Low-Cost Tele-assessment System for Home-Based Evaluation of Reaching Ability Following Stroke
Identifieur interne : 002A23 ( Ncbi/Curation ); précédent : 002A22; suivant : 002A24Low-Cost Tele-assessment System for Home-Based Evaluation of Reaching Ability Following Stroke
Auteurs : Chi-Lun Rau ; Ya-Ping Chen ; Jin-Shin Lai ; Shih-Ching Chen ; Te-Son Kuo ; Fu-Shan Jaw ; Jer-Junn LuhSource :
- Telemedicine Journal and e-Health [ 1530-5627 ] ; 2013.
Abstract
Url:
DOI: 10.1089/tmj.2012.0300
PubMed: 24138613
PubMed Central: 3850429
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PMC:3850429Le document en format XML
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<author><name sortKey="Rau, Chi Lun" sort="Rau, Chi Lun" uniqKey="Rau C" first="Chi-Lun" last="Rau">Chi-Lun Rau</name>
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<author><name sortKey="Chen, Ya Ping" sort="Chen, Ya Ping" uniqKey="Chen Y" first="Ya-Ping" last="Chen">Ya-Ping Chen</name>
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<author><name sortKey="Lai, Jin Shin" sort="Lai, Jin Shin" uniqKey="Lai J" first="Jin-Shin" last="Lai">Jin-Shin Lai</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Low-Cost Tele-assessment System for Home-Based Evaluation of Reaching Ability Following Stroke</title>
<author><name sortKey="Rau, Chi Lun" sort="Rau, Chi Lun" uniqKey="Rau C" first="Chi-Lun" last="Rau">Chi-Lun Rau</name>
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<author><name sortKey="Chen, Ya Ping" sort="Chen, Ya Ping" uniqKey="Chen Y" first="Ya-Ping" last="Chen">Ya-Ping Chen</name>
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<author><name sortKey="Lai, Jin Shin" sort="Lai, Jin Shin" uniqKey="Lai J" first="Jin-Shin" last="Lai">Jin-Shin Lai</name>
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<author><name sortKey="Chen, Shih Ching" sort="Chen, Shih Ching" uniqKey="Chen S" first="Shih-Ching" last="Chen">Shih-Ching Chen</name>
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<author><name sortKey="Kuo, Te Son" sort="Kuo, Te Son" uniqKey="Kuo T" first="Te-Son" last="Kuo">Te-Son Kuo</name>
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<author><name sortKey="Jaw, Fu Shan" sort="Jaw, Fu Shan" uniqKey="Jaw F" first="Fu-Shan" last="Jaw">Fu-Shan Jaw</name>
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<author><name sortKey="Luh, Jer Junn" sort="Luh, Jer Junn" uniqKey="Luh J" first="Jer-Junn" last="Luh">Jer-Junn Luh</name>
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<series><title level="j">Telemedicine Journal and e-Health</title>
<idno type="ISSN">1530-5627</idno>
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<front><div type="abstract" xml:lang="en"><title>Abstract</title>
<p><bold><italic>Objective:</italic>
</bold>
<italic>Tele-assessment techniques can provide healthcare professionals with easily accessible information regarding patients' clinical progress. Recently, kinematic analysis systems have been used to assess rehabilitative outcomes in stroke patients. Kinematic systems, however, are not compatible with tele-assessment. The objective of our study was to develop a tele-assessment system for acquiring kinematic data of forward reaching movements in stroke patients, with an emphasis on cost-effectiveness, portability, and ease of use.</italic>
<bold><italic>Materials and Methods:</italic>
</bold>
<italic>We selected four healthy control participants and eight hemiplegic stroke patients for our study. The stroke patients were classified as Brunnstrom stage III, stage IV, or stage V. Our tele-assessment system used two three-axes accelerometers, a potentiometer, a multifunctional data acquisition card, and two computers. A standardized kinematic system was applied simultaneously to validate the measurements recorded by our tele-assessment system during five repetitions of forward reaching movements.</italic>
<bold><italic>Results:</italic>
</bold>
<italic>The correlation coefficients of the reaching displacement, velocity, and acceleration measurements obtained using our tele-assessment system and the standardized kinematic system were 0.956, 0.896, and 0.727, respectively. Differences in the maximum reaching distance and the maximum reaching velocity of forward reaching movements were observed among the study groups. There were no significant differences in the time required to complete the testing session among the study groups.</italic>
<bold><italic>Conclusions:</italic>
</bold>
<italic>Our tele-assessment system is valid for the evaluation of upper-extremity reaching ability in stroke patients. Further research is needed to investigate the feasibility of the use of the tele-assessment system in patients' homes.</italic>
</p>
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