Burdea Grigore C, Jain Abhishek, Rabin Bryan, Pellosie Richard, Golomb Meredith
Tele-Rehabilitation Institute, Rutgers University, Piscataway, NJ 08854, USA.
Annu Int Conf IEEE Eng Med Biol Soc. 2011;2011:1835-8. doi: 10.1109/IEMBS.2011.6090522.
Rehabilitation interventions for the hand have shown benefits for children with Hemiplegia due to cerebral palsy or traumatic brain injury. Longer interventions are facilitated if training is provided in the patient's home, due to easier access to care and reduced impact on school or work activities. Providing remote rehabilitation over lengthy periods of time has however its own challenges. This paper presents two pediatric patients with hemiplegia, who practiced virtual hand rehabilitation games using a modified PlayStation 3 and 5DT sensing gloves. Despite severe initial hand spasticity, and occasional technology shortcomings, the subjects practiced for about 14 months, and 6 months, respectively. Game performance data for the second patient is presented. Follow-up evaluations 14 months from the removal of the PlayStation 3 from the home of the child with cerebral palsy showed that the patient had good retention in terms of grasp strength, hand function and bone health. Challenges of long-term home tele-rehabilitation are also discussed.
针对因脑瘫或创伤性脑损伤导致偏瘫的儿童，手部康复干预已显示出益处。如果在患者家中提供训练，由于更容易获得护理且对学校或工作活动的影响较小，康复干预时间可以更长。然而，长时间提供远程康复也有其自身的挑战。本文介绍了两名偏瘫儿科患者，他们使用改良的PlayStation 3和5DT传感手套进行虚拟手部康复游戏。尽管最初手部痉挛严重，且偶尔存在技术缺陷，但两名患者分别进行了约14个月和6个月的训练。文中呈现了第二名患者的游戏表现数据。在患有脑瘫的儿童家中移除PlayStation 3 14个月后的随访评估显示，该患者在握力、手部功能和骨骼健康方面保持良好。本文还讨论了长期家庭远程康复的挑战。
