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Tele-rehabilitation service delivery journey from prototype to robust in-home use

KIZONY R; WEISS PL; HAREL S; FELDMAN Y; OBUHOV A; ZEILIG G; SHANI M
DISABIL REHABIL , 2017, vol. 39, n° 15, p. 1532-1540
Doc n°: 185504
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1080/09638288.2016.1250827
Descripteurs : AF3 - TRAUMATISME CRANIEN, VE1 - TELEMEDECINE

The purpose of this study is to present a retrospective study on clients
with Acquired Brain Injury (ABI) enrolled in a tele-motion-rehabilitation service
program for two or more months. METHODS: Data from 82 clients (46 males; 74 with
ABI), aged 22-85 years, are reported. The Kinect-based CogniMotion System
(ReAbility Online, Gertner Institute, Tel Hashomer, Israel) provided services
that included 30-min biweekly sessions. Participants were evaluated prior to and
2 months following the commencement of service with clinical assessments that
measured movements and function of the weaker upper extremity and cognitive
abilities. RESULTS: Clients enrolled in the service had intact or mild cognitive
impairment, mild-moderate motor impairment but little use of their weak upper
extremity for daily activities. They were satisfied with the service and reported
high levels of system usability. Post-intervention clinical assessments were
performed on about half of the participants after 2 months; significant
improvements in active movements of the weak upper extremity, shoulder flexion
range of motion and in the Trail Making Test were found (p < 0.05). CONCLUSIONS:
The service appears to be feasible for people with ABI and effective in important
clinical outcomes related to improvements in upper extremity function.
Implications for Rehabilitation Tele-rehabilitation provided with Microsoft
Kinect 3D sensor virtual reality tracking system is feasible for people with
Acquired Brain Injury. People with Acquired Brain Injury in the chronic stage
were satisfied with the tele-rehabilitation service and perceived it as
beneficial to improve their motor and cognitive abilities The CogniMotion System
service appears to be effective in important clinical outcomes related to
improvements in upper extremity function.

Langue : ANGLAIS

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