A Novel Task-Specific Upper-Extremity Rehabilitation System with Interactive Game-Based Interface for Stroke Patients

Jayasree-Krishnan, Veena; Gamdha, Dhruv; Goldberg, Brian S.; Ghosh, Sucharita; Raghavan, Preeti; Kapila, Vikram

doi:10.1109/ismr.2019.8710184

Cited by 8 publications

(4 citation statements)

References 24 publications

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“…It also provides a means for clinicians to evaluate the extent to which a certain technology (or technologies) addresses the needs of patients comprehensively and how it can be incorporated into patient care workflows. This may require closer collaboration between healthcare providers and industry and would be helpful to bear in mind, as new systems are being prototyped 44,45 and evaluated for real-world use.…”

Section: Discussionmentioning

confidence: 99%

Developing a Framework for Designing and Deploying Technology-Assisted Rehabilitation After Stroke

Jayasree-Krishnan

Ghosh

Palumbo

et al. 2020

Am J Phys Med Rehabil

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Objective Many unmet rehabilitation needs of patients with stroke can be addressed effectively using technology. However, technological solutions have not yet been seamlessly incorporated into clinical care. The purpose of this pilot study was to examine how to bridge the gaps between the recovery process, technology, and clinical practice to impact stroke rehabilitation meaningfully. Design Semistructured interviews were performed using a grounded theory approach with purposive sampling of 17 diverse expert providers in acute care, inpatient, and outpatient stroke rehabilitation settings. Common themes were identified from qualitative analyses of the transcribed conversations to develop a guiding framework from the emerging concepts. Results Four core themes emerged that addressed major barriers in stroke rehabilitation and technology-assisted solutions to overcome these barriers: (1) accessibility to quality rehabilitation, (2) adaptability to patient differences, (3) accountability or compliance with rehabilitation, and (4) engagement with rehabilitation. Conclusions The results suggest a four-pronged framework, the A3E framework that stands for Accessibility, Adaptability, Accountability, and Engagement, to comprehensively address existing barriers in providing rehabilitation services. This framework can guide technology developers and clinicians in designing and deploying technology-assisted rehabilitation solutions for poststroke rehabilitation, particularly using telerehabilitation.

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Section: Discussionmentioning

confidence: 99%

Developing a Framework for Designing and Deploying Technology-Assisted Rehabilitation After Stroke

Jayasree-Krishnan

Ghosh

Palumbo

et al. 2020

Am J Phys Med Rehabil

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“…Adherence to EM protocols can be improved through gamification: it encourages patients motivation, and hence, better loyalty in treatments is achieved [62]. Game-based rehabilitation is also explored in [63], where patients have to handle a cup and achieve milestones with it while controlling the movement they make with their arm. In [64], a set of sensors detect the movement of the feet, and this translates into the interaction in a game that works on a tablet.…”

Section: Integrating Proposals From the Rehabilitation Areamentioning

confidence: 99%

Smart Health-Enhanced Early Mobilisation in Intensive Care Units

Ferre

Batista

Solanas

et al. 2021

Sensors

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Critically ill patients that stay in Intensive Care Units (ICU) for long periods suffer from Post-Intensive Care Syndrome or ICU Acquired Weakness, whose effects can decrease patients’ quality of life for years. To prevent such issues and aiming at shortening intensive care treatments, Early Mobilisation (EM) has been proposed as an encouraging technique: the literature includes numerous examples of the benefits of EM on the prevention of post-operative complications and adverse events. However, the appropriate application of EM programmes entails the use of scarce resources, both human and technical. Information and Communication Technologies can play a key role in reducing cost and improving the practice of EM. Although there is rich literature on EM practice and its potential benefits, there are some barriers that must be overcome, and technology, i.e., the use of sensors, robotics or information systems, can contribute to that end. This article reviews the literature and analyses on the use of technology in the area of EM, and moreover, it proposes a smart health-enhanced scenario.

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“…Thus, the scenario varied depending on the part of the upper extremity that was targeted. Nevertheless, it is evident that in the case of attempts that belong to hardware development, the purpose is focused on more specific (fine) movements (ie, accuracy of the movement achieved in object placement), with noticeable interest in the force that the user exerts [13,47,[54][55][56][57][58][59][60][61]. Moreover, another class of game type is the time (ie, completion time of the tasks).…”

Section: Game Targetmentioning

confidence: 99%

“…Overall, 17.8%(30/169) of the studies included webcams and cameras in their systems. Half of them [8,[29][30][31]33,34,37,55,90,94,[111][112][113][114][115] used only webcams in an attempt to create a home-based and easy-to-use patient system. The other half used either simple cameras [36] or cameras combined with a marker (ie, glove, card) to track the movement [21,39,116], gaming accessories such as PlayStation controllers [117] and Nintendo Wii remote [89], or a customized exoskeleton glove [118] and an eye tracker [38].…”

Section: Commercial Sensorsmentioning

confidence: 99%

Serious Gaming Technology in Upper Extremity Rehabilitation: Scoping Review

Koutsiana¹,

Ladakis²,

Fotopoulos³

et al. 2020

JMIR Serious Games

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Background: Serious gaming has increasingly gained attention as a potential new component in clinical practice. Specifically, its use in the rehabilitation of motor dysfunctions has been intensively researched during the past three decades. Objective: The aim of this scoping review was to evaluate the current role of serious games in upper extremity rehabilitation, and to identify common methods and practice as well as technology patterns. This objective was approached via the exploration of published research efforts over time. Methods: The literature search, using the PubMed and Scopus databases, included articles published from 1999 to 2019. The eligibility criteria were (i) any form of game-based arm rehabilitation; (ii) published in a peer-reviewed journal or conference; (iii) introduce a game in an electronic format; (iv) published in English; and (v) not a review, meta-analysis, or conference abstract. The search strategy identified 169 relevant articles. Results: The results indicated an increasing research trend in the domain of serious gaming deployment in upper extremity rehabilitation. Furthermore, differences regarding the number of publications and the game approach were noted between studies that used commercial devices in their rehabilitation systems and those that proposed a custom-made robotic arm, glove, or other devices for the connection and interaction with the game platform. A particularly relevant observation concerns the evaluation of the introduced systems. Although one-third of the studies evaluated their implementations with patients, in most cases, there is the need for a larger number of participants and better testing of the rehabilitation scheme efficiency over time. Most of the studies that included some form of assessment for the introduced rehabilitation game mentioned user experience as one of the factors considered for evaluation of the system. Besides user experience assessment, the most common evaluation method involving patients was the use of standard medical tests. Finally, a few studies attempted to extract game features to introduce quantitative measurements for the evaluation of patient improvement. Conclusions: This paper presents an overview of a significant research topic and highlights the current state of the field. Despite extensive attempts for the development of gamified rehabilitation systems, there is no definite answer as to whether a serious game is a favorable means for upper extremity functionality improvement; however, this certainly constitutes a supplementary means for motivation. The development of a unified performance quantification framework and more extensive experiments could generate richer evidence and contribute toward this direction.

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A Novel Task-Specific Upper-Extremity Rehabilitation System with Interactive Game-Based Interface for Stroke Patients

Cited by 8 publications

References 24 publications

Developing a Framework for Designing and Deploying Technology-Assisted Rehabilitation After Stroke

Developing a Framework for Designing and Deploying Technology-Assisted Rehabilitation After Stroke

Smart Health-Enhanced Early Mobilisation in Intensive Care Units

Serious Gaming Technology in Upper Extremity Rehabilitation: Scoping Review

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