及通过互联网连接的中央服务器和数据库组成。该系统可在两种模式下工作：（1）协作模式，即治疗师和患者同时在线；（2）独立模式，即患者自行使用该系统。在这两种情况下，系统都会监测患者的状态和进展以及其运动能力的各种参数，并为患者和治疗师准备报告。在诊所里，治疗师能够根据需要更改患者看到的屏幕，并更改任务的级别和类型。与现有系统相比，我们的系统将具有以下优势：（1）价格低廉且易于使用；（2）诊所中的治疗师可对患者的计算机进行远程监控；（3）对患者状态和进展进行更详细的分析；（4）一个“智能”系统，可实时根据患者的能力进行自我调整，根据需要增加或降低锻炼难度；（5）一个中央国际数据库，随着时间的推移收集众多患者的数据，将为“智能”治疗提供基础，还将促进多中心协调研究。
