Information Technology for Forming a Personal Movement Rehabilitation Plan After a Stroke

Abstract

Introduction. Stroke ranks second in the list of major causes of death and is the leading cause of disability in Ukraine. Synthesis of innovative technologies that help to movement restoration after stroke is an urgent scientific and practical task. The purpose of the paper is to synthesize the information technology for forming a personal movement rehabilitation plan after a stroke on the basis of quantitative assessment of movement deficit according to the evidence criteria. Results. The technology for information support for forming a movement training personal plan to restore movements after a stroke has been developed. This technology is implemented by the specialized software module "MovementRehabStroke 1.0" for information and consulting support to the physician in determining the plan: movements, programs, movements training duration based on electromyostimulation and / or biofeedback. The structural and functional model of the operator (physician) and software module "Move-mentRehabStroke 1.0" interaction has been developed. This module consists of a graphical interface and basic information modules: Database, Module "MovementTestStroke 1.1" for quantitative assessment of movement deficit and Module for forming the personal movement training plan. The interface provides the interactive mode of work with information modules for operator. An algorithm has been developed for the operation of specialized software module "MovementRehabStroke 1.0" in researching on the formation of a personal training plan for patient movements based on indicators of quantitative assessment of movement deficit, which is provided by the information module "MovementTestStroke 1.1" and information received from a personal electronic medical record (EMR) of the patient: indicators of neurological status, concomitant diseases etc. Conclusions. The obtained results will contribute to the creation of a new class of mobile means of digital medicine-mobile applications installed in the structure of the smartphones for movements assessment after a stroke, forming the personal rehabilitation plan, and assessment of rehabilitation results.

Формування Інтероперабельного Інформаційного Середовища Цифрової Медицини: Персональні Медичні Дані

“…While designing the databank, we primarily pay attention to socially significant diseases with sys temic disorders of carbohydrate metabolism and impaired motor and speech functions in patients after stroke. In these cases, the formation of PMD aims at enabling the patients:  to determine the patient's daily glycemic profi le in the conditions of irregular measure ments of blood glucose level, with the help of mobile de vices [20], given the patient's sensitivity to in jec tions of insulin and glucose component of food;  to get quality medical care and health services, including remote monitoring of rehabilitation of motor and speech functions, not only in cli nical but also at home conditions, with the use of mobile devices [7].…”