Deutsch Judith E, Lewis Jeffrey A, Burdea Grigore
Research in Virtual Environments and Rehabilitation Sciences Laboratory, in the School of Health Related Professions at the University of Medicine and Dentistry of New Jersey, Newark, NJ 07101, USA.
IEEE Trans Neural Syst Rehabil Eng. 2007 Mar;15(1):30-5. doi: 10.1109/TNSRE.2007.891384.
Telerehabilitation is the provision of rehabilitation services at a distance by a therapist at a remote location. Integration with virtual reality (VR) is a relatively new addition to this field. This paper describes the technical and patient performance of a telerehabilitation application the remote console (ReCon) that is integrated with a VR system. The VR system consists of the Rutgers Ankle prototype robot, a local PC which is connected with a remote PC connected over the Internet. Six individuals in the chronic phase poststroke participated in a four week training program. They used the robot to interact with two VR simulations, while the therapist was in the same room during the first three weeks or in another room during the fourth week. Technical and patient performance was assessed in the transition from the third to the fourth week of training. Technical performance of the system was assessed based on bandwidth and lag of message transmission, which were found to be suitable for clinic-to-clinic communication. Patient performance (in terms of accuracy of ankle movement, exercise duration and training efficiency, mechanical power of the ankle, and number of repetitions) did not decrease during telerehabilitation in the fourth week. These preliminary findings over a short telerehabilitation intervention support the feasibility of remote monitoring of VR-based telerehabilitation without adverse effects on patient performance.
远程康复是由位于远程地点的治疗师提供远程康复服务。与虚拟现实（VR）的整合是该领域相对较新的内容。本文描述了一种与VR系统整合的远程康复应用——远程控制台（ReCon）的技术和患者表现。VR系统由罗格斯踝关节原型机器人、一台本地个人电脑组成，该本地个人电脑与通过互联网连接的远程个人电脑相连。六名中风后慢性期患者参加了为期四周的训练项目。他们使用机器人与两个VR模拟进行交互，在前三周治疗师与患者在同一房间，第四周治疗师在另一个房间。在训练的第三周和第四周过渡期间评估技术和患者表现。基于消息传输的带宽和延迟评估系统的技术表现，结果发现其适用于诊所间通信。在第四周的远程康复期间，患者表现（在踝关节运动准确性、运动持续时间和训练效率、踝关节机械功率以及重复次数方面）并未下降。这些关于短期远程康复干预的初步发现支持了对基于VR的远程康复进行远程监测的可行性，且对患者表现没有不利影响。
