DoMoMEA: a Home-Based Telerehabilitation System for Stroke Patients

2020 ◽  
Author(s):  
A. Zedda ◽  
E. Gusai ◽  
M. Caruso ◽  
S. Bertuletti ◽  
G. Baldazzi ◽  
...  
Keyword(s):  
Stroke Patients ◽  
Home Based

scholarly journals Robotic Technologies and Rehabilitation: New Tools for Stroke Patients’ Therapy

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Patrizia Poli ◽  
Giovanni Morone ◽  
Giulio Rosati ◽  
Stefano Masiero
Keyword(s):  
Gait Training ◽  
Lower Limbs ◽  
Robotic Rehabilitation ◽  
Stroke Patients ◽  
Home Based ◽  
Comprehensive Search ◽  
Improve Muscle Strength ◽  
Training Protocol ◽  
Robotic Technologies

Introduction. The role of robotics in poststroke patients’ rehabilitation has been investigated intensively. This paper presents the state-of-the-art and the possible future role of robotics in poststroke rehabilitation, for both upper and lower limbs.Materials and Methods. We performed a comprehensive search of PubMed, Cochrane, and PeDRO databases using as keywords “robot AND stroke AND rehabilitation.”Results and Discussion. In upper limb robotic rehabilitation, training seems to improve arm function in activities of daily living. In addition, electromechanical gait training after stroke seems to be effective. It is still unclear whether robot-assisted arm training may improve muscle strength, and which electromechanical gait-training device may be the most effective for walking training implementation.Conclusions. In the field of robotic technologies for stroke patients’ rehabilitation we identified currently relevant growing points and areas timely for developing research. Among the growing points there is the development of new easily transportable, wearable devices that could improve rehabilitation also after discharge, in an outpatient or home-based setting. For developing research, efforts are being made to establish the ideal type of treatment, the length and amount of training protocol, and the patient’s characteristics to be successfully enrolled to this treatment.

scholarly journals Efficacy of home-based visuomotor feedback training in stroke patients with chronic hemispatial neglect

2017 ◽  
Vol 29 (2) ◽  
pp. 251-272 ◽  
Author(s):  
Stéphanie Rossit ◽  
Christopher S. Y. Benwell ◽  
Larissa Szymanek ◽  
Gemma Learmonth ◽  
Laura McKernan-Ward ◽  
...  
Keyword(s):  
Hemispatial Neglect ◽  
Stroke Patients ◽  
Feedback Training ◽  
Home Based

scholarly journals Preferred rehabilitation setting among stroke survivors in Nigeria and associated personal factors

2018 ◽  
Vol 7 ◽  
Author(s):  
Grace Vincent-Onabajo ◽  
Zulaiha Mohammed
Keyword(s):  
Inpatient Rehabilitation ◽  
Outpatient Setting ◽  
Outpatient Rehabilitation ◽  
Personal Factors ◽  
Stroke Patients ◽  
Community Based ◽  
Cross Sectional ◽  
Home Based ◽  
Community Based Rehabilitation ◽  
Cross Sectional Design

Background: Incorporating patients’ preferences in the care they receive is an important component of evidence-based practice and patient-centred care.Objective: This study assessed stroke patients’ preferences regarding rehabilitation settings.Methods: A cross-sectional design was used to examine preferences of stroke patients receiving physiotherapy at three hospitals in Northern Nigeria. Personal factors and preferred rehabilitation setting data were obtained using the Modified Rankin Scale (to assess global disability) and a researcher-developed questionnaire. Associations between preferences and personal factors were explored using bivariate statistics.Results: Sixty stroke patients whose mean age was 53.6 ± 14.8 years participated in the study. Most of the participants (38.3%) preferred an outpatient setting, 19 (31.7%) preferred rehabilitation in their homes, 14 chose inpatient rehabilitation (23.3%), while 4 (6.7%) preferred the community. Age and source of finance were significantly associated with preferences. The majority (66.7%) of those aged ≥ 65 years expressed a preference for rehabilitation in the home or community (X2 = 6.80; p = 0.03). Similarly, most of the participants (53.3%) who depended on family finances preferred home- or community-based rehabilitation, while most of those who depended on employment income for finances preferred an outpatient rehabilitation setting (X2 = 16.80; p = 0.01).Conclusion: A preference for rehabilitation in outpatient facilities predominated followed by home-based rehabilitation, and preferences varied based on age and source of finance. These variations in preferences have implications for making rehabilitation decisions.

Design of Wearable Upper Limb Orthosis for Training and Rehabilitation without Actuator

2012 ◽  
Vol 201-202 ◽  
pp. 864-870 ◽  
Author(s):  
Xian Chen ◽  
Yi Jui Chiu ◽  
Dar Zen Chen
Keyword(s):  
Upper Limb ◽  
Simple Structure ◽  
Movement Trajectory ◽  
Stroke Patients ◽  
Upper Arm ◽  
Home Based ◽  
Spring Force ◽  
Rehabilitation System ◽  
Therapeutic Robots ◽  
Rehabilitation Exercise

This paper describes a wearable upper limb orthosis that could be integrated within a home-based rehabilitation system for stroke patients. This orthosis consists of links and the installation of springs. First, the advantages of this design are with no actuating motors, with simple structure, and with lightweight, but with similar benefit as other therapeutic robots. Second, through the installation of springs to provide with spring force, when patients wearing this upper limb orthosis will feel the resistance, to benefit for more effective muscle rehabilitation exercise. At last, the advantage of this design is that due to the installation of springs and springy clamp one, users wearing the upper do rehabilitation training according with human skeleton movement trajectory, which makes users comfortable and that contributes to biceps, triceps, and deltoid muscles on the upper arm and shoulder training.

scholarly journals Social Network Structure Is Related to Functional Improvement From Home-Based Telerehabilitation After Stroke

2021 ◽  
Vol 12 ◽  
Author(s):  
Archana Podury ◽  
Sophia M. Raefsky ◽  
Lucy Dodakian ◽  
Liam McCafferty ◽  
Vu Le ◽  
...  
Keyword(s):  
Social Networks ◽  
Social Network ◽  
Depressive Symptoms ◽  
Network Structure ◽  
Network Size ◽  
Network Density ◽  
Stroke Patients ◽  
Historical Cohort ◽  
Home Based ◽  
Social Network Structure

Objective: Telerehabilitation (TR) is now, in the context of COVID-19, more clinically relevant than ever as a major source of outpatient care. The social network of a patient is a critical yet understudied factor in the success of TR that may influence both engagement in therapy programs and post-stroke outcomes. We designed a 12-week home-based TR program for stroke patients and evaluated which social factors might be related to motor gains and reduced depressive symptoms.Methods: Stroke patients (n = 13) with arm motor deficits underwent supervised home-based TR for 12 weeks with routine assessments of motor function and mood. At the 6-week midpoint, we mapped each patient's personal social network and evaluated relationships between social network metrics and functional improvements from TR. Finally, we compared social networks of TR patients with a historical cohort of 176 stroke patients who did not receive any TR to identify social network differences.Results: Both network size and network density were related to walk time improvement (p = 0.025; p = 0.003). Social network density was related to arm motor gains (p = 0.003). Social network size was related to reduced depressive symptoms (p = 0.015). TR patient networks were larger (p = 0.012) and less dense (p = 0.046) than historical stroke control networks.Conclusions: Social network structure is positively related to improvement in motor status and mood from TR. TR patients had larger and more open social networks than stroke patients who did not receive TR. Understanding how social networks intersect with TR outcomes is crucial to maximize effects of virtual rehabilitation.

scholarly journals Study of Physical, Psychological, and Spiritual Impact of Family Caregiver In Home-Based Stroke Treatment: A Systematic Review

2021 ◽  
Vol 9 (T4) ◽  
pp. 236-239
Author(s):  
Anggi Stiexs ◽  
Nur Chayati
Keyword(s):  
Systematic Review ◽  
Home Care ◽  
Family Caregiver ◽  
Care Home ◽  
Stroke Patients ◽  
Term Care ◽  
Stroke Treatment ◽  
Home Based ◽  
The Family ◽  
Home Based Care

BACKGROUND: Family support during stroke treatment at home is crucial. However, post-stroke patients’ long-term care will be a problem for families, reducing the level of life satisfaction and physical burden for caregivers. Furthermore, families may experience depression. AIM: Analyzing family conditions related to physical, psychological, and spiritual conditions that receive home-based health worker interventions. METHODS: Study implemented systematic review design with Prisma guidelines, initially with the identification of article sources, following by article screening, checking the eligibility of studies then appraised the selected articles. Three databases were used, Ebsco, PubMed, and PROQUEST. Only studies using quasi-experimental, pre-experimental, and RCT designs were included in this study. Furthermore, those articles were published between 2014 until 2019, full type article and conducted anykind of home intervention for stroke patients and/or family member. Keywords that were employed “Stroke, Apoplexy, Cerebrovascular Accident, Vascular Accident, Home Care Services, home care, Home Health Care, Domiciliary Care, Physical, Physics, Psychological Factors, Psychological Side Effects, Psychosocial Factors, Spirituality.” Totally, 19,528 articles were obtained. Finally, only six eligible articles met review requirements. RESULTS: Implementation of home-based care lowered the physical fatigue of the family. In psychological responses showed that home-based care could reduce the incidence of depression and anxiety levels. Another impact was that the family felt helped because patients could more independently do their activities. Furthermore, the family always supported to motivate the patients to do their daily tasks. CONCLUSION: Home-based interventions for stroke patients can reduce depression, anxiety, and fatigue for the family caregiver.

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