Seven Capital Devices for the Future of Stroke Rehabilitation

Iosa, Marco; Morone, Giovanni; Fusco, Augusto; Bragoni, Maura; Coiro, Paola; Multari, M.; Venturiero, Vincenzo; Angelis, Domenico De; Pratesi, Luca; Paolucci, Stefano

doi:10.1155/2012/187965

Cited by 90 publications

(87 citation statements)

References 93 publications

(112 reference statements)

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“…Rehabilitators should train subjects with amputation to progressively optimize gait features such as stability, efficiency, and functioning by making a safe choice about WS. Our study, together with previous ones [1,9,27], also showed that the use of a single triaxial accelerometer (i.e., a low-cost, wearable, and easy-to-use device [44]) can provide useful quantitative and objective information about important gait features. The common walking tests performed in clinics on subjects with amputation, such as the 10 m walking test or the 6 min walking test [45], just measure speed of walking without providing information about the optimization of other important aspects of gait.…”

Section: Discussionsupporting

confidence: 72%

Assessment of gait stability, harmony, and symmetry in subjects with lower-limb amputation evaluated by trunk accelerations

et al. 2014

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Abstract-Analysis of upper-body accelerations is a promising and simple technique for quantitatively assessing some general features of gait such as stability, harmony, and symmetry. Despite the growing literature on elderly healthy populations and neurological patients, few studies have used accelerometry to investigate these features in subjects with lower-limb amputation. We enrolled four groups of subjects: subjects with transfemoral amputation who walked with a locked knee prosthesis, subjects with transfemoral amputation who walked with an unlocked knee prosthesis, subjects with transtibial amputation, and age-matched nondisabled subjects. We found statistically significant differences for stability (p < 0.001), harmony (p < 0.001), and symmetry (p < 0.001) of walking, with general trends following the noted order of subjects, but with the lowest laterolateral harmony in subjects with transtibial amputation. This study is the first to investigate upper-body acceleration of subjects with unilateral lower-limb amputation during walking who were evaluated upon dismissal from a rehabilitation hospital; it is also the first study to differentiate the sample in terms of level of amputation and type of prosthesis used.

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Section: Discussionsupporting

confidence: 72%

Assessment of gait stability, harmony, and symmetry in subjects with lower-limb amputation evaluated by trunk accelerations

et al. 2014

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“…Patients' recovery and progress can be monitored by the sharing of information electronically by tablet computers with the community rehabilitation teams [51]. Previous pilot studies of iPad-based home rehabilitation have shown high satisfaction rates as patients felt that the intervention is modern, engaging and cutting edge [30].…”

Section: Patients' Acceptability Of Ipad-based Rehabilitation and Selmentioning

confidence: 99%

iPad Use in Stroke Neuro-Rehabilitation

Ameer¹,

Ali²

2017

Preprint

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Neuro-rehabilitation services are essential in reducing post-stroke impairments, enhancing independence, and improving recovery in hospital and post-discharge. However these services are therapist-dependent and resource intensive. Patients' disengagement and boredom in stroke units are common which adversely affect functional and psychological outcomes. Novel techniques such as use of iPads™ are increasingly researched to overcome such challenges. The aim of this review is to determine the feasibility, effectiveness, acceptability, and barriers to the use of iPads™ in stroke neuro-rehabilitation. Four databases and manual literature search were used to identify published studies using the terms "iPad", "Stroke", and "neuro-rehabilitation". Studies were included in accordance with the review selection criteria. A total of 16 articles were included in the review. The majority of the studies focused on iPads use in speech and language therapy. Although of small scale, the studies highlighted that iPads are feasible, have the potential to improve rehabilitation outcomes, and can improve patient's social isolation. Patients' stroke severity and financial limitations are some of the barriers highlighted in this review. This review presents preliminary data supportive for the use of iPad technology in stroke neuro-rehabilitation. However, further research is needed to determine impact on rehabilitation goals acquisition, clinical efficacy, and cost-efficiency.

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“…The future of stroke rehabilitation increasingly includes technological approaches [35]. In approaching the application of new technologies, a collaborative approach is required between researchers and clinicians [34].…”

Section: The Challenge Of Implementing Evidence Based Practice In CLImentioning

confidence: 99%

Upper Limb Rehabilitation Following Stroke: Current Evidence and Future Perspectives

Adey‐Wakeling

Crotty

2013

Aging Health

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/ SummaryStroke is a leading cause of disability worldwide, with risk increasing with age.Upper limb hemiparesis is common and associated with persistent impairments and associated disabilities. Older stroke populations often suffer multiple co-morbidities and restoring independence is complex. Recovery of upper limb function can be crucial for them to return to independent living and to participate in community life.This review describes upper limb recovery post stroke, and some of the new therapeutic approaches available to promote recovery. Technologies (including virtual reality and telehealth) offer the opportunity for more home based therapies, longer programs, greater access to rehabilitation for older people however the trials continue to exclude older people so acceptability is poorly understood. Introduction:

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Seven Capital Devices for the Future of Stroke Rehabilitation

Cited by 90 publications

References 93 publications

Assessment of gait stability, harmony, and symmetry in subjects with lower-limb amputation evaluated by trunk accelerations

Assessment of gait stability, harmony, and symmetry in subjects with lower-limb amputation evaluated by trunk accelerations

iPad Use in Stroke Neuro-Rehabilitation

Upper Limb Rehabilitation Following Stroke: Current Evidence and Future Perspectives

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