Telehealth with 3D games for stroke rehabilitation

Abstract This study explores the feasibility of a novel telehealth system for stroke rehabilitation in a rural area in Sweden. It addresses two major problems of home-based rehabilitation: training motivation and frequent meetings. Three stroke subjects were equipped with 3D computer games workbenches, and were instructed to play with the hemiplegic upper extremity. On-line coaching meetings were performed using bidirectional audiovisual communication. The intervention led to clinical changes for all subjects. On-line coaching is promising, but not yet as effective as desired. However, a distance based approach using 3D games for upper extremity rehabilitation after stroke is feasible.

[1]  Katharina Stibrant Sunnerhagen,et al.  A home-based, self-administered stimulation program to improve selected hand functions of chronic stroke. , 2003, NeuroRehabilitation.

[2]  R. Berkowitz,et al.  Action and reaction: computer-mediated dialogues as a model for natural interfaces , 1997, Proceedings Second International Conference on Cognitive Technology Humanizing the Information Age.

[3]  M. Donaghy,et al.  Principles of neurological rehabilitation , 2003, Journal of neurology, neurosurgery, and psychiatry.

[4]  R. Lyle.  A performance test for assessment of upper limb function in physical rehabilitation treatment and research , 1981, International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation.

[5]  Joan Mazur,et al.  CONVERSATION ANALYSIS FOR EDUCATIONAL TECHNOLOGISTS: THEORETICAL AND METHODOLOGICAL ISSUES FOR RESEARCHING THE STRUCTURES, PROCESSES, AND MEANING OF ON-LINE TALK , 2003 .

[6]  Evaluating the Effectiveness of Home Health as a Disease Management Strategy , 2006 .

[7]  V. Mathiowetz,et al.  Adult norms for the Box and Block Test of manual dexterity. , 1985, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[8]  Lena Pareto,et al.  Virtual reality, haptics and post-stroke rehabilitation in practical therapy , 2008 .

[9]  David B Buller,et al.  Attributes of Interactive Online Health Information Systems , 2005, Journal of medical Internet research.

[10]  R. Grubb,et al.  Guidelines for the Early Management of Patients With Ischemic Stroke: A Scientific Statement From the Stroke Council of the American Stroke Association , 2003, Stroke.

[11]  Jurgen Broeren,et al.  Haptic virtual rehabilitation in stroke: transferring research into clinical practice , 2009 .

[12]  G. Grimby,et al.  Grip force in patients with rheumatoid arthritis and fibromyalgia and in healthy subjects. A study with the Grippit instrument. , 1993, Scandinavian journal of rheumatology.

[13]  Jack M Winters,et al.  A telehomecare model for optimizing rehabilitation outcomes. , 2004, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[14]  P. Lehoux,et al.  A systematic review of clinical outcomes, clinical process, healthcare utilization and costs associated with telerehabilitation , 2009, Disability and rehabilitation.

[15]  R. Brooks.  EuroQol: the current state of play. , 1996, Health policy.

[16]  K. Sunnerhagen,et al.  Virtual Rehabilitation in an Activity Centre for Community-Dwelling Persons with Stroke , 2008, Cerebrovascular Diseases.

[17]  R. Macko,et al.  Testing a Model of Post‐Stroke Exercise Behavior , 2006, Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses.

[18]  Pamela W Duncan,et al.  Management of Adult Stroke Rehabilitation Care: a clinical practice guideline. , 2005, Stroke.

[19]  K. Sunnerhagen,et al.  Virtual reality and haptics as a training device for movement rehabilitation after stroke: a single-case study. , 2004, Archives of Physical Medicine and Rehabilitation.