Post-stroke arm motor telerehabilitation web-based

Lamberto Piron, Paolo Tonin, Feliciana Cortese, Mauro Zampolini, Francesco Piccione, Michela Agostini, Carla Zucconi, Andrea Turolla, Mauro Dam

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Rehabilitative interventions may be provided to disabled people at home by means of telerehabilitation. We evaluated the effects of a telerehabilitation program designed for ameliorating motor deficits in post-stroke patients with arm impairment. We also compared the effects of home-based traditional rehabilitation provided by physiotherapists. We selected 24 patients suffering from mild/intermediate arm motor impairments due to a long-lasting ischemic stroke in the territory of middle cerebral artery. A new virtual reality (vr) based system working on Internet connections provided adequate motor tasks to the patients from a remote rehabilitation facility. Both, the home-based traditional and the telerehabilitation programs, lasted four weeks. Before, at the end of the therapies and one month thereafter, we assessed the motor deficit and the functional activities of the upper extremity with the Fugl-Meyer scale and the Abilhand scale. In addition, the spasticity of the arm was determined with the Ashworth scale. Finally, we examined at the same evaluation times the mean linear velocity and the duration of 30 consecutive reaching movements. Both the rehabilitative therapies improved significantly the Fugl-Meyer mean score and the Abilhand scale score. The clinical outcomes were not different between the two groups. In the telerehabilitation treated group, mean duration and mean velocity of the reaching movements improved by 20.5 % and by 16.3%, respectively. These results supported the observations that some post stroke patients may benefit from a home-based telerehabilitation program to improve their motor deficits. This fact may favor an early discharge from hospital and have beneficial effects on the quality of life. In addition, telerehabilitation program may spare the available resources since allows physiotherapists and physicians to rehabilitate and monitor the patients remotely from rehabilitation facilities.

Original languageEnglish
Title of host publicationFifth International Workshop on Virtual Rehabilitation, IWVR 2006
Pages145-148
Number of pages4
Publication statusPublished - 2006
Event5th International Workshop on Virtual Rehabilitation, IWVR 2006 - New York, NY, United States
Duration: Aug 29 2006Aug 30 2006

Other

Other5th International Workshop on Virtual Rehabilitation, IWVR 2006
CountryUnited States
CityNew York, NY
Period8/29/068/30/06

ASJC Scopus subject areas

  • Artificial Intelligence
  • Computer Vision and Pattern Recognition
  • Software
  • Rehabilitation

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  • Cite this

    Piron, L., Tonin, P., Cortese, F., Zampolini, M., Piccione, F., Agostini, M., Zucconi, C., Turolla, A., & Dam, M. (2006). Post-stroke arm motor telerehabilitation web-based. In Fifth International Workshop on Virtual Rehabilitation, IWVR 2006 (pp. 145-148). [1707543]