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

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

Terapi Psikososial Pada Osteoartritis Di Komunitas

Program kemitraan komunitas ini dilakukan dengan tujuan membimbing, dan melatih para mitra yaitu kelompok penderita osteoartritis (OA) dan masyarakat yang berisiko untuk meningkatkan kualitas hidup. Metode yang digunakan adalah bersama dengan mitra yaitu kader kesehatan dan masyarakat, mengidentifikasi kelompok sasaran dan menciptakan home based untuk pusat terapi. Tim kemitraan ini melatih para penderita OA dengan teknik relaksasi, senam osteoarthritis, dan pendidikan kesehatan mengenai diet dan kontrol emosional. Sebelum kegiatan dilakukan, tim kemitraan melakukan pemerikasaan laboratorium asam urat dan gula darah sewaktu. Alat pemeriksaan yang digunakan adalah easy touch dan stik, media komunikasi yang digunakan adalah modul, leaflet, audiovisual, dan poster. Jumlah peserta pengabdian ini adalah 100 orang ysng kemudian teridentifikasi OA menjadi 52 orang. Hasil kegiatan ini terdiri dari gambaran hasil asam urat, gula darah, gambaran nyeri, tingkat pengetahuan yang meningkat pada mitra yaitu rata-rata nilai pre-test 55,27 menjadi 72,10; Peningkatan ketrampilan mitra yaitu mampu memperagakan senam OA dan teknik relaksasi secara mandiri.Kata Kunci: Pemberdayaan masyarakat, pelatihan, pendampinganPsychosocial Therapy for Osteoarthritis in the CommunityABSTRACTThe purpose of the community partnership program was guiding of partner to train them who are groups of osteoarthritis (OA ) sufferers and communities that risk to improve quality of life . The method of this activity including built home based therapy centers and then trained OA sufferers used relaxation techniques, osteoarthritis exercises, and health education on diet and emotional control. Before the activity was carried out, the partnership team conducted a laboratory test of uric acid detection and blood sugar level. The examination was used easy touch tools and sticks . the medium of display was used modules, leaflets, audiovisual, and posters. The number of participants of this activity was initially 100 people, next, was identified 52 participant with OA. The results of this activity consisted of a description of the results of uric acid level, blood sugar level, a description of pain, an increased level of knowledge at partners that the average score of 55.27 to 72.10; Enhancing partner skills is able to demonstrate OA exercises and relaxation techniques independently.Keywords: Community empowerment, training program, coaching, mentoring.

Feasibility and effectiveness of home-based therapy programmes for children with cerebral palsy: a systematic review

ObjectiveTo assess the feasibility and effectiveness of home-based occupational therapy and physiotherapy programmes in children with cerebral palsy (CP), focusing on the upper extremity and reporting on child-related and/or parent-related outcomes.DesignSystematic review.Data sourcesElectronic searches were performed in MEDLINE, EMBASE, CINAHL, PsycINFO, OTseeker and PEDro, and in ICTRP and CENTRAL trial registers, from inception to 6 June 2019.Eligible criteriaThe review included all types of original studies concerning feasibility or effectiveness of home-based therapy in children aged <18 years with any type of CP. No language, publication status or publication date restrictions were applied.Data extraction and synthesisStudy and intervention characteristics and the demographics of participating children and their parents were extracted. Feasibility was assessed by outcomes related to acceptability, demand, implementation, practicality, adaptation, expansion or integration. Regarding effectiveness, child-related outcome measures related to any level of the International Classification of Functioning, Disability and Health, or parent-related outcomes were investigated. Two authors independently extracted the data. Risk of bias was assessed using the Downs and Black checklist and the Joanna Briggs Institute Critical Appraisal Checklist.ResultsThe search resulted in a total of 92 records: 61 studies and 31 conference abstracts. Feasibility studies reported mainly on acceptability and implementation. Overall compliance to home-based training programmes (implementation) was moderate to high, ranging from 56% to 99%. In the effectiveness studies, >40 different child-related outcome measures were found. Overall, an improvement in arm-hand performance within group across time was shown. Only two studies reported on a parent-related outcome measure. No increase in parental stress was found during the intervention.ConclusionsBased on the results of the included studies, home-based training programmes seem to be feasible. However, conclusions about the effectiveness of home programmes cannot be made due to the large variability in the study, patient and intervention characteristics, comparators, and outcome measures used in the included studies.PROSPERO registration numberCRD42016043743.

Effects Of Home-Based Convergence Insufficiency Vision Therapy On Accommodation Among School Going Children

Effects of home-based convergence insufficiency vision therapy on accommodation among school going children Wekesa Andrew1, Wanzala Maximilla1 1Masinde Muliro University of Science and Technology Kakamega, Kenya. Abstract Background: Convergence and accommodation are always yoked together and any adjustment on the former affects the later. The most effective treatment for convergence insufficiency (CI) is vision therapy. Aim/Purpose: To determine the effects of home-based vision therapy on accommodation in school-going with CI attending the Masinde Muliro University Academic Vision Center in Kenya. Methods: A clinical experimental design involving 23 participants with the mean age of 14±2.4 years, were recruited into the study, however, only 18 were assessed after the therapy. The study took 9 weeks thus majority lost contact while others moved out of the town. Home-based vision therapy which is undertaken at home using a pencil or broke strings. During the therapy, accommodative values were monitored which were; negative relative accommodation, positive relative accommodation, dynamic accommodation, accommodative facility and near point of accommodation. Paired t-test used to compare mean values before and after the therapy. Results: The mean value of negative relative accommodation (NRA) before (mention what the mean values were here) and after (mention what the mean values were here) home-based therapy was statistically significant (p=0.01). However, the mean values before and after home-based therapy for the near point of accommodation (NPA), dynamic (Lag), relativity (PRA) and facility (MAF) showed no difference (p> 0.05). The mean value of the NRA before and after office-based vision therapy was statistically significant (p=0.01). Conclusion: The use of home-based vision therapy for the patients with CI had significant effects on accommodation changing from a lower limit to average after the therapy. Keywords: Convergence insufficiency, Accommodation, Home-based vision therapy.

Design of Response Channels to Augment Speech and Language Rehabilitation in Children with Hearing Impairment

Hearing impairment impedes the normal development of speech and language skills in children. Lack of auditory stimulation restricts the ability of children to communicate using spoken language. Consequently, this hinders educational, social and career choices for children as they grow up. The standard of care for children with hearing impairment involves providing appropriate amplification devices (external/implanted) followed by speech and language therapy. The process of therapy is time and labor-intensive for all stakeholders. Regular compliance to therapy requires considerable time commitment by the parent/caretaker, which further implies a cost burden pertaining to therapy sessions and/or loss of wages. These challenges are compounded by the dearth, and a skewed distribution of qualified speech therapists in resource-constrained settings. An affordable intervention was proposed in our earlier work, wherein a smartphone application could facilitate home-based therapy for children with hearing impairment. Further discussions with stakeholders led to identification of other drawbacks in the current system of rehabilitation including lack of means to monitor and track the child’s progress during home-therapy. In this work, we propose the use of response channels to serve as quantitative metrics in analyzing and quantifying a child’s progress during the process of therapy. This technology-based solution may strengthen the support framework available for parents/caregivers to provide home-based therapy on a regular basis, and possibly reduce the need for frequent visits to the institution.