title: A telerehabilitation platform for home-based automated therapy of arm function.
abstract: Constraint-Induced Movement Therapy (CI therapy) has been shown to be an effective approach for improving arm function in stroke survivors with mild to severe hemiparesis. Given the time-intensive nature of the intervention, and the inherent costs and travel required to receive in-clinic treatment, the accessibility and availability of CI therapy is limited. To facilitate home-based CI therapy, a telerehabilitation platform has been developed. It consists of a table-top workstation configured with a range of physical task devices (e.g. pegboard, object flipping, threading, vertical reaching). A desktop PC is used to acquire data from sensors embedded in the task devices; display visual instructions, stimuli, and feedback to the patient during tasks; and provide videoconferencing and remote connection capabilities so the therapist can interact with and monitor the patient during at-home therapy sessions. This system has potential to greatly expand access to CI therapy and make it a more realistic option for a larger number of stroke survivors with upper extremity impairment.
authors.affiliation: National Rehabilitation Hospital, Washington, DC 20010, USA. david.m.brennan@medstar.net
authors.forename: David M
authors.initials: DM
authors.lastname: Brennan
authors.forename: Peter S
authors.initials: PS
authors.lastname: Lum
authors.forename: Gitendra
authors.initials: G
authors.lastname: Uswatte
authors.forename: Edward
authors.initials: E
authors.lastname: Taub
authors.forename: Brendan M
authors.initials: BM
authors.lastname: Gilmore
authors.forename: Joydip
authors.initials: J
authors.lastname: Barman
mesh_terms: D001132:Arm; D017076:Computer-Aided Design; D004867:Equipment Design; D019544:Equipment Failure Analysis; D006801:Humans; D010291:Paresis / Q000534:rehabilitation*; D026741:Physical Therapy Modalities / Q000295:instrumentation*; D015203:Reproducibility of Results; D012648:Self Care / Q000295:instrumentation*; D012680:Sensitivity and Specificity; D017216:Telemedicine / Q000295:instrumentation*; D013813:Therapy, Computer-Assisted / Q000295:instrumentation*; D016896:Treatment Outcome; D014584:User-Computer Interface