Remote monitoring and quantification of upper limb and hand function in chronic disability conditions
-
Susan H. Brown
,
Jeanne Langan
Abstract
This paper describes a convenient, home-based telerehabilitation system designed to improve upper limb and hand function in adults with cerebral palsy. The training program incorporates a variety of computer-guided sensorimotor activities, such as unilateral and bilateral reaching, reaching and grasping, object manipulation, and tactile discrimination tasks. Quantitative measures of performance are uploaded to the laboratory after each training session for further analysis. Webcam monitoring of performance occurs periodically throughout the training period. Twelve adults with cerebral palsy completed a 45 min/day, 5 days/week training program over 8 weeks. Temporal measures of performance indicated significant improvement in reaching and hand manipulation ability as well as improved tactile discrimination. Preliminary analysis of the time course of change revealed variable patterns within and across participants. The capacity to measure change throughout a training program provides an opportunity to investigate how learning occurs over time in chronic disability. Compliance was excellent, with subjective reports indicating improvement in activities of daily living. Future development includes a fully automated system with stand alone modules, which allow for customization of training protocols depending upon specific needs of the user.
©2011 by Walter de Gruyter Berlin Boston
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- Editorial
- Virtual reality and assistive technologies for people with disabilities
- Review Articles
- SimCoach: an intelligent virtual human system for providing healthcare information and support
- Exploring intelligent agents in three-dimensional games for cognitive stimulation
- Participatory design approach with children with autism
- PiTaSu: wearable interface for assisting senior citizens with memory problems
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- Traumatic brain injury memory training: a virtual reality online solution
- A virtual reality approach to gait training in service members with lower extremity amputations
- Continuation of balance training for stroke subjects in home environment using virtual reality
- Audio-visual biofeedback system for postural control
- Assessing navigation in real and virtual environments: a validation study
- Development of an interactive stepping game to reduce falls in older adults
- A study to evaluate a low cost virtual reality system for home based rehabilitation of the upper limb following stroke
- Remote monitoring and quantification of upper limb and hand function in chronic disability conditions
- Wearable device to assist independent living
- Designing a workplace for workers with motion disability with computer simulation and virtual reality techniques
- Low-cost optical tracking for collaborative applications in immersive virtual environments
- Mobile audio assistance in bus transportation for the blind
- Telehealth with 3D games for stroke rehabilitation
- Case Report
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