Faria Carlos, Silva Jorge, Campilho Aurélio
INEB - Biomedical Engineering Institute, University of Porto , Porto , Portugal .
Disabil Rehabil Assist Technol. 2015 Jan;10(1):67-74. doi: 10.3109/17483107.2013.839749. Epub 2013 Sep 26.
This paper presents the Rehab@home system, a tool specifically developed for helping neurological patients performing rehabilitation exercises at home, without the presence of a physiotherapist. It is centred on the rehabilitation of balance and on the sit-to-stand (STS) movement.
Rehab@home is composed of two Wii balance boards, a webcam and a computer, and it has two main software applications: one for patients to perform rehabilitation exercises and another one for therapists to visualize the data of the exercises. During the exercises, data from the boards and the webcam are processed in order to automatically assess the correctness of movements.
Rehab@home provides exercises for the rehabilitation of balance (in sitting and in standing positions), and for the execution of the STS movement. It gives automatic feedback to the patient and data are saved for future analysis. The therapist is able to adapt the difficulty of the exercises to match with each patient's needs. A preliminary study with seven patients was conducted for evaluating their feedback. They appreciated using the system and felt the exercises more engaging than conventional therapy.
Feedback from patients gives the hope that Rehab@home can become a great tool for complementing their rehabilitation process. Implications for Rehabilitation Rehab@home can be used at home by patients with motor deficits, without the presence of a therapist, as a complement to conventional therapy for accelerating the rehabilitation process. The system provides exercises for improving the balance and the STS movement capabilities of patients, gives automatic feedback, and saves video and load information from the movements for future analysis by the therapist. Its most important feature is adaptability: the therapist is able to tune the difficulty of the exercises for adapting them to the needs of each patient. Patients get more engaged for this type of exercises and think they can take profit from using it.
本文介绍了“居家康复”系统,这是一款专门为帮助神经疾病患者在没有物理治疗师在场的情况下在家中进行康复锻炼而开发的工具。它以平衡康复和从坐到站(STS)动作康复为核心。
“居家康复”系统由两个Wii平衡板、一个网络摄像头和一台计算机组成,有两个主要软件应用程序:一个供患者进行康复锻炼,另一个供治疗师查看锻炼数据。在锻炼过程中,对来自平衡板和网络摄像头的数据进行处理,以便自动评估动作的正确性。
“居家康复”系统提供了用于平衡康复(坐姿和站姿)以及执行STS动作的锻炼。它会向患者提供自动反馈,并保存数据以供日后分析。治疗师能够调整锻炼难度以满足每位患者的需求。对7名患者进行了初步研究以评估他们 的反馈。他们喜欢使用该系统,并觉得这些锻炼比传统治疗更有吸引力。
患者的反馈让人看到希望,即“居家康复”系统能够成为辅助其康复过程的得力工具。对康复的意义 “居家康复”系统可供有运动功能障碍的患者在家中使用,无需治疗师在场,作为传统治疗的补充,以加速康复进程。该系统提供锻炼以提高患者的平衡能力和STS动作能力,提供自动反馈,并保存动作的视频和负荷信息以供治疗师日后分析。其最重要的特点是适应性:治疗师能够调整锻炼难度以适应每位患者的需求。患者对这类锻炼更感兴趣,并认为使用该系统有益。