The Neurorehabilitation Training Toolkit (NTT): A Novel Worldwide Accessible Motor Training Approach for At-Home Rehabilitation after Stroke
Identifieur interne : 000759 ( Main/Exploration ); précédent : 000758; suivant : 000760The Neurorehabilitation Training Toolkit (NTT): A Novel Worldwide Accessible Motor Training Approach for At-Home Rehabilitation after Stroke
Auteurs : Sergi Bermúdez I Badia [Portugal] ; M. S. Cameirão [Portugal]Source :
- Stroke Research and Treatment [ 2090-8105 ] ; 2012.
Abstract
After stroke, enduring rehabilitation is required for maximum recovery, and ideally throughout life to prevent functional deterioration. Hence we developed a new concept for at-home low-cost motor rehabilitation, the NTT, an Internet-based interactive system for upper-limb rehabilitation. In this paper we present the NTT design concepts, its implementation and a proof of concept study with 10 healthy participants. The NTT brings together concepts of optimal learning, engagement, and storytelling to deliver a personalized training to its users. In this study we evaluate the feasibility of NTT as a tool capable of automatically assessing and adapting to its user. This is achieved by means of a psychometric study where we show that the NTT is able to assess movement kinematics—movement smoothness, range of motion, arm displacement and arm coordination—in healthy users. Subsequently, a modeling approach is presented to understand how the measured movement kinematics relate to training parameters, and how these can be modified to adapt the training to meet the needs of patients. Finally, an adaptive algorithm for the personalization of training considering motivational and performance aspects is proposed. In the next phase we will deploy and evaluate the NTT with stroke patients at their homes.
Url:
DOI: 10.1155/2012/802157
PubMed: 22619741
PubMed Central: 3350995
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The Neurorehabilitation Training Toolkit (NTT): A Novel Worldwide Accessible Motor Training Approach for At-Home Rehabilitation after Stroke</title><author><name sortKey="Bermudez I Badia, Sergi" sort="Bermudez I Badia, Sergi" uniqKey="Bermudez I Badia S" first="Sergi" last="Bermúdez I Badia">Sergi Bermúdez I Badia</name><affiliation wicri:level="1"><nlm:aff id="I1">Madeira Interactive Technologies Institute, Universidade da Madeira, Campus Universitario da Penteada, Madeira, 9020-105 Funchal, Portugal</nlm:aff><country xml:lang="fr">Portugal</country><wicri:regionArea>Madeira Interactive Technologies Institute, Universidade da Madeira, Campus Universitario da Penteada, Madeira, 9020-105 Funchal</wicri:regionArea><wicri:noRegion>9020-105 Funchal</wicri:noRegion></affiliation></author><author><name sortKey="Cameirao, M S" sort="Cameirao, M S" uniqKey="Cameirao M" first="M. S." last="Cameirão">M. S. 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S." last="Cameirão">M. S. Cameirão</name><affiliation wicri:level="1"><nlm:aff id="I1">Madeira Interactive Technologies Institute, Universidade da Madeira, Campus Universitario da Penteada, Madeira, 9020-105 Funchal, Portugal</nlm:aff><country xml:lang="fr">Portugal</country><wicri:regionArea>Madeira Interactive Technologies Institute, Universidade da Madeira, Campus Universitario da Penteada, Madeira, 9020-105 Funchal</wicri:regionArea><wicri:noRegion>9020-105 Funchal</wicri:noRegion></affiliation></author></analytic><series><title level="j">Stroke Research and Treatment</title><idno type="ISSN">2090-8105</idno><idno type="e-ISSN">2042-0056</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>After stroke, enduring rehabilitation is required for maximum recovery, and ideally throughout life to prevent functional deterioration. Hence we developed a new concept for at-home low-cost motor rehabilitation, the NTT, an Internet-based interactive system for upper-limb rehabilitation. In this paper we present the NTT design concepts, its implementation and a proof of concept study with 10 healthy participants. The NTT brings together concepts of optimal learning, engagement, and storytelling to deliver a personalized training to its users. In this study we evaluate the feasibility of NTT as a tool capable of automatically assessing and adapting to its user. This is achieved by means of a psychometric study where we show that the NTT is able to assess movement kinematics—movement smoothness, range of motion, arm displacement and arm coordination—in healthy users. Subsequently, a modeling approach is presented to understand how the measured movement kinematics relate to training parameters, and how these can be modified to adapt the training to meet the needs of patients. Finally, an adaptive algorithm for the personalization of training considering motivational and performance aspects is proposed. 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Riener</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sanchez, Rj" uniqKey="Sanchez R">RJ Sanchez</name></author><author><name sortKey="Liu, J" uniqKey="Liu J">J Liu</name></author><author><name sortKey="Rao, S" uniqKey="Rao S">S Rao</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Portugal</li></country></list><tree><country name="Portugal"><noRegion><name sortKey="Bermudez I Badia, Sergi" sort="Bermudez I Badia, Sergi" uniqKey="Bermudez I Badia S" first="Sergi" last="Bermúdez I Badia">Sergi Bermúdez I Badia</name></noRegion><name sortKey="Cameirao, M S" sort="Cameirao, M S" uniqKey="Cameirao M" first="M. 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