title: An interactive distance solution for stroke rehabilitation in the home setting - A feasibility study.
abstract: BACKGROUND
  In this study an interactive distance solution (called the DISKO tool) was developed to enable home-based motor training after stroke.
  
  
  OBJECTIVE
  The overall aim was to explore the feasibility and safety of using the DISKO-tool, customized for interactive stroke rehabilitation in the home setting, in different rehabilitation phases after stroke.
  
  
  METHODS
  Fifteen patients in three different stages in the continuum of rehabilitation after stroke participated in a home-based training program using the DISKO-tool. The program included 15 training sessions with recurrent follow-ups by the integrated application for video communication with a physiotherapist. Safety and feasibility were assessed from patients, physiotherapists, and a technician using logbooks, interviews, and a questionnaire. Qualitative content analysis and descriptive statistics were used in the analysis.
  
  
  RESULTS
  Fourteen out of 15 patients finalized the training period with a mean of 19.5 minutes spent on training at each session. The DISKO-tool was found to be useful and safe by patients and physiotherapists.
  
  
  CONCLUSIONS
  This study demonstrates the feasibility and safety of the DISKO-tool and provides guidance in further development and testing of interactive distance technology for home rehabilitation, to be used by health care professionals and patients in different phases of rehabilitation after stroke.
authors.affiliation: a Department of Clinical Sciences , Danderyd Hospital, Karolinska Institutet , Stockholm , Sweden.
authors.forename: Susanne
authors.initials: S
authors.lastname: Palmcrantz
authors.affiliation: a Department of Clinical Sciences , Danderyd Hospital, Karolinska Institutet , Stockholm , Sweden.
authors.forename: Jörgen
authors.initials: J
authors.lastname: Borg
authors.affiliation: b Department of Neurobiology , Care Sciences and Society, Karolinska Institutet , Stockholm , Sweden.
authors.forename: Disa
authors.initials: D
authors.lastname: Sommerfeld
authors.affiliation: a Department of Clinical Sciences , Danderyd Hospital, Karolinska Institutet , Stockholm , Sweden.
authors.forename: Jeanette
authors.initials: J
authors.lastname: Plantin
authors.affiliation: a Department of Clinical Sciences , Danderyd Hospital, Karolinska Institutet , Stockholm , Sweden.
authors.forename: Anneli
authors.initials: A
authors.lastname: Wall
authors.affiliation: c Robotdalen, Mälardalen University , Västerås , Sweden.
authors.forename: Maria
authors.initials: M
authors.lastname: Ehn
authors.affiliation: d SICS, Swedish ICT , Stockholm , Sweden.
authors.forename: Marie
authors.initials: M
authors.lastname: Sjölinder
authors.affiliation: a Department of Clinical Sciences , Danderyd Hospital, Karolinska Institutet , Stockholm , Sweden.
authors.forename: Inga-Lill
authors.initials: IL
authors.lastname: Boman
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D000071939:Stroke Rehabilitation / Q000379:methods*; D017216:Telemedicine / Q000458:organization & administration*; D014584:User-Computer Interface
keywords: Kinect sensor; participatory design; stroke; telerehabilitation; video communication