Hoermann Simon, Ferreira Dos Santos Luara, Morkisch Nadine, Jettkowski Katrin, Sillis Moran, Devan Hemakumar, Kanagasabai Parimala S, Schmidt Henning, Krüger Jörg, Dohle Christian, Regenbrecht Holger, Hale Leigh, Cutfield Nicholas J
a Department of Medicine (DSM) , University of Otago , Dunedin , New Zealand.
b Department of Information Science , University of Otago , Dunedin , New Zealand.
Disabil Rehabil. 2017 Jul;39(15):1503-1514. doi: 10.1080/09638288.2017.1291765. Epub 2017 Mar 3.
New rehabilitation strategies for post-stroke upper limb rehabilitation employing visual stimulation show promising results, however, cost-efficient and clinically feasible ways to provide these interventions are still lacking. An integral step is to translate recent technological advances, such as in virtual and augmented reality, into therapeutic practice to improve outcomes for patients. This requires research on the adaptation of the technology for clinical use as well as on the appropriate guidelines and protocols for sustainable integration into therapeutic routines. Here, we present and evaluate a novel and affordable augmented reality system (Augmented Reflection Technology, ART) in combination with a validated mirror therapy protocol for upper limb rehabilitation after stroke.
We evaluated components of the therapeutic intervention, from the patients' and the therapists' points of view in a clinical feasibility study at a rehabilitation centre. We also assessed the integration of ART as an adjunct therapy for the clinical rehabilitation of subacute patients at two different hospitals.
The results showed that the combination and application of the Berlin Protocol for Mirror Therapy together with ART was feasible for clinical use. This combination was integrated into the therapeutic plan of subacute stroke patients at the two clinical locations where the second part of this research was conducted.
Our findings pave the way for using technology to provide mirror therapy in clinical settings and show potential for the more effective use of inpatient time and enhanced recoveries for patients. Implications for Rehabilitation Computerised Mirror Therapy is feasible for clinical use Augmented Reflection Technology can be integrated as an adjunctive therapeutic intervention for subacute stroke patients in an inpatient setting Virtual Rehabilitation devices such as Augmented Reflection Technology have considerable potential to enhance stroke rehabilitation.
采用视觉刺激的中风后上肢康复新策略显示出了有前景的结果，然而，提供这些干预措施的经济高效且临床可行的方法仍然缺乏。一个不可或缺的步骤是将诸如虚拟和增强现实等最新技术进展转化为治疗实践，以改善患者的治疗效果。这需要研究技术在临床应用中的适应性以及将其可持续整合到治疗常规中的适当指南和方案。在此，我们展示并评估一种新颖且经济实惠的增强现实系统（增强反射技术，ART），并结合一种经过验证的镜像疗法方案用于中风后上肢康复。
在一家康复中心的临床可行性研究中，我们从患者和治疗师的角度评估了治疗干预的各个组成部分。我们还在两家不同医院评估了ART作为辅助疗法用于亚急性患者临床康复的情况。
结果表明，柏林镜像疗法方案与ART的结合及应用在临床中是可行的。在进行本研究第二部分的两个临床地点，这种结合被纳入了亚急性中风患者的治疗计划。
我们的研究结果为在临床环境中利用技术提供镜像疗法铺平了道路，并显示出在更有效地利用住院时间以及提高患者康复效果方面的潜力。对康复的启示 计算机化镜像疗法在临床中可行 增强反射技术可作为辅助治疗干预措施整合到亚急性中风患者的住院治疗中 诸如增强反射技术之类的虚拟康复设备在增强中风康复方面具有相当大的潜力。
