scholarly journals STROKE REHABILITATION EXERCISE KINECT GAME AS A MODALITY FOR HOME-BASED THERAPY

2021 ◽  
Vol 10 (02) ◽  
pp. 15-36
Author(s):  
Azrulhizam Shapii
Keyword(s):  
Interface Design ◽  
Social Background ◽  
Stroke Patients ◽  
Physical Constraints ◽  
Post Stroke ◽  
Home Based ◽  
Game Console ◽  
Home Based Therapy ◽  
Rehabilitation Exercises ◽  
At Home

Traditional rehabilitation is a tedious process which is reducing the patients' motivation to perform rehabilitation exercises. Therefore, patients need a program that can entice them to do rehabilitation exercises at home. This research aims to identify the game's needs based on the traditional rehabilitation, design a prototype of a recovery game based on traditional rehabilitation, and test the effectiveness of the rehabilitation game. There are two different game types in this rehabilitation game, with three different movement types used to interact. The prototype developed based on four elements, which are the elements of rehabilitation game, type of movement rehabilitation exercises, technology constraints faced by post-stroke patients, and the basic principle of interface design. Because of patients face physical constraints, Kinect was used in this game to interact with. Using Kinect, the patient is not bound to any device to interact with the game. The game also introduces a social background that encourages patients to have a friend to play either through competition or cooperation.By evaluating by observation and interviews, the game was accepted by post-stroke patients and their family members. They also provide a suggestion for improvement in the future. The contribution of this research is to measure whether the Kinect game console and this game can help patients do additional recovery exercises at home without the supervision of the therapist

scholarly journals Perceived needs of caregivers of stroke patients’ receiving out-patient physiotherapy treatment in Lusaka, Zambia

2007 ◽  
Vol 63 (1) ◽  
Author(s):  
O. Khondowe ◽  
A. Rhoda ◽  
R. Mpofu
Keyword(s):  
Skills Training ◽  
University Teaching ◽  
Stroke Patients ◽  
Physiotherapy Treatment ◽  
Rehabilitation Professionals ◽  
Care Givers ◽  
Lack Of Information ◽  
Home Based ◽  
Home Based Therapy ◽  
At Home

Caregivers of stroke patients have needs that should be addressed. The aim of this study was to gain information regarding the expressed needs of informal caregivers of stroke patients who are receiving out-patient physiotherapy treatment at the University Teaching Hospital in Lusaka, Zambia. A qualitative study, using indepth interviews, was carried out to collect data regarding the needs of these caregivers. Ten caregivers formed the study sample. The interviews were audiotaped, transcribed and analysed into themes that emerged from the data. Five themes relating to the needs of the care-givers emerged following the analysis of the data. These included: the lack of information regarding stroke; the need for skills training to enable the caregiver to assist the patient at home; the need for financial support; a need for home-based therapy and the need for physical assistance when caring for patients at home. The caregivers of patients need more information regarding strokes as well as a community-based rather than an institution-based approach to rehabilitation.  Rehabilitation professionals in Zambia could use the information gained from this study to implement rehabilitation programmes, which wouldaddress the needs of caregivers in that country

scholarly journals The Educational Needs of Home-Based Stroke Patients and Family Caregivers in Malaysia

2021 ◽  
Author(s):  
◽  
Che Rabiaah Mohamed
Keyword(s):  
Family Caregivers ◽  
Health Professionals ◽  
Phase 1 ◽  
Religious Practice ◽  
Educational Needs ◽  
Stroke Patients ◽  
Western Countries ◽  
Post Stroke ◽  
Home Based ◽  
Wide Range

<p>Many research studies have been done in relation to the educational needs of patients and families post-stroke based in Western countries but limited studies have been conducted in non-Western countries. This study explored the educational needs of home-based stroke patients (HBSP) and family caregivers in the Kelantan state located at the northern part of Peninsular Malaysia. The other areas of focus were to identify the resources available for HBSP and their families, the practice of health professionals in relation to the provision of information and education and the early rehabilitation needs for HBSP and family caregivers. A further aim was to develop education strategies that will help patients and their families to minimise risk of complication post-stroke and support the advancement of their quality of life. This study used a qualitative approach guided by a theoretical framework "Stroke Care Community Model (SCCM)" developed for this research. This study was in two phases. Phase 1 involved semi-structured interviews with three kinds of participants: stroke patients (n=5), family caregivers (n= 5) and key members from health professional groups (n=12). Phase 1 established the educational activities currently received and needed by patients and families. Phase 2 involved presenting the findings from Phase 1 to the previously interviewed health professionals through focus groups and individual interviews with the aim of establishing priorities and processes to develop education strategies for HBSP and their families. The findings revealed that the provision of information and education does not meet the needs of many patients and families. There is no national or local programme provided to address patients' and families' needs. The educational needs are on a wide range of topics including the nature and the impacts of stroke, how and why stroke happens, how to prevent stroke recurring, prevention of complications and promoting faster recovery. The need for skills on managing patients at home include positioning, strengthening, mobilisation, prevention of complications, feeding, swallowing, managing co-morbid conditions, basic exercise and safety. The findings also revealed some needs are religiously and culturally bound around prayer and traditional healthcare practice such as urutan tradisional (traditional massage). Prayer and reciting Holy Qur'an are part of cognitive training, coping strategies, rehabilitation therapy and a source of psychological support. Therefore, there is a need to take the knowledge of what makes a difference to health outcomes of patients and families in a western context and work with this, utilising what is important in the culture of people at a local level. The next step to progress addressing educational needs requires a structured approach involving the formation of a multi-disciplinary stroke team that incorporates cultural and religious practice.</p>

Abstract P839: ‘Stroke Home Care’- A Mobile Application: Home Based Innovative Nursing Care Intervention Developed by Stroke Nurse: A Need of the Time in Covid-19 Pandemic Like Situation

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Ashok Kumar ◽  
Dheeraj Khurana ◽  
Smita Pattanaik ◽  
Mukesh Kumar ◽  
Manish Modi ◽  
...  
Keyword(s):  
Home Care ◽  
Nursing Care ◽  
Mobile Application ◽  
Frozen Shoulder ◽  
Tube Feeding ◽  
Stroke Care ◽  
Stroke Survivors ◽  
Stroke Patients ◽  
Post Stroke ◽  
Home Based

Introduction: Stroke nurse is functioning as a vital member of the stroke team. She/he provides care to the stroke patients in acute as well as post-acute periods. She/he coordinates among other team members to facilitate the stroke care continuum. Post-stroke care is always a challenge for health care professional as well as caregivers. During current pandemic conditions, it is essential to provide quality care at their home. Purpose: To develop a mobile application to provide home based care for prevention and management of post stroke complications among survivors. Methods: Survey was carried out among 170 bedridden stroke survivors and their caregivers to assess problems faced like aspiration pneumonia, bedsore, urinary tract infection, deep vein thrombosis, frozen shoulder, contractures, and caregiver burden. On the basis of findings ‘Stroke home care’ a bilingual (in Hindi and English) mobile application was developed which contains step by step nursing-care-procedural videos to prevent bedsore, bedsore dressing, positioning change, Ryle’s tube feeding, Foley’s catheter care, active and passive range of motion exercises, hand washing with soap-water as well with sanitizer, psychological support to patients. Results: Through this intervention, caregivers of bedridden stroke patients get trained for care procedures so that they can provide best possible nursing care to their patients at home and can prevent post stroke complications and ultimately enhances quality of life of survivors and reduce caregivers’ burden. Conclusion: ‘Stroke Home Care’ is a novel intervention developed by a stroke nurse which has been developed and tested not just for its feasibility and acceptability but also proven for its clinical applicability through PROBE designed study. This web based intervention can provide rehabilitation services to bedridden stroke survivors at their home in this pandemic.

POST-STROKE REHABILITATION: STICK EXERCISE MONITORING USING KALMAN FILTER

2015 ◽  
Vol 77 (7) ◽  
Author(s):  
Attiya Tajuddin ◽  
Mohd Asyraf Zulkifley ◽  
Aini Hussain ◽  
Mohd Marzuki Mustafa
Keyword(s):  
Kalman Filter ◽  
Stroke Rehabilitation ◽  
The Body ◽  
Body Proportion ◽  
Post Stroke ◽  
Novel Approach ◽  
Home Based ◽  
Filter Output ◽  
Filter Approach ◽  
Rehabilitation Exercises

Post-stroke rehabilitation is a necessary step to improve the function of motor and muscle of the patients. However, it is difficult for the patients to have one-to-one session with the physiotherapist at the rehabilitation center due to the constraint of money, location and time. Thus, there are many existing inventions that provide home-based physiotherapy monitoring to facilitate the patients in performing the rehabilitation exercises to restore the body functions and mechanical skills. This paper presents a novel approach to monitor the stick exercises, in which the system will count the number of exercise cycle performed by the patient for a certain period of time. By using Kalman filter approach, two inputs are observed based on the color of patient’s cloth and length of the stick. The centroid coordinate obtained from the Kalman filter output is then used to map the motion graph. Two limits, upper and lower boundaries are set such that a complete cycle of exercise is confirmed if the patient passes both of the boundaries. Those limits are determined based on the ratio of human body proportion. Eight simulated videos of the stick exercise are used to validate the proposed method. The results show that the best performance with 100% correctly count is obtained from video 3 while the worst performance is taken from video 2 and 8. The system can be further improved by incorporating different types of shoulder exercises for post-stroke patient

Study and Development of a Smart Cup for Monitoring Post-stroke Patients' Activities at Home

2018 ◽  
pp. 53-76
Author(s):  
Mehdi Ammi ◽  
Mehdi Boukallel ◽  
Margarita Anastassova ◽  
Hamdi Amroun ◽  
Maxence Bobin
Keyword(s):  
Stroke Patients ◽  
Post Stroke ◽  
At Home

Development of video-based education for caregiver of post-stroke patients to prevent the complications of bed rest at home: A Delphi study

2021 ◽  
Vol 31 ◽  
pp. S623-S626
Author(s):  
Nunung Iriani M. Nur Doa ◽  
Elly Lilianty Sjattar ◽  
Syahrul Syahrul ◽  
Syafrudin L. Ahmad
Keyword(s):  
Delphi Study ◽  
Bed Rest ◽  
Stroke Patients ◽  
Post Stroke ◽  
At Home

scholarly journals Driving after a Stroke

1986 ◽  
Vol 79 (4) ◽  
pp. 200-203 ◽  
Author(s):  
J Legh-Smith ◽  
D T Wade ◽  
R Langton Hewer
Keyword(s):  
Functional Ability ◽  
Easy Access ◽  
Social Activities ◽  
Stroke Patients ◽  
Post Stroke ◽  
Arm Function ◽  
One Year ◽  
At Home

Four hundred and thirty-eight stroke patients from a community register covering a period of 28 months were interviewed at one year post-stroke. Of 144 (34%) living at home who had been driving prior to their stroke, 82 (58%) did not resume post-stroke. Assessments of arm function, walking, functional ability and IQ showed ex-drivers to be significantly more disabled than drivers. Stopping driving was associated with a loss of social activities and with a higher frequency of depression amongst ex-drivers when compared with drivers. This was despite 79% of ex-drivers having easy access to alternative car transport. Extending mobility allowance to the 49 (60%) ex-drivers over 65 years old at the time of their stroke might ease their situation. More appropriate assessments would be needed to establish whether ex-drivers would benefit from retraining or car adaptations to enable them to return to driving.

scholarly journals The Educational Needs of Home-Based Stroke Patients and Family Caregivers in Malaysia

2021 ◽  
Author(s):  
◽  
Che Rabiaah Mohamed
Keyword(s):  
Family Caregivers ◽  
Health Professionals ◽  
Phase 1 ◽  
Religious Practice ◽  
Educational Needs ◽  
Stroke Patients ◽  
Western Countries ◽  
Post Stroke ◽  
Home Based ◽  
Wide Range

<p>Many research studies have been done in relation to the educational needs of patients and families post-stroke based in Western countries but limited studies have been conducted in non-Western countries. This study explored the educational needs of home-based stroke patients (HBSP) and family caregivers in the Kelantan state located at the northern part of Peninsular Malaysia. The other areas of focus were to identify the resources available for HBSP and their families, the practice of health professionals in relation to the provision of information and education and the early rehabilitation needs for HBSP and family caregivers. A further aim was to develop education strategies that will help patients and their families to minimise risk of complication post-stroke and support the advancement of their quality of life. This study used a qualitative approach guided by a theoretical framework "Stroke Care Community Model (SCCM)" developed for this research. This study was in two phases. Phase 1 involved semi-structured interviews with three kinds of participants: stroke patients (n=5), family caregivers (n= 5) and key members from health professional groups (n=12). Phase 1 established the educational activities currently received and needed by patients and families. Phase 2 involved presenting the findings from Phase 1 to the previously interviewed health professionals through focus groups and individual interviews with the aim of establishing priorities and processes to develop education strategies for HBSP and their families. The findings revealed that the provision of information and education does not meet the needs of many patients and families. There is no national or local programme provided to address patients' and families' needs. The educational needs are on a wide range of topics including the nature and the impacts of stroke, how and why stroke happens, how to prevent stroke recurring, prevention of complications and promoting faster recovery. The need for skills on managing patients at home include positioning, strengthening, mobilisation, prevention of complications, feeding, swallowing, managing co-morbid conditions, basic exercise and safety. The findings also revealed some needs are religiously and culturally bound around prayer and traditional healthcare practice such as urutan tradisional (traditional massage). Prayer and reciting Holy Qur'an are part of cognitive training, coping strategies, rehabilitation therapy and a source of psychological support. Therefore, there is a need to take the knowledge of what makes a difference to health outcomes of patients and families in a western context and work with this, utilising what is important in the culture of people at a local level. The next step to progress addressing educational needs requires a structured approach involving the formation of a multi-disciplinary stroke team that incorporates cultural and religious practice.</p>

scholarly journals A Fuzzy Recommendation System for the Automatic Personalization of Physical Rehabilitation Exercises in Stroke Patients

Mathematics ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1427
Author(s):  
Cristian Gmez-Portes ◽  
José Jesús Castro-Schez ◽  
Javier Albusac ◽  
Dorothy N. Monekosso ◽  
David Vallejo
Keyword(s):  
Fuzzy Logic ◽  
Fuzzy System ◽  
Causes Of Death ◽  
Recommendation System ◽  
Stroke Patients ◽  
Rehabilitation Process ◽  
Physical Exercises ◽  
The World ◽  
Rehabilitation Exercises ◽  
At Home

Stroke is among the top 10 leading causes of death and disability around the world. Patients who suffer from this disease usually perform physical exercises at home to improve their condition. These exercises are recommended by therapists based on the patient’s progress level, and may be remotely supervised by them if technology is an option for both. At this point, two major challenges must be faced. The first one is the lack of specialized medical staff to remotely handle the growing number of stroke patients. The second one is the difficulty of dynamically adapt the patient’s therapy plan in real time whilst they rehabilitate at home, since their evolution varies as the rehabilitation process progresses. In this context, we present a fuzzy system that is able to automatically adapt the rehabilitation plan of stroke patients. The use of fuzzy logic greatly facilitates the monitoring and guidance of stroke patients. Moreover, the system is capable of automatically generating modifications of existent exercises whilst considering their particularities at any given time. A preliminary experiment was conducted to show the advantages of the proposal, and the results suggest that the application of fuzzy logic may help make correct decisions based on the patient’s progress level.

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