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Integrative rehabilitation of elderly stroke survivors: The design and evaluation of the BrightArm™

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Integrative rehabilitation of elderly stroke survivors: The design and evaluation of the BrightArm™

Auteurs : Bryan A. Rabin [États-Unis] ; Grigore C. Burdea [États-Unis] ; Doru T. Roll [États-Unis] ; Jasdeep S. Hundal [États-Unis] ; Frank Damiani [États-Unis] ; Simcha Pollack [États-Unis]

Source :

Disability and Rehabilitation. Assistive Technology [ 1748-3107 ] ; 2011.

RBID : PMC:3358470

Abstract

Purpose

To describe the development of the BrightArm upper extremity rehabilitation system, and to determine its clinical feasibility with older hemiplegic patients.

Method

The BrightArm adjusted arm gravity loading through table tilting. Patients wore an arm support that sensed grasp strength and communicated wirelessly with a personal computer. Games were written to improve cognitive, psychosocial and the upper extremity motor function and adapted automatically to each patient. The system underwent feasibility trials spanning 6 weeks. Participants were evaluated pre-therapy, post-therapy, and at 6 weeks follow-up using standardized clinical measures. Computerized measures of supported arm reach and game performance were stored on a remote server.

Results

Five participants had clinically significant improvements in their active range of shoulder movement, shoulder strength, grasp strength, and their ability to focus. Several participants demonstrated substantially higher arm function (measured with the Fugl-Meyer test) and two were less-depressed (measured with the Becks Depression Inventory, Second Edition). The BrightArm technology was well-accepted by the participants, who gave it an overall subjective rating of 4.1 on a 5 point Likert scale.

Conclusions

Given these preliminary findings, it will be beneficial to evaluate the BrightArm through controlled clinical trials and to investigate its application to other clinical populations.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3358470

DOI: 10.3109/17483107.2011.629329
PubMed: 22107353
PubMed Central: 3358470

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PMC:3358470

Le document en format XML

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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose</title>
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</sec>
<sec id="S2"><title>Method</title>
<p id="P2">The BrightArm adjusted arm gravity loading through table tilting. Patients wore an arm support that sensed grasp strength and communicated wirelessly with a personal computer. Games were written to improve cognitive, psychosocial and the upper extremity motor function and adapted automatically to each patient. The system underwent feasibility trials spanning 6 weeks. Participants were evaluated pre-therapy, post-therapy, and at 6 weeks follow-up using standardized clinical measures. Computerized measures of supported arm reach and game performance were stored on a remote server.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Five participants had clinically significant improvements in their active range of shoulder movement, shoulder strength, grasp strength, and their ability to focus. Several participants demonstrated substantially higher arm function (measured with the Fugl-Meyer test) and two were less-depressed (measured with the Becks Depression Inventory, Second Edition). The BrightArm technology was well-accepted by the participants, who gave it an overall subjective rating of 4.1 on a 5 point Likert scale.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Given these preliminary findings, it will be beneficial to evaluate the BrightArm through controlled clinical trials and to investigate its application to other clinical populations.</p>
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Integrative rehabilitation of elderly stroke survivors: The design and evaluation of the BrightArm™

Integrative rehabilitation of elderly stroke survivors: The design and evaluation of the BrightArm™

Source :

Abstract

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