Zedda A, Gusai E, Caruso M, Bertuletti S, Baldazzi G, Spanu S, Riboni D, Pibiri A, Monticone M, Cereatti A, Pani D
Annu Int Conf IEEE Eng Med Biol Soc. 2020 Jul;2020:5773-5776. doi: 10.1109/EMBC44109.2020.9175742.
After a cerebral stroke, survivors need to follow a neurorehabilitation program including exercises to be executed under a therapist's supervision or autonomously. Technological solutions are needed to support the early discharge of the patients just after the primary hospital treatments, by still providing an adequate level of rehabilitation. The DoMoMEA Project proposes a fully-wearable m-health solution able to administer a neurorehabilitation therapy in the patient's home or every other place established by the patient for a rehabilitation session. The exploitation of magneto-inertial measurement units only, wirelessly connected to an Android-operated device, provides robustness to different operating conditions and immunity to optical occlusion problems, compared to RGB-D cameras. Patients' engagement is fostered by the exploitation of the exergame version of the ten rehabilitation exercises, implemented in Unity 3D. Store-and-forward telemonitoring features, supported by cloud-based storage and by a web application accessible from anywhere by medical personnel and patients, enable constant transparent monitoring of the rehabilitation progresses. The clinical trial of the DoMoMEA telerehabilitation system will involve 40 post-stroke patients with mild impairment and will start as soon as the restrictions due to the COVID-19 pandemic will allow to enroll patients.
脑卒中后，幸存者需要遵循神经康复计划，包括在治疗师监督下或自主进行的锻炼。需要技术解决方案来支持患者在初次住院治疗后尽早出院，同时仍能提供足够水平的康复治疗。DoMoMEA项目提出了一种完全可穿戴的移动健康解决方案，能够在患者家中或患者指定的其他场所进行康复训练时实施神经康复治疗。与RGB-D相机相比，仅利用磁惯性测量单元并无线连接到安卓设备，可为不同操作条件提供鲁棒性，并避免光学遮挡问题。通过在Unity 3D中实现的十个康复锻炼的游戏化版本，提高了患者的参与度。基于云存储以及医务人员和患者可从任何地方访问的网络应用程序所支持的存储转发远程监测功能，能够持续透明地监测康复进展。DoMoMEA远程康复系统的临床试验将纳入40名轻度受损的脑卒中后患者，一旦因COVID-19大流行导致的限制允许招募患者，试验将立即开始。
