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基于运动的交互在物理康复治疗中的应用。

Movement-based interaction applied to physical rehabilitation therapies.

作者信息

Garrido Navarro Juan Enrique, Ruiz Penichet Victor Manuel, Lozano Pérez María Dolores

机构信息

Computer Science Research Institute, University of Castilla-La Mancha, Albacete, Spain.

出版信息

J Med Internet Res. 2014 Dec 9;16(12):e281. doi: 10.2196/jmir.3154.

Abstract

BACKGROUND

Health care environments are continuously improving conditions, especially regarding the use of current technology. In the field of rehabilitation, the use of video games and related technology has helped to develop new rehabilitation procedures. Patients are able to work on their disabilities through new processes that are more motivating and entertaining. However, these patients are required to leave their home environment to complete their rehabilitation programs.

OBJECTIVE

The focus of our research interests is on finding a solution to eliminate the need for patients to interrupt their daily routines to attend rehabilitation therapy. We have developed an innovative system that allows patients with a balance disorder to perform a specific rehabilitation exercise at home. Additionally, the system features an assistive tool to complement the work of physiotherapists. Medical staff are thus provided with a system that avoids the need for them to be present during the exercise in specific cases in which patients are under suitable supervision.

METHODS

A movement-based interaction device was used to achieve a reliable system for monitoring rehabilitation exercises performed at home. The system accurately utilizes parameters previously defined by the specialist for correct performance of the exercise. Accordingly, the system gives instructions and corrects the patient's actions. The data generated during the session are collected for assessment by the specialist to adapt the difficulty of the exercise to the patient's progress.

RESULTS

The evaluation of the system was conducted by two experts in balance disorder rehabilitation. They were required to verify the effectiveness of the system, and they also facilitated the simulation of real patient behavior. They used the system freely for a period of time and provided interesting and optimistic feedback. First, they evaluated the system as a tool for real-life rehabilitation therapy. Second, their interaction with the system allowed us to obtain important feedback needed to improve the system.

CONCLUSIONS

The system improves the rehabilitation conditions of people with balance disorder. The main contribution comes from the fact that it allows patients to carry out the rehabilitation process at home under the supervision of physiotherapists. As a result, patients avoid having to attend medical centers. Additionally, medical staff have access to an assistant, which means their presence is not required in many exercises that involve constant repetition.

摘要

背景

医疗保健环境在持续改善条件,尤其是在当前技术的使用方面。在康复领域,电子游戏及相关技术的应用有助于开发新的康复程序。患者能够通过更具激励性和趣味性的新流程来应对自身的残疾问题。然而,这些患者需要离开家庭环境去完成康复项目。

目的

我们的研究兴趣重点在于找到一种解决方案,消除患者为接受康复治疗而中断日常活动的需求。我们开发了一种创新系统,使患有平衡障碍的患者能够在家中进行特定的康复锻炼。此外,该系统具有一种辅助工具,以补充物理治疗师的工作。这样一来,在患者受到适当监督的特定情况下,医疗人员就有了一个无需他们亲临现场的系统。

方法

使用一种基于动作的交互设备来实现一个可靠的系统,以监测在家中进行的康复锻炼。该系统准确利用专家先前定义的参数来确保锻炼的正确执行。相应地,系统给出指令并纠正患者的动作。锻炼过程中生成的数据会被收集起来,供专家评估,以便根据患者的进展调整锻炼难度。

结果

该系统由两位平衡障碍康复专家进行评估。他们被要求验证系统的有效性,并且还协助模拟真实患者的行为。他们在一段时间内自由使用该系统,并提供了有趣且乐观的反馈。首先,他们将该系统评估为一种用于现实生活康复治疗的工具。其次,他们与系统的交互使我们获得了改进系统所需的重要反馈。

结论

该系统改善了平衡障碍患者的康复条件。主要贡献在于它使患者能够在物理治疗师的监督下在家中进行康复过程。结果,患者无需前往医疗中心。此外,医疗人员有了一个助手,这意味着在许多涉及持续重复的锻炼中他们无需在场。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3e1/4275476/573ab92636e1/jmir_v16i12e281_fig1.jpg

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